Hand Hygiene Reporting
Patient safety remains the most important priority for RRHS and this involves ensuring that patients are not at risk for contracting health care-associated infections.
We have several practices in place to help prevent and control infections, including a comprehensive hand hygiene program and following the 4-Moments of Hand Hygiene.

Ontario hospitals are required to annually post their hand hygiene compliance rates to further promote accountability and transparency within the health system.
There are many factors that will improve hand hygiene compliance. Mandatory public reporting is one element. Monthly, Hand Hygiene statistics are posted on each inpatient unit, bringing awareness to unit specific trends in Hand Hygiene and identifying areas for improvement.
What are health care-associated infections?
Sometimes when patients are admitted to the hospital, they can get infections. These are called health care-associated infections.
What will be publicly reported?
Ontario hospitals are posting their hand hygiene compliance rates as percentages for time periods identified by the Ministry of Health, using the following formula:
# of time hand hygiene performed X 100
# of observed hand hygiene indications
These percentages also reflect:
- Moment 1: hand hygiene before initial patient/patient environment contact by combined health care provider type (e.g. nurses, allied health professionals, physicians, etc.)
- Moment 4: hand hygiene after patient/patient environment contact by combined health care provider type (e.g. nurses, allied health professionals, physicians, etc.)
What is the rate at AHI?
| Fiscal Year | Before Moment | After Moment |
| 2024-2025 | 93.6% | 95.9% |
| 2023-2024 | 89.5% | 95.7% |
What is the rate at TDMH?
| Fiscal Year | Before Moment | After Moment |
| 2024-2025 | 93.8% | 96.3% |
| 2023-2024 | 93.2% | 94.2% |
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