Standard 3


Standard 3: Preventing and controlling health care associated infections


Prevent patients from acquiring preventable healthcare associated infections and effectively manage infections when they occur by using evidence-based strategies.

Hospital Standards

Epworth is accredited under the National Safety and Quality Health Service Standards. These national standards apply to all health services organisations and state the minimum level of care – the national benchmark – that consumers can expect. Hospitals must report their performance against the standards on a regular basis and are also subject to periodic reviews and assessments.

For further information, refer to the National Safety and Quality Health Service Standards Guide (PDF).

Epworth Standards 

At Epworth we want to provide excellent patient care. For this reason, we set our own, stricter benchmarks against each of the standards, and we measure our performance against these. The table below provides details of the national benchmark, the Epworth internal benchmark and our average result against each of the items.

​Standard 3: Preventing and controlling health care associated infections
​National Benchmark
​Epworth HealthCare Internal Benchmark
​Epworth HealthC​are  Average 2015
​Average FY  2015-16 †​
​Hand hygiene compliance ​70
​81~ 84 ~​
​Healthcare associated Staphylococcus aureus blood stream infections* 2% **​ 2%​ 0.49% #​ 0.55% #​

* Staphylococcus aureus (S. aureus) is a type of bacterium that can cause serious illness, especially if it infects the bloodstream of a patient. Some of these infections are acquired while receiving care from hospitals and other healthcare services. Hospitals aim to have as few cases of these healthcare-associated infections as possible.

** Standard from Department of Health and Human Services Victoria.

~ A higher number is better.

# A lower number is better.
† Figures for year ending 30/6/2016​.



  • The hand hygiene compliance rate at all of our hospitals is significantly better than the national benchmark.
  • The rate of S. aureus bloodstream infections is significantly lower at Epworth than the average for the peer hospital group.

We are working on

  • In 2010, Epworth introduced a hand hygiene program across all hospitals and audited all clinical areas.
  • We have a number of measures in place to ensure that we continue to improve on this result, including staff training and high visibility alcohol rubs in all visitor areas.

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