The HAPPEN Study

Healthcare associated infections (HAIs) are a significant threat in healthcare. In Australia, we have estimated 155,000 patients contract a HAI annually – one in ten patients today have an infection acquired in hospital.

Why this study is important?

The HAPPEN Study tested a simple oral-care program with 8,870 patients across three Australian hospitals. The program included providing toothbrushes and toothpaste, teaching patients and staff about tooth-brushing, helping patients who needed support, and giving feedback to hospital wards. It increased the number of patients cleaning their teeth from 16% to 62% and reduced the risk of non-ventilator hospital-acquired pneumonia by 60%.

Our study will:

Evaluate the effectiveness and cost-effectiveness of an intervention that improves oral care in hospitalised patients
Develop educational and digital resources and evaluate these as part of the trial
Explore excess length of stay in hospital associated with NV-HAP
Describe the patient’s experience of having a NV-HAP
Understand the clinician’s experience of implementing the intervention
Assess the impact of NV-HAP on quality of life

The study phases

Our study consists of three phases, summarised below.

Where is the study up to?

Subscribe to receive more News on this study (below) and also check out the study News and progress page for the latest.

Right now, Phase 2 – has just been completed. We anticipate results from Phase 2 being available shortly.

We are also currently evaluating the resources we used and will update these during the second half of 2026. All our resources will then be made available open-source on this website, in the resources section.

Keep up to date

Subscribe to receive email News about the HAPPEN study. Don’t worry, these will be infrequent, but will keep you updated on key developments. Enter your email below.

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We also have a very popular podcast on infection control, called Infection Control Matters, with 180K+ listens from over 130 countries. You can find it on your favourite podcast provider.

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