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Environmental cleaning and disinfection: Sustaining changed practice and improving quality in the community hospital

OBJECTIVE: Short-term improvements in hospital room cleaning can readily be achieved but are difficult to maintain. This is particularly true for high-risk, “high-touch” surfaces. Therefore, we embarked on a process to sustain improvements in surface cleaning and disinfection to reduce hospital-acqu...

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Autores principales: Parry, Michael F., Sestovic, Merima, Renz, Christopher, Pangan, Abegail, Grant, Brenda, Shah, Asha K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726550/
https://www.ncbi.nlm.nih.gov/pubmed/36483421
http://dx.doi.org/10.1017/ash.2022.257
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author Parry, Michael F.
Sestovic, Merima
Renz, Christopher
Pangan, Abegail
Grant, Brenda
Shah, Asha K.
author_facet Parry, Michael F.
Sestovic, Merima
Renz, Christopher
Pangan, Abegail
Grant, Brenda
Shah, Asha K.
author_sort Parry, Michael F.
collection PubMed
description OBJECTIVE: Short-term improvements in hospital room cleaning can readily be achieved but are difficult to maintain. This is particularly true for high-risk, “high-touch” surfaces. Therefore, we embarked on a process to sustain improvements in surface cleaning and disinfection to reduce hospital-acquired infection (HAI) rates. INTERVENTIONS: Our environmental services (EVS) and infection prevention departments incorporated a formal education, monitoring, and feedback process for focused cleaning and disinfection of high-touch surfaces into their routine policies and procedures in 2011. Cleaning validation was performed by infection prevention liaison nurses using a fluorescent targeting method to evaluate the thoroughness of cleaning. RESULTS: Surface cleaning performance on medical-surgical units in 2011 was 74.7%, but this rate incrementally increased in response to the interventions and has been sustained at >90% for the past 6 years. Similar patterns of improvement were observed in the operating room, labor and delivery, endoscopy suite and cardiac catheterization laboratory. Conversely, HAI rates, particularly C. difficile rates, decreased by 75% and surgical site infection rates decreased by 55%. CONCLUSIONS: EVS training, monitoring, and feedback interventions, instituted 10 years ago have enhanced our environmental cleaning and disinfection efforts in multiple areas of the hospital and have been sustained to the present. Although other concurrent initiatives to reduce infection rates also existed, the improvements in environmental cleaning were associated with dramatic reductions in HAI rates over the 10-year period.
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spelling pubmed-97265502022-12-07 Environmental cleaning and disinfection: Sustaining changed practice and improving quality in the community hospital Parry, Michael F. Sestovic, Merima Renz, Christopher Pangan, Abegail Grant, Brenda Shah, Asha K. Antimicrob Steward Healthc Epidemiol Original Article OBJECTIVE: Short-term improvements in hospital room cleaning can readily be achieved but are difficult to maintain. This is particularly true for high-risk, “high-touch” surfaces. Therefore, we embarked on a process to sustain improvements in surface cleaning and disinfection to reduce hospital-acquired infection (HAI) rates. INTERVENTIONS: Our environmental services (EVS) and infection prevention departments incorporated a formal education, monitoring, and feedback process for focused cleaning and disinfection of high-touch surfaces into their routine policies and procedures in 2011. Cleaning validation was performed by infection prevention liaison nurses using a fluorescent targeting method to evaluate the thoroughness of cleaning. RESULTS: Surface cleaning performance on medical-surgical units in 2011 was 74.7%, but this rate incrementally increased in response to the interventions and has been sustained at >90% for the past 6 years. Similar patterns of improvement were observed in the operating room, labor and delivery, endoscopy suite and cardiac catheterization laboratory. Conversely, HAI rates, particularly C. difficile rates, decreased by 75% and surgical site infection rates decreased by 55%. CONCLUSIONS: EVS training, monitoring, and feedback interventions, instituted 10 years ago have enhanced our environmental cleaning and disinfection efforts in multiple areas of the hospital and have been sustained to the present. Although other concurrent initiatives to reduce infection rates also existed, the improvements in environmental cleaning were associated with dramatic reductions in HAI rates over the 10-year period. Cambridge University Press 2022-07-12 /pmc/articles/PMC9726550/ /pubmed/36483421 http://dx.doi.org/10.1017/ash.2022.257 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
spellingShingle Original Article
Parry, Michael F.
Sestovic, Merima
Renz, Christopher
Pangan, Abegail
Grant, Brenda
Shah, Asha K.
Environmental cleaning and disinfection: Sustaining changed practice and improving quality in the community hospital
title Environmental cleaning and disinfection: Sustaining changed practice and improving quality in the community hospital
title_full Environmental cleaning and disinfection: Sustaining changed practice and improving quality in the community hospital
title_fullStr Environmental cleaning and disinfection: Sustaining changed practice and improving quality in the community hospital
title_full_unstemmed Environmental cleaning and disinfection: Sustaining changed practice and improving quality in the community hospital
title_short Environmental cleaning and disinfection: Sustaining changed practice and improving quality in the community hospital
title_sort environmental cleaning and disinfection: sustaining changed practice and improving quality in the community hospital
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726550/
https://www.ncbi.nlm.nih.gov/pubmed/36483421
http://dx.doi.org/10.1017/ash.2022.257
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