Audit tool

Hand hygiene observation audit tool for clinical areas (JCI IPSG.5)

An observation audit tool for assessing hand hygiene compliance in clinical areas, covering staff roles, moments, methods, and performance.

Fill it in online - free, no account needed. 13 questions.

What it is for

This template provides a structured way to conduct direct observations of hand hygiene practices in healthcare settings.

The full question list

1. Observation Details

  1. Date and time of observation *
  2. Clinical area observed *
  3. Role of staff member observed *

2. Hand Hygiene Moment

  1. Hand hygiene moment observed *

3. Hand Hygiene Performance

  1. Hand hygiene performed correctly for the observed moment *
  2. Method of hand hygiene used *
  3. Notes on observation (e.g., specific actions, barriers)

4. Summary of Observations

  1. Total number of hand hygiene opportunities observed *
  2. Number of hand hygiene actions performed correctly *
  3. Calculated hand hygiene compliance rate (%) *

5. Sign-off

  1. Completed by (Name) *
  2. Date of completion *
  3. Signature *

References

How the score works

The score is the share of scored questions that pass. N/A is left out of the score; text, dates and signatures are recorded but not scored. A completed template is a record of what you checked; it is not an inspection by a regulator or an accreditation body.

Questions

What is a hand hygiene 'moment'?

A hand hygiene moment refers to the critical times when hand hygiene should be performed, such as before patient contact or after body fluid exposure, as defined by WHO's 'My Five Moments for Hand Hygiene'.

How often should this audit be conducted?

The frequency of audits depends on the facility's specific policies, risk assessments, and quality improvement goals, but regular observations are recommended to maintain high compliance.