|
Total number of beds
|
650
|
557
|
557
|
557
|
|
Number of critical care beds
|
43
|
43
|
43
|
43
|
|
Infection control committee in place
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Infection control committee constituted of representative members
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Regular infection control committee meetings
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Adequate infection control committee minutes
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Infection control unit
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Number of infection control team staff
|
4
|
4
|
7
|
7
|
|
Nurses
|
3
|
3
|
2
|
2
|
|
Environmental inspectors
|
0
|
0
|
3
|
3
|
|
Doctors
|
0
|
0
|
1
|
1
|
|
Microbiologists
|
1
|
1
|
1
|
1
|
|
Educational activities
|
No
|
No
|
Yes
|
Yes
|
|
Surveillance system
|
No
|
No
|
Yes
|
Yes
|
|
Area audited
|
Percent scores
|
|
Handwashing
|
61
|
61
|
79
|
91
|
|
Environmental cleaning
|
78
|
78
|
78
|
90
|
|
Waste disposal
|
62
|
73
|
86
|
95
|
|
Handling of clean linen
|
60
|
60
|
60
|
90
|
|
Handling of soiled linen
|
50
|
50
|
60
|
78
|
|
Standard and transmission based precautions
|
45
|
48
|
77
|
83
|
|
Single use policy
|
33
|
33
|
100
|
83
|
|
Urinary catheter care
|
80
|
80
|
80
|
80
|
|
Sterile wound dressing
|
64
|
73
|
82
|
92
|
|
Food hygiene
|
67
|
67
|
75
|
73
|
|
Pests and animal control in clinical areas
|
100
|
100
|
83
|
92
|
|
Average total percent score
|
64
|
66
|
78
|
86
|
