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Table 1 Barriers and facilitators to infection control, categorized by components of the Systems Engineering Initiative for Patient Safety (SEIPS)

From: Barriers and facilitators to infection control at a hospital in northern India: a qualitative study

Tools and Technology

Organization

Environment

Person

Tasks

Barriers

 Clinician and visitors find mask uncomfortable

High nursing turnover

Shoe covers required in ICUs because of dust

New nurse hires often lack clinical experience

Heavy patient workload

 No comprehensive electronic health record

Limited initial Hindi language capabilities

Ongoing construction within hospital

Frustration with the frequency of IC training

Perceived understaffing

Facilitators

 Ample IC supplies

Institutional climate that prioritizes IC

Centrally located sinks, hand gel at bedside

IC team well integrated into clinical care

Staff knowledgeable about IC practices

 Electronic database for laboratory results

Funding and support for dedicated IC team

Sufficient beds to prevent overcrowding

Large environmental cleaning staff (600)

IC nurses help new hires complete IC tasks

  1. IC infection control, ICU intensive care unit