Templates
Infection control hand hygiene audit form template

Infection control hand hygiene audit form template

Monitor and improve infection control practices with a detailed hand hygiene audit form. Ensure effective hygiene protocols are followed consistently.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
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Learn more
or Download template as PDF
Infection control hand hygiene audit form template

Monitor and improve infection control practices with a detailed hand hygiene audit form. Ensure effective hygiene protocols are followed consistently.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

The infection control hand hygiene audit form template offers a comprehensive solution for monitoring and improving hand hygiene practices in your healthcare facility. You can record detailed observations of hand hygiene compliance, identify specific areas needing improvement, and document corrective actions. For example, if your facility experiences compliance challenges, this template helps isolate the problem areas and track the effectiveness of your interventions.

According to the National Foundation for Infectious Diseases, about 80% of infectious diseases spread through hand contact. With this organized auditing approach, you’ll strengthen your infection prevention strategy and create a safer environment for both patients and staff.

Related categories

Preview of the template
Hand Hygiene Compliance
Improvement Opportunities
Identify areas for improvement
Corrective Actions
Document corrective actions taken

Frequently asked questions

How should I conduct observations using this hand hygiene audit form template?

Begin by selecting specific units or departments to observe. Position yourself where you can see hand hygiene opportunities without interfering with workflow. Record each observation according to the WHO’s 5 Moments framework, noting whether proper hand hygiene was performed. Aim for at least 20-30 observations per audit session for meaningful data.

What types of corrective actions should I document in this template?

Document both immediate actions (like on-the-spot education or restocking empty sanitizer dispensers) and longer-term interventions (such as targeted training programs, equipment relocation, or workflow adjustments). Include the responsible person, implementation date, and follow-up plan to ensure accountability and track the effectiveness of each intervention.

How can I calculate compliance rates using data from this audit form?

Divide the number of observed hand hygiene actions by the total number of hand hygiene opportunities, then multiply by 100 for your compliance percentage. Calculate separate rates for different moments, departments, or professional groups to identify specific improvement areas. Track these rates over time to measure the impact of your interventions.

What should I do if I notice consistently low compliance in a particular area?

First, investigate potential barriers like inconveniently placed dispensers, workflow issues, or knowledge gaps. Then collaborate with unit leadership to develop targeted interventions addressing those specific barriers. Follow up with focused education, environmental modifications, and repeat audits to measure improvement. Celebrate progress to reinforce positive changes.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.