Understanding infection control risk assessment (ICRA)

Infection prevention programs lay the foundation for eradicating an infection from their roots in a designated facility or environment, specifically after occupants suffering from a disease have vacated the place. This program consists of:

Eradicating or, at least, significantly reducing the chances of viral spreads from the infected environment.

Waves of facility planning, designing, construction, renovation, and maintenance.

Correlating and analyzing knowledge about infection, infectious agents, looking after the environment, and allowing the organization to foresee the possible result.

Before you seek out an Infection control assessment, you must go through the ICRA elements listed in Chapter 1.5 of the AIA Guild lines that were released in 2006. In 2006, a new edition of the ICRA elements was released where each was divided into a separate area i.e., process for design, construction and mitigation.

This is an area of ICRA that requires a long-term vision for planning purposes. Whether a new building is being constructed or an older one is being fully renovated, ICRA’s design ads a new component “finishes and surfaces” that enhances and increases the life of the facility. Determinants include:

The number, location, and the kind of airborne infection precautions and the environment rooms for shielding.

Identification and allotment of the specific filtration and ventilation in the building that may include the waiting area or the emergency department.

Ventilation and air handling to be used in airborne infection isolation and shielding environment rooms, local exhaust systems for poisonous agents, surgical services, laboratories and other areas.

Water regulation systems to limit Legionella sp. and other waterborne opportunistic pathogens
The surfaces and finishes.


While construction is an integral part of the ICRA, here are the factors taken into consideration due to the anticipation of the building being affected:

Acknowledgement of locations at risk

Assessment of the specific dangers and protection levels for each

Results of disrupting vital services to employee and patients

Allotment of patients by the vulnerability to infections and the definition of stakes for each

Impact of potential light-out or emergency scenarios on the patients and the measures for ensuring patient protection taken during an unplanned or a planned outage. Furthermore, movement of remnants, cleanup, flow of traffic, testing and certifying after verdict.

Evaluation of internal as well as external activities

"The more people who become educated on topics dealing with Infection Control Risk Assessment – the less healthcare related construction and renovation hospital acquired illnesses, and the safer hospital systems in the US will remain.” Amy Walker, CEO, ICRA Solutions, LLC.

Infection Control Risk Mitigation
ICRA panel’s mitigation area recommends the following:

Ensuring measures of prevention from demolition
Relocation and placing patients in safe zones
Ensuring the complete training of hospital staff, construction panels and giving instructions to visitors as well.
Complete steps to be taken to ensure maximum protection for patients who are vulnerable to airborne pollutants and the adjacent areas
Replacement of heavy machinery with temporary ventilators, heaters, coolers and water supplies.
In the end, ICRA is responsible for supervising infection control measures and to provide assistance in regulating the efficiency of the workers throughout the program. It is important to retain some ICRA training before getting your property assessed for infection.

View the ICRA Matrix

Prevent Life Safety understand the importance of infection prevent. We protect patients by using mobile HEPA-filtered containment units from SolutionContainment when we perform fire barrier maintenance in sensitive areas.
Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.