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 a community that offers support from others doing similar work in both private and public sectors; shares great ideas, learning resources, and 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 Children’s 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).
  • Netcare hospital group reduced CLABSI from 2.25 to 0.9 per 1000 catheter-days (2011-2014).
  • MediClinic hospital group reduced CAUTI by 42.4% to 2.9 per 1000 catheter-days (2011-2015).
  • Life Healthcare group reduced SSI by 46.8% (2011-2015).

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.

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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.

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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.