A Best Practice Guide to Help Health Care Organizations Create Safe, Healing Environments

CDC CoverBy HRET; ASHE; Association for Professionals in Infection Control and Epidemiology; Society of Hospital Medicine; University of Michigan
Using the Health Care Physical Environment to Prevent and Control Infection: A Best Practice Guide to Help Health Care Organizations Create Safe, Healing Environments contains best practices, case studies, resources and information based on key research. It can be used by health care facility managers, architects, designers, construction professionals, infection preventionists, and anyone else involved in designing, building, and operating health care facilities.

The main document, available as a free PDF download, contains chapters on six key topics:

  • Infection Control Risk Assessments
  • Hand Hygiene Infrastructure
  • Reprocessing
  • Cleaning of Environmental Surfaces
  • Water-Related Environmental Infection Control
  • Flow of Patients, Personnel, Equipment and Waste



Catalog number: 055196
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Quick Guides

Quick guides on each topic are also available for a free PDF download.


Download all Quick Guides



Infection Control Risk Assessments

Download Guide


Hand Hygiene Infrastructure


Download Guide




Download Guide



Cleaning of Environmental Surfaces

Download Guide


Water-Related Environmental Infection Control

Download Guide


Flow of Patients, Personnel, Equipment and Waste

Download Guide


This publication was prepared for the Centers for Disease Control and Prevention as part of Contract Number 200 – 2015 – 88275. The project was conducted by the following organizations:

  • The Health Research & Educational Trust of the American Hospital Association
  • American Society for Health Care Engineering (ASHE), a professional membership group of the American Hospital Association
  • Association for Professionals in Infection Control and Epidemiology
  • Society of Hospital Medicine
  • University of Michigan 

As the lead developer for this document, ASHE would like to recognize the expertise and contributions of the following:

  • Project leader Linda Dickey, RN, MPH, CIC, FAPIC, Senior Director of Quality, Patient Safety & Infection Prevention, University of California Irvine Health
  • Ellen Taylor, PhD, AIA, MBA, EDAC, Vice President of Research, The Center for Health Design
  • Laurie Conway, RN, PhD, CIC, Infection Prevention and Control Nurse; Kingston, Frontenac, Lennox, & Addington Public Health
  • Frank Myers, MA, CIC, Infection Preventionist, University of California-San Diego
  • Dan Bennett, CHESP, T-CHEST, Director of Environmental Services, St. Joseph’s Hospitals, BayCare Health Systems
  • Amy Nichols, RN, MBA, CIC, FAPIC, Director, Hospital Epidemiology and Infection Control, University of California–San Francisco Health
  • Paula Wright, RN, BSN, CIC, Project Manager, Massachusetts General Hospital
  • The Association for the Health Care Environment (AHE), a professional membership group of the American Hospital Association

Additional Resources

ASHE offers additional resources on infection prevention and control, including:


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