Abstract Al Wakra Laboratory has been accredited by the College of American Pathologist Accreditation (CAP) in 2014, blood culture contamination rate was chosen as one of microbiology section indicator, and it was followed up monthly by (CAP) and Laboratory Quality Management Department (LQM).
At that time Al Wakra Hospital had high contamination rate >2 which is the benchmarking set by (CAP), the data was collected at the beginning of each month for the previous month , analyzed and presented to Al Wakra staff ,(CAP) and Laboratory Quality Management Department (LQM).
The high rate of blood culture contamination has led us to analyze it in more details and we were presenting it to each ward especially Emergency Department (ED), Medical Intensive Care Unit (MICU), and Surgical Intensive Care Unit (SICU).
For each case of blood culture contamination, the ward was contacted to evaluate the case clinically as true contaminant.
As a result decreases of the contamination rate of less than 2 reached with the maintenance during the entire year 2015, 2016, 2017 and 2018. "We have come together to our goals and together we fight infection”.
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