Process indicators and outcome indicators
| Characteristics | Baseline n (%) (8 February 2018–19 February 2018) | PDSA 1 n (%) (20 February 2018–27 February 2018) | PDSA2 n (%) (6 March 2018–25 March 2018) | PDSA3 n (%) (17April 2018–3 June 2018) | PDSA4 n (%) (1 August 2018–17 November 2018) |
| No. of neonates | 7 | 5 | 16 | 28 | 87 |
| No. of audits | 5 | 7 | 13 | 10 | 22 |
| Mean gestation in weeks (SD) | 35 (2) | 36 (2) | 34 (1.9) | 36 (3) | 36 (3) |
| Mean birth weight in grams (SD) | 2142 (591) | 2360 (638) | 2407 (839) | 2520 (701) | 2012 (1126) |
| Male sex | 4 (57) | 4 (80) | 12 (75) | 17 (60) | 55 (63) |
| Ventilated | 3 (42) | 3 (60) | 6 (37) | 11 (39) | 46 (52) |
| Central lines | 2 (28) | 1 (20) | 3 (19) | 7 (25) | 24 (27) |
| Hand hygiene prior to line handling | 5 (100) | 7 (100) | 13 (100) | 10 (100) | 22 (100) |
| Aseptic field usage | 0 | 7 (100) | 13 (100) | 10 (100) | 22 (100) |
| Glove usage | 1 (20) | 7 (100) | 13 (100) | 10 (100) | 22 (100) |
| Closed ports use | – | 3 (60) | 12 (92) | 10 (100) | 22 (100) |
| Key part protection | 1 (20) | 7 (100) | 9 (69) | 10 (100) | 22 (100) |
Scrub the hub
| 0 – | 0 – | 6 (46) 6 (46) | 9 (90) 9 (90) | 22 (100) 16 (72) |
| Decontamination appropriate | 5 (100) | 7 (100) | 13 (100) | 10 (100) | 22 (100) |
| HCAI per 1000 patient days | 26 | 25 | 12.8 | 16.9 | 6 |
HCAI, health-care associated infections; PDSA, Plan-Do-Study-Act.