In a facility QAPI program, which of the following should be included?

• A. Measurable healthcare-associated infection (HAI) and surgical site infection (SSI) reduction priorities
• B. Adverse reactions to penicillin
• C. Compliance of patient family and visitors with isolation protocols
• D. Surveys of healthcare personnel satisfaction with hand hygiene products

Answer: (A)

A data-driven, outcome-oriented approach to infection prevention is what belongs in a facility’s QAPI program. Setting priorities around reducing measurable healthcare-associated infections and surgical site infections gives clear targets to track over time, such as infection rates per 1,000 patient-days or SSI rates per surgical procedure. This allows the program to quantify progress, compare with benchmarks, and tailor interventions (like bundles, aseptic techniques, and surveillance methods) based on actual results. The other topics—penicillin adverse reactions, family and visitor compliance with isolation protocols, and staff satisfaction with hand hygiene products—while important in broader safety and operations, do not provide the same direct, outcome-focused measures of infection prevention performance that QAPI prioritizes.