News and Notices

Hand hygiene audit launches on 1 August

Excellent infection prevention and control is always a priority in health care and is at the forefront of our Trust response to Covid-19. In order to support the infection prevention and control team to gain assurance that best practices are being implemented across the organisation we are re-launching our hand hygiene audit.

All of IP&C and safe care champions have now been registered as users to a software system called AMaT (Audit Management and Tracking). The clinical effectiveness team will use AMaT to manage all clinical effectiveness projects in the future, including clinical audit. We are launching the hand hygiene audit on AMaT and will be asking IP&C champions to help complete this audit. One audit cycle is required to be completed by every clinical team each quarter. If you don’t have an IP&C champion then either contact to register one of your team to be a champion , or contact and provide the name and email address of the person who will be responsible for completing this audit. Teams can register as many people as they wish.

The hand hygiene audit will begin on 1 August 2020 and all clinical teams are required to take part and complete the audit by the 21 August 2020. The audit cycle must include the observation and assessment of as many different staff members as possible, in a variety of roles (including non-clinical e.g. porters and housekeepers). All teams must complete at least 15 observations to complete one audit cycle. The exception to this is where teams have fewer than five members of staff – these teams should complete at least five observations to complete one audit cycle. For teams where it is difficult to assess colleagues in practice (e.g. lone workers) a scenario-based observation can be completed in a convenient location such as at a base or in a clinic.

Training to complete the audit via AMaT will be provided by the Clinical Effectiveness Team. Please contact to arrange to attend a training session. Please also use the same address to contact us if you have any individual queries or training needs relating to completing this audit. We have developed some step-by-step training guides for using AMaT to complete an audit, which can be found on the Clinical Effectiveness Team page on MyDCHS.