Prevention and control of infection
Assesses hospital governance, standardized clinical protocols, staff adherence, and documented evidentiary compliance for prevention and control of infection.
Trend Direction
up (+2%)
Identified compliance findings in PCI (9)
Hand-hygiene dispenser empty at ICU bay 4; compliance monitoring gaps in evening shift.
Sharps container observed above the fill line; disposal policy lacks defined replacement threshold.
Evidence gap identified for PCI.5 during mock surveyor; requires documented remediation. (demonstration)
Evidence gap identified for PCI.5 during self-assessment; requires documented remediation. (demonstration)
Evidence gap identified for PCI.8 during live field capture; requires documented remediation. (demonstration)
Evidence gap identified for PCI.5 during document analysis; requires documented remediation. (demonstration)
Evidence gap identified for PCI.7 during self-assessment; requires documented remediation. (demonstration)
Evidence gap identified for PCI.8 during live field capture; requires documented remediation. (demonstration)
Evidence gap identified for PCI.5 during learner evaluation; requires documented remediation. (demonstration)
Requirements & Measurable Elements
20 total requirementsRequirement | Standard text (paraphrased) | Criticality | Measurable Elements | Status |
|---|---|---|---|---|
| PCI.5 | Hand-hygiene programme with monitored compliance (paraphrased) policyauditobservation | high | 4 of 6 met67% | Partial |
| PCI.7 | Sterilisation and single-use device handling controls (paraphrased) policylogs | high | 3 of 4 met64% | Gap |
| PCI.8 | Safe management of sharps and infectious waste (paraphrased) policyobservation | high | 3 of 5 met60% | Gap |
| PCI.5 | Prevention and control of infection — control 5: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 2 of 3 met56% | Gap |
| PCI.6 | Prevention and control of infection — control 6: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | low | 4 of 6 met72% | Partial |
| PCI.7 | Prevention and control of infection — control 7: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | low | 3 of 5 met69% | Partial |
| PCI.8 | Prevention and control of infection — control 8: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 2 of 4 met54% | Gap |
| PCI.9 | Prevention and control of infection — control 9: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 2 of 3 met56% | Gap |
| PCI.10 | Prevention and control of infection — control 10: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 2 of 4 met59% | Gap |
| PCI.11 | Prevention and control of infection — control 11: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 5 met63% | Gap |
| PCI.12 | Prevention and control of infection — control 12: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 2 of 3 met53% | Gap |
| PCI.13 | Prevention and control of infection — control 13: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 2 of 5 met49% | Gap |
| PCI.14 | Prevention and control of infection — control 14: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 3 of 4 met79% | Partial |
| PCI.15 | Prevention and control of infection — control 15: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 2 of 3 met54% | Gap |
| PCI.16 | Prevention and control of infection — control 16: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 4 of 5 met75% | Partial |
| PCI.17 | Prevention and control of infection — control 17: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 2 of 5 met47% | Gap |
| PCI.18 | Prevention and control of infection — control 18: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 2 of 3 met51% | Gap |
| PCI.19 | Prevention and control of infection — control 19: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 2 of 4 met61% | Gap |
| PCI.20 | Prevention and control of infection — control 20: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 6 met54% | Gap |
| PCI.21 | Prevention and control of infection — control 21: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 6 met52% | Gap |