Applying scientific methods and evidence to health systems to improve quality of care.

Where we’re going!

The Best Care…Always! campaign has been a catalyst for health care organisations large and small to work on preventing hospital-acquired infections and to address other quality and safety priorities.  Read More

Success in this important ongoing work takes takes a community, offering support from others doing similar work in SA’s private and public sectors, learning resources, and sharing of best practices.

We’re excited about what we’ve done!

During the campaign, many South African hospitals reduced preventable harm in the BCA focus areas.

  • In 18 months Red Cross Childrens’ Hospital reduced ventilator-associated pneumonia by 70% (2011-2012).
  • C27 ICU @ Groote Schuur Hospital went >400 days without a catheter-associated central line infection (2011-2012).
  • Mowbray Maternity Hospital reduced readmissions for septic caesarean section by 73% (2011-2012).
  • From 2014 – 2011 Netcare hospital group reduced CLABSI from 2.25 to 0.9 per 1000 catheter-days.
  • MediClinic hospital group reduced CAUTI by 42.4% to 2.9 per 1000 catheter-days  from 2011 to 2015.
  • Between 2011-2015, Life Healthcare group reduced SSI by 46.8%.

BCA Focus Areas

Systematic, evidence-based approaches to HAI reduction, antibiotic stewardship and other focus areas.

Antibiotic Stewardship

Up to half of antibiotic use is unneeded and antibiotics are losing their effectiveness.

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Catheter-Associated Urinary Tract Infection

CAUTI accounts for up to 40% of all healthcare-associated infections, many are preventable.

Read More »

Central Line-Associated Bloodstream Infection

CLABSI is potentially deadly – about 1 in 5 people die – but highly preventable.

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Ventilator-Associated Pneumonia

VAP is a grave complication in ICU patients – more than 1 in 10 will die – but can be minimised.

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Surgical Site Infection

Up to 1 in 10 patients get a wound infection from surgery; we can do better.

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Peripheral IV Catheter Insertion *NEW*

Peripheral IV catheters fail prematurely up to 70% of the time and complications (e.g. bloodstream infection) can be serious; we know how to improve.

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Workplace Culture *NEW*

Stop burnout! Let’s create great places to work and care for patients.

Read More »

The Improvement Community

Shared learning is a powerful force for improvement


Hospitals and other health care organisations are working hard to improve access to safe, effective, timely, efficiency, equitable and person-centered care….

Learning Resources

BCA campaign content – the basics of HAI prevention and antibiotic stewardship, and more advanced materials from Learning Sessions, keynote presentations, abstracts and other documents. These materials are from 2009-2015; some of it needs updating based on new evidence and/or adaptation to circumstances. Please use judgment and talk to experts.


Local and international improvers – experts and beginners, organisations (e.g. IHI, ISQuA, Lean Institute Africa), provincial and corporate quality professionals, and other individuals and groups working in BCA focus areas.