For infection prevention and control to be effective at the clinical level, much organisational support is required. This includes embedding infection control into governance and management structures, initiating procedures (e.g. immunisation programs) to ensure that healthcare workers are protected, instituting processes for surveillance that feed into the overall quality control program, implementing systems for ongoing staff education and training, and incorporating infection control into planning for facility design and maintenance.
Infection control is a health and safety issue, which means that all those working in the healthcare facility — managers, healthcare workers and support staff — are responsible for providing a safe environment for patients and other staff.
Organisational support should aim to ensure that clinical work practices provide patient-centred care — this is not only essential from a safety and quality perspective but out of consideration for patient preferences. This may require consultation with patients and relevant consumer groups in the development of health care services.
The information presented in this Part is particularly relevant to managers of healthcare facilities. It outlines responsibilities of management of healthcare facilities, including governance structures that support the implementation, monitoring and reporting of effective work practices. While the focus of the information is acute-care facilities, much of the information is relevant in other healthcare settings.