Journal article
The Iowa Disinfection Cleaning Project: Opportunities, Successes, and Challenges of a Structured Intervention Program in 56 Hospitals
Infection control and hospital epidemiology, Vol.38(8), pp.960-965
08/2017
DOI: 10.1017/ice.2017.109
PMID: 28756803
Abstract
OBJECTIVE A diverse group of hospitals in Iowa implemented a program to objectively evaluate and improve the thoroughness of disinfection cleaning of near-patient surfaces. Administrative benefits of, challenges of, and impediments to the program were also evaluated. METHODS We conducted a prospective, quasi-experimental pre-/postintervention trial to improve the thoroughness of terminal room disinfection cleaning. Infection preventionists utilized an objective cleaning performance monitoring system (DAZO) to evaluate the thoroughness of disinfection cleaning (TDC) expressed as a proportion of objects confirmed to have been cleaned (numerator) to objects to be cleaned per hospital policy (denominator)×100. Data analysis, educational interventions, and objective performance feedback were modeled on previously published studies using the same monitoring tool. Programmatic analysis utilized unstructured and structured information from participants irrespective of whether they participated in the process improvement aspects to the program. RESULTS Initially, the overall TDC was 61% in 56 hospitals. Hospitals completing 1 or 2 feedback cycles improved their TDC percentages significantly (P90% for at least 38 months. A survey of infection preventionists found that lack of time and staff turnover were the most common reasons for terminating the study early. CONCLUSION The study confirmed that hospitals using this program can improve their TDC percentages significantly. Hospitals must invest resources to improve cleaning and to sustain their gains. Infect Control Hosp Epidemiol 2017;38:960-965.
Details
- Title: Subtitle
- The Iowa Disinfection Cleaning Project: Opportunities, Successes, and Challenges of a Structured Intervention Program in 56 Hospitals
- Creators
- Philip Carling - 1Infectious Diseases Section,Caritas Carney Hospital,Dorchester,MassachusettsLoreen A Herwaldt - 3Department of Internal Medicine,Carver College of Medicine,The University of Iowa,Iowa City,Iowa
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.38(8), pp.960-965
- DOI
- 10.1017/ice.2017.109
- PMID
- 28756803
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Language
- English
- Date published
- 08/2017
- Academic Unit
- Infectious Diseases; Epidemiology; Internal Medicine
- Record Identifier
- 9984094388102771
Metrics
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