Audit tool
Hand hygiene practice audit
A short observation of hand hygiene at the five moments of care, with a check of technique. This is AccrediMe's own form, citing the WHO method.
Fill it in online - free, no account needed. 13 questions.
What it is for
Observe practice at the bedside and record what was seen, moment by moment.
- Observe hand hygiene at the five moments
- Record technique and product used
- Give feedback to the team observed
The full question list
1. Observation Details
- Ward/Department being observed *
- Staff role being observed *
- Number of opportunities observed *
2. WHO Five Moments Compliance
- Moment 1: Before touching a patient - hand hygiene performed *
- Moment 2: Before clean/aseptic procedure - hand hygiene performed *
- Moment 3: After body fluid exposure risk - hand hygiene performed *
- Moment 4: After touching a patient - hand hygiene performed *
- Moment 5: After touching patient surroundings - hand hygiene performed *
3. Technique Assessment
- Correct product used (soap or alcohol gel as appropriate) *
- All hand surfaces covered during application *
- Duration of the procedure was adequate for the product used *
- Hands dried properly with paper towels (if washed)
- Additional comments or observations
References
- Supports evidence for: The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, reg. 12(2)(h)
the things which a registered person must do to comply with that paragraph include ... assessing the risk of, and preventing, detecting and controlling the spread of, infections, including those that are health care associated
Read the source - Supports evidence for: Joint Commission International Accreditation Standards for Hospitals, including Standards for Academic Medical Center Hospitals, IPSG.05.00 (8th Edition)
AccrediMe is not affiliated with or endorsed by Joint Commission International (JCI). Standard identifiers are cited from JCI's published list; the standards themselves are JCI's and are not reproduced.
Read the source - Method based on: Hand Hygiene Technical Reference Manual: to be used by health-care workers, trainers and observers of hand hygiene practices, Part III: Observing hand hygiene practices
This template is AccrediMe's own. It is not a WHO form and is not endorsed by the World Health Organization.
Read the source
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.