MOH-POL-0142 — Infection Prevention & Control Policy
إدارة السياسات والوثائقVersions, approvals, acknowledgements and the audit log for this policy.
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watermarked · print/download gated by permissionMOH DEMO
Ministry of Health — Internal · QualityMOH-POL-0142 · v3.1
Infection Prevention & Control Policy
سياسة مكافحة العدوى
This policy defines mandatory infection prevention and control requirements across all ministry health facilities, aligned with CBAHI ESR chapter 3 and WHO IPC standards. It applies to Diwan, health clusters, hospitals, medical centres, PHC centres, laboratories and blood banks…
1. Purpose
Document body continues — 24 pages, AR/EN bilingual.
Live audit timeline
Immutable · append-onlyPublished by Dr. A. Alotaibi approve+publish
12 Jan 2026, 09:14 · Document Control Director · v3.0 → v3.1
Approved with electronic attestation approve
11 Jan 2026, 15:40 · SoD check passed (approver ≠ author)
Submitted for review
04 Jan 2026, 10:02 · routed with 2-day delegation window
New version drafted from v3.0
28 Dec 2025, 13:22 · redline compare available
Version tree
| Version | Date | Author | Change note | Status | |
|---|---|---|---|---|---|
| v3.1 | 2026-01-01 | Dr. S. Alharbi | IPC chapter aligned to CBAHI ESR r4 | Published | Redline |
| v3.0 | 2025-09-14 | Dr. S. Alharbi | Annual review edits | Superseded | |
| v2.4 | 2025-01-20 | M. Alzahrani | Added PHC annex | Superseded | |
| v2.3 | 2024-06-02 | M. Alzahrani | Initial controlled release | Superseded |
Redline — v2.4 → v3.1 (side-by-side)
v2.4 (removed)
Hand hygiene compliance audited quarterly…
v3.1 (added)
Hand hygiene compliance audited monthly, with real-time electronic monitoring in ICUs…
Version metadata
| Effective from | 2026-01-01 |
| Next review | 2027-01-01 |
| Language | Arabic (primary) + English |
| Classification | Internal — Quality |
Required
240
Completed
221 92.1%
Understood confirmed
209
Campaign
Active · ends 30 Nov
Read & understood — per employee
campaign: IPC annual refresh| Employee | Facility | Department | Read | Quiz | Understood | Date |
|---|---|---|---|---|---|---|
| Dr. F. Alqahtani | KSMC | Emergency | Yes | Pass | Confirmed | 2026-11-02 |
| N. Alsuhaibani | Riyadh 1st PHC | Nursing | Yes | Pass | Confirmed | 2026-11-03 |
| M. Alzahrani | Forensic Centre | Lab | Yes | Retake | Pending | 2026-11-05 |
| S. Almutairi | Blood Bank | Collections | — | — | Pending | — |
Standards mapped to this document
Immutable audit trail
Append-only · export allowed, deletion impossible| Timestamp | User | Role | Action | Before → After |
|---|---|---|---|---|
| 2026-01-12 09:14 | Dr. A. Alotaibi | Document Control Director | publish | in_review → published |
| 2026-01-11 15:40 | QA Director | Quality & Accreditation Director | approve | in_review → approved |
| 2026-01-04 10:02 | Dr. S. Alharbi | Author | submit_for_review | draft → in_review |
| 2025-12-28 13:22 | Dr. S. Alharbi | Author | new_version | v3.0 → v3.1-draft |