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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2022
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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. |
format | Online Article Text |
id | pubmed-9726550 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
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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