Table 5 Detailed results of Infection Prevention and Control Assessment Framework (IPCAF): core component 6 (N = 59)
Element | Answer | Score | Number | Proportion (%) |
|---|---|---|---|---|
Trained personnel responsible for monitoring/audit of IPC practices and feedback | Do not exist | 0 | 5 | 8.5 |
Exist | 10 | 54 | 91.6 | |
A well-defined monitoring plan with clear goals, targets, and activities | Not conducted | 0 | 18 | 30.6 |
Conducted | 7.5 | 41 | 69.5 | |
Processes and indicators monitored in your facility (check all that apply) | None | 0 | 1 | 1.7 |
Hand hygiene compliance (using the WHO hand hygiene observation tool or equivalent) | 5 | 48 | 81.4 | |
Intravascular catheter insertion and/or care | 5 | 30 | 50.9 | |
Wound dressing change | 5 | 16 | 27.2 | |
Transmission-based precautions and isolation to prevent the spread of multidrug resistant organisms | 5 | 39 | 66.2 | |
Cleaning of the ward environment | 5 | 29 | 49.2 | |
Disinfection and sterilization of medical equipment/instrument | 5 | 31 | 52.6 | |
Consumption/usage of alcohol-based hand rub or soap | 5 | 52 | 88.2 | |
Consumption/usage of antimicrobial agents | 5 | 55 | 93.3 | |
Waste management | 5 | 32 | 54.3 | |
Frequency of the WHO Hand Hygiene Self-Assessment Framework Survey undertaken | Never | 0 | 21 | 35.6 |
Periodically, but no regular schedule | 2.5 | 21 | 35.6 | |
At least annually | 5 | 17 | 28.9 | |
Feedbacking auditing reports on the state of the IPC activities/performance | No reporting | 0 | 2 | 3.4 |
Within the IPC team | 2.5 | 48 | 81.4 | |
To department leaders and managers in the areas being audited | 2.5 | 39 | 66.2 | |
To frontline healthcare workers | 2.5 | 45 | 76.3 | |
To the IPC committee or quality of care committees or equivalent | 2.5 | 48 | 81.4 | |
To hospital management and senior administration | 2.5 | 33 | 56 | |
The regular reporting of monitoring data (at least annually) | Not conducted | 0 | 5 | 8.5 |
Conducted | 10 | 54 | 91.6 | |
Monitoring and feedback of IPC processes and indicators performed in a “blame-free” institutional culture aimed at improvement and behavioral change | Not conducted | 0 | 15 | 25.5 |
Conducted | 5 | 44 | 74.6 | |
Assessing safety cultural factors in your facility (for example, by using other surveys such as HSOPSC, SAQ, PSCHO, HSC) | Not conducted | 0 | 40 | 67.8 |
Conducted | 5 | 19 | 32.3 |