Table 1.

Barriers and facilitators to infection control, categorized by components of the Systems Engineering Initiative for Patient Safety (SEIPS)

Tools and Technology	Organization	Environment	Person	Tasks
Barriers
Clinician and visitors find mask uncomfortable	High nursing turnover	Shoe covers required in ICUs because of dust	New nurse hires often lack clinical experience	Heavy patient workload
No comprehensive electronic health record	Limited initial Hindi language capabilities	Ongoing construction within hospital	Frustration with the frequency of IC training	Perceived understaffing
Facilitators
Ample IC supplies	Institutional climate that prioritizes IC	Centrally located sinks, hand gel at bedside	IC team well integrated into clinical care	Staff knowledgeable about IC practices
Electronic database for laboratory results	Funding and support for dedicated IC team	Sufficient beds to prevent overcrowding	Large environmental cleaning staff (600)	IC nurses help new hires complete IC tasks

IC infection control, ICU intensive care unit