Hand Hygiene Compliance Rate

RVHS rate

Hand hygiene compliance results for April 1, 2015 - March 31, 2016

  First moment Fourth moment
Rouge Valley Ajax and Pickering 85.96% 89.90%
Rouge Valley Centenary 79.75% 87.38%

View results from past five fiscal years



Hand hygiene is an important practice for health care providers and has a significant impact on reducing the spread of infections in hospitals. Good hand hygiene helps to ensure patient safety, and involves everyone in the hospital. This includes the health care providers at Rouge Valley, as well as patients and their family and friends.

Hand hygiene relates to:

  1. The removal of visible soil; and

  2. The removal or killing of microorganisms found on the upper layers of the skin of our hands.

It is generally accomplished by either using soap and running water or by using an alcohol-based hand rub.

The most common way that hospital-acquired infections (HAIs) are spread is from the hands. Health care workers may acquire it on their hands from contact with colonized or infected patients, from each other, or after handling contaminated material or equipment.

By complying to hand hygiene practices, we can help to reduce HAIs. One of the ways that we can improve compliance is by monitoring and reporting hand hygiene practices. Using this information, we can get a better understanding of where we need to make changes to increase compliance by staff throughout the hospital.

View easy handwashing guide (from the Ontario Ministry of Health and Long-Term Care)


Public reporting

Mandatory public reporting is one way that hospitals across the province are working together to improve hand hygiene compliance. Beginning April 30, 2009, each hospital is required to submit compliance data to the Ontario Ministry of Health and Long-Term Care (MOHLTC). For the purpose of public reporting, data will be reported on an annual basis so that hospitals are able to submit enough data and that the compliance rate is statistically valid.

The goal of publicly reporting hand hygiene compliance is to achieve an overall assessment of whether compliance rates are improving. It is normal for rates to vary from hospital to hospital.

Four moments of proper hand hygiene in hospitals

Hospitals must report on the following four indications (or moments) for hand hygiene:

  1. Before initial patient/patient environment contact;

  2. Before aseptic procedure;

  3. After body fluid exposure risk; and

  4. After patient/patient environment contact.

While hospitals will be submitting data to the ministry on all four indications; the MOHLTC will not publicly report data on the second or third moment.