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Table 4 Detailed results of Infection Prevention and Control Assessment Framework (IPCAF): core component 5 (N = 59)

From: First nationwide survey of infection prevention and control among healthcare facilities in Japan: impact of the national regulatory system

Element

Answer

Score

Number

Proportion (%)

Using multimodal strategies to implement IPC interventions

No

0

24

40.7

Yes

15

35

59.3

Multimodal strategies including any or all of the following elements:

Choose one answer (the most accurate) per element

 System change

Element not included

0

17

28.8

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

5

27

45.8

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

10

15

25.4

 Education and training

Element not included

0

13

22.0

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

5

21

35.6

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

10

25

42.4

 Monitoring and feedback

Element not included

0

11

18.6

Monitoring compliance with process or outcome indicators

5

17

28.8

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

10

31

52.5

 Communications and reminders

Element not included

0

11

18.6

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

5

32

54.2

Additional methods/initiatives to improve team communication across units and disciplines

10

16

27.1

 Safety climate and culture change

Element not included

0

22

37.3

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

5

28

47.5

Additionally, teams and individuals are empowered so that they perceive ownership of the intervention

10

9

15.3

 A multidisciplinary team used to implement IPC multimodal strategies

Not exist

0

9

15.3

Exist

15

50

84.7

 Regular link to colleagues from quality improvement and patient safety to develop and promote IPC multimodal strategies

Not exist

0

13

22.0

Exist

10

46

78.0

 Strategies including bundles or checklists

Not exist

0

21

35.6

Exist

10

38

64.4

  1. PC infection prevention and control
  2. IPC core component 5 refers to multimodal strategies for implementation of IPC interventions