The infection control audit: the standardized audit as a tool for change.
BACKGROUND
Health care workers' compliance with infection control practices and principles is vital in preventing the spread of disease. One tool to assess infection control practice in clinical areas is the infection control audit; however, many institutions do not approach this in a systematic fashion.


METHODS
Key features of the infection control audit were identified by the infection control team and developed into a standardized format for review of clinical areas. The audit incorporates a review of the physical layout, protocols and policies, knowledge of basic infection control principles, and workplace practice review.


RESULTS
Over the last 13 years, the infection control unit has completed 17 audits involving 1525 employees. Four-hundred-one staff members have filled out questionnaires that assessed their understanding of standard precautions. A total of 257 recommendations have been made, and 95% of these have been implemented. The majority of recommendations address separation of clean and dirty supplies, hand hygiene compliance, hand hygiene signage, proper use of barriers, and environmental cleaning.


CONCLUSIONS
The infection control audit is an opportunity to implement changes and to introduce remedial measures in collaboration with various departments and services. A standardized approach to the audit allows benchmarking of practices across the institution and enhances standards of care.
Bryce
Elizabeth Ann
EA
Division of Medical Microbiology and Infection Control, Vancouver General Hospital, British Columbia, Canada. elizabeth.bryce@vch.ca
Scharf
Sydney
S
Walker
Moira
M
Walsh
Anne
A
D000328:Adult; D000368:Aged; D001955:British Columbia; D003428:Cross Infection / Q000517:prevention & control*; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D017053:Infection Control / Q000379:methods*; D008297:Male; D008485:Medical Audit / Q000592:standards* / Q000706:statistics & numerical data; D008875:Middle Aged; D010564:Personnel, Hospital; D012308:Risk Management / Q000379:methods*