Table 1

Process indicators and outcome indicators

CharacteristicsBaseline
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 neonates75162887
No. of audits57131022
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 sex4 (57)4 (80)12 (75)17 (60)55 (63)
Ventilated3 (42)3 (60)6 (37)11 (39)46 (52)
Central lines2 (28)1 (20)3 (19)7 (25)24 (27)
Hand hygiene prior to line handling5 (100)7 (100)13 (100)10 (100)22 (100)
Aseptic field usage07 (100)13 (100)10 (100)22 (100)
Glove usage1 (20)7 (100)13 (100)10 (100)22 (100)
Closed ports use3 (60)12 (92)10 (100)22 (100)
Key part protection1 (20)7 (100)9 (69)10 (100)22 (100)
Scrub the hub
  • Duration 15 s

  • Drying 30 s

0
0
6 (46)
6 (46)
9 (90)
9 (90)
22 (100)
16 (72)
Decontamination appropriate5 (100)7 (100)13 (100)10 (100)22 (100)
HCAI per 1000 patient days262512.816.96
  • HCAI, health-care associated infections; PDSA, Plan-Do-Study-Act.