all hospital staff, patients, and visitors

Responsible for collecting and analyzing hospital infection data to provide infection rates and trend reports for decision-making. Develops and implements infection control policies and SOPs, offering guidance to reduce healthcare-associated infection risks. Provides training and participates in hospital-wide education on infectious diseases, antimicrobial stewardship, and infection control to improve staff and patient awareness. Audits environmental cleaning and disinfection to ensure compliance with standards and reduce cross-infection. Participates in communicable disease management and provides clinical infection control advice, collaborating with health authorities to implement prevention measures. Promotes appropriate antimicrobial use and resistance prevention. Ensures healthcare quality and patient safety through surveillance, education, environmental management, and cross-team collaboration, and implements Infection Control Committee decisions. Applies a multimodal strategy including hand hygiene, environmental cleaning, antimicrobial stewardship, bundled care, OSCE audits, and real-time Power BI monitoring to reduce healthcare-associated infection rates.

• Implemented fluorescent marker testing to verify environmental cleaning effectiveness.

• Used chlorine concentration test kits to audit disinfectant concentrations.

• Planned clean/dirty zoning for nursing carts to reduce contamination risk.

• Conducted OSCE assessments for invasive catheter care and new staff hand hygiene compliance (Five Moments).

• Applied Power BI for real-time visualization of unit healthcare-associated infection rates and distribution of multidrug-resistant organisms.

• Provided real-time feedback on healthcare-associated infection case reporting.

• Continuously enforced isolation precautions for patients with antimicrobial-resistant organisms and ensured care bundle compliance.

• 6 infectious disease specialist physicians in training, 5 infection control nurse specialists, and 2 infection control medical technologists.

• 6 members holding Ministry of Education accredited academic faculty appointments.

• 5 infection control audit committee members of the Centers for Disease Control, Ministry of Health and Welfare.

• Correlation between infection density and environmental fluorescent inspection: R = -0.883 (p < 0.001**).

• Correlation between infection density and hand hygiene compliance: R = -0.491 (p = 0.105).

• Correlation between infection density and hand hygiene accuracy: R = -0.621 (p = 0.031*).

• Correlation between infection density and Foley care bundle compliance: R = -0.620 (p = 0.032*).

• Correlation between infection density and CVC bundle compliance: R = -0.892 (p < 0.001**).

• Correlation between infection density and VAP bundle compliance: R = -0.591 (p = 0.043*).

• In 2022, the hospital-wide healthcare-associated infection density at Taipei Tzu Chi Hospital was 1.92‰, ranking at the 25th percentile among national medical centers (approximately 6th–7th place).

• The ICU healthcare-associated infection density was 3.6‰, ranking between the 25th and 50th percentile among national medical centers. In

• 2023, the hospital-wide infection density at Taipei Tzu Chi Hospital was 1.98‰.

• Reduced 388 expected infection cases

• Reduced 7,450 inpatient days

In 2024 , inpatient satisfaction was 92.74% (compared with 92.28% in 2023).

• In 2022, the Infection Control and Antimicrobial Stewardship Quality Improvement Program (IPCAS) alliance group received the First Place Team Excellence Award and the Excellence Award in the Creative Competition.

• In 2024, the National Healthcare Quality Award (NHQA) recognized achievements in Smart Healthcare.

• Reduced 388 expected infection cases, corresponding to a reduction of USD 2,069,980 in costs and 7,450 inpatient days.

• Environmental surveillance and intervention measures were extended to Lotung Poh-Ai Hospital.