Finding AS-2026-00151
Hand hygiene compliance below target in ICU-2 night shift
Infection Prevention · Infection Prevention · Source: Document Intelligence
mediumclosed
Confidence High · 93%
Owner Sara Al Mansoori · raised 2026-06-10 · due 2026-07-15AI assessment
Audit data showed 78% compliance on night shift against a 90% target; targeted coaching returned compliance to 93% in the following cycle.
Why it matters
Sustained compliance evidence is expected across all shifts, not aggregate only.
Potential surveyor follow-up
- “How do you monitor compliance overnight?”
AI recommended actions
No actions yet. Generate a remediation plan to assign owners and due dates — the AccrediScore reassesses automatically as actions progress.
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Traceability
- Evidence
- • DOC-1043
- Chain
- Requirement → Evidence → Accredi reasoning → Finding → Recommendation
Human verification
This finding was generated with AI assistance and must be verified by an authorized reviewer before it is treated as a confirmed deficiency. AccrediSense does not make accreditation decisions.