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CBAHI ESR Standards Active
Chapter 3 — Infection Control (ICSH) 6 elements · 41 requirements 78% ready
ICSH.01 — Program scope & annual review 9 requirements
ICSH.01.01 — Written IPC program approved & reviewed annually Compliant 4 evidence files
ICSH.01.02 — Multidisciplinary IPC committee meets quarterly Partial 2 evidence files
ICSH.02 — Hand hygiene program 7 requirements
Chapter 8 — Medication Management (MMS) 8 elements 64% ready
Chapter 11 — Facility Safety & Emergency (FMS) 7 elements 58% ready
CBAHI ESR · MOH · ISO 9001 · JCI · CAP
ICSH.01.01 — requirement detail
CBAHI ESR| Requirement text (EN) | Written infection prevention program approved and reviewed annually |
| نص المتطلب (عربي) | برنامج وقاية من العدوى مكتوب ومعتمد ومراجع سنوياً |
| Applicability | Applicable · NA requires mandatory justification |
| Mapped evidence | 4 files · IPC-Program-2026.pdf, Committee-Minutes-Q3.docx … |
| Compliance status | Compliant · score 2/2 |