Hand Hygiene Audit

This audit uses structured observation to measure hand hygiene compliance and supports infection prevention and control activity in line with WHO and NICE guidance.

• Ward and clinical teams
• IPC nurses
• Resident doctors and students
• Governance leads

• Measure compliance against the WHO 5 Moments
• Identify improvement opportunities by role and area
• Support IPC and quality improvement plans
• Generate governance-ready evidence

• Observation setting
• Role observed
• Moment (1–5)
• Compliance outcome
• Reason for non-compliance (if any)

• Live dashboard
• Audit report (Word)
• Executive summary (Word)
• Excel workbook
• PowerPoint presentation
• Conference poster
• ARCP evidence summary

• Designed to use anonymised or pseudonymised audit identifiers.
• This tool supports, but does not replace, clinical judgement.
• Local policy, formulary and specialist advice should be followed.
• Organisations remain responsible for local governance arrangements.

Supporting guidance from the Lazomis QI Resource Library. Authoritative clinical standards referenced by this project remain separate.

• Patient SafetyReducing Handover Failures for Safer Patient CareEffective clinical handover is critical for patient safety, yet failures remain a significant contributor to adverse events. This guide explores the common pitfalls and offers practical, evidence-based strategies to improve handover processes across healthcare settings.
• Clinical AuditEffective Project Handovers for QI Trainee Rotation ChangesThis guide helps NHS trainees and QI leads ensure seamless handovers of Quality Improvement projects when staff rotate, maintaining momentum and embedding improvements.
• Clinical GovernanceAvoiding 'Audit Theatre': Practical Steps for Meaningful Clinical AuditThis resource explores the concept of 'audit theatre' in the NHS and provides practical strategies to ensure clinical audit leads to genuine, measurable improvements in patient care and service delivery, rather than just fulfilling a compliance exercise.
• Quality ImprovementPDSA Cycles: A Practical Guide to Testing Change in HealthcareThis guide provides a practical overview of Plan-Do-Study-Act (PDSA) cycles, a fundamental tool for testing changes in healthcare quality improvement. It details how to apply PDSA effectively, common challenges, and integration with broader QI efforts.