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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

ElementAnswerNumber (%)
System changeElement not included in multimodal strategies18 (27.7)
Interventions to ensure the necessary infrastructure and continuous availability of supplies are in place18 (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 tray29 (44.6)
Education and trainingElement not included in multimodal strategies10 (15.4)
Written information and/or oral instruction and/or e-learning only46 (70.8)
Additional interactive training sessions (includes simulation and/or bedside training)9 (13.8)
Monitoring and feedbackElement not included in multimodal strategies18 (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 players19 (29.2)
Communications and remindersElement not included in multimodal strategies14 (21.5)
Reminders, posters, or other advocacy/awareness-raising tools to promote the intervention42 (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 changeElement not included in multimodal strategies21 (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 quality39 (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