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Table 3 Results per element from Core Component 5 of the IPCAF: Multimodal Strategies for Implementation of Infection Prevention and Control Interventions. Results from 65 participating Austrian acute care hospitals

From: Evaluating infection prevention and control programs in Austrian acute care hospitals using the WHO Infection Prevention and Control Assessment Framework

Element

Answer

Number (%)

System change

Element not included in multimodal strategies

18 (27.7)

Interventions to ensure the necessary infrastructure and continuous availability of supplies are in place

18 (27.7)

Interventions to ensure the necessary infrastructure and continuous availability of supplies are in place and addressing ergonomics and accessibility, such as the best placement of central venous catheter set and tray

29 (44.6)

Education and training

Element not included in multimodal strategies

10 (15.4)

Written information and/or oral instruction and/or e-learning only

46 (70.8)

Additional interactive training sessions (includes simulation and/or bedside training)

9 (13.8)

Monitoring and feedback

Element not included in multimodal strategies

18 (27.7)

Monitoring compliance with process or outcome indicators (for example, audits of hand hygiene or catheter practices)

28 (43.1)

Monitoring compliance and providing timely feedback of monitoring results to health care workers and key players

19 (29.2)

Communications and reminders

Element not included in multimodal strategies

14 (21.5)

Reminders, posters, or other advocacy/awareness-raising tools to promote the intervention

42 (64.6)

Additional methods/initiatives to improve team communication across units and disciplines (for example, by establishing regular case conferences and feedback rounds)

9 (13.8)

Safety climate and culture change

Element not included in multimodal strategies

21 (32.3)

Managers/leaders show visible support and act as champions and role models, promoting an adaptive approach and strengthening a culture that supports IPC, patient safety and quality

39 (60)

Additionally, teams and individuals are empowered so that they perceive ownership of the intervention (for example, by participatory feedback rounds)

5 (7.7)

  1. Abbreviations: IPCAF Infection Prevention and Control Assessment Framework