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Reducing environmental surface contamination in healthcare settings: A statewide collaborative

      Highlights

      • 88% of facilities participating in the Clean Collaborative achieved the goal of a 10% reduction in RLUs from the baseline month to the final month.
      • Clean Collaborative-participating facilities achieved a 14.2% decrease in Clostridium difficle rates compared to only a 5.9% decrease among non-participating facilities.
      • Window sills in patient rooms, which are not identified by the CDC as a high-touch surface area, were observed to have higher levels of biofilm.
      • The collaborative process is an excellent tool for bringing together environmental services professionals and infection preventionists in the service of common/shared goals.
      • Facilities implemented engineering controls and behavioral changes as a result of the Collaborative educational process.
      To help reduce healthcare-associated infection (HAI) rates across the state, the Maryland Patient Safety Center's Clean Collaborative (Collaborative) supported 17 acute care hospitals, 3 long-term care facilities, and 4 ambulatory surgical centers in improving environmental surface cleaning, with the goal of reducing rates of Clostridium difficile infection, which the Collaborative team selected as a proxy for HAIs. Eighty-eight percent of participating facilities achieved the program goal of a 10% reduction in relative light units from the baseline month to the final month of the Collaborative. In addition, participating facilities achieved a 14.2% decrease in C. difficile rates compared to only a 5.9% decrease among non-participating facilities (in Maryland).

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      References

        • Zimlichman E.
        • Henderson D.
        • Tamir O.
        • Franz C.
        • Song P.
        • Yamin C.K.
        • et al.
        Health care–associated infections.
        JAMA Intern Med. 2013; 173: 2039
        • Weber D.J.
        • Rutala W.A.
        • Miller M.B.
        • Huslage K.
        • Sickbert-Bennett E.
        Role of hospital surfaces in the transmission of emerging health care-associated pathogens: Norovirus, Clostridium difficile, and Acinetobacter species.
        Am J Infect Control. 2010; 38: S25-S33
        • Weinstein R.A.
        • Hota B.
        Contamination, disinfection, and cross-colonization: are hospital surfaces reservoirs for nosocomial infection?.
        Clin Infect Dis. 2004; 39: 1182-1189
        • Cooper R.A.
        • Griffith C.J.
        • Malik R.E.
        • Obee P.
        • Looker N.
        Monitoring the effectiveness of cleaning in four British hospitals.
        Am J Infect Control. 2007; 35: 338-341
        • Luick L.
        • Thompson P.A.
        • Loock M.H.
        • Vetter S.L.
        • Cook J.
        • Guerrero D.M.
        Diagnostic assessment of different environmental cleaning monitoring methods.
        Am J Infect Control. 2013; 41: 751-752
        • Centers for Disease Control and Prevention
        Environmental checklist for monitoring terminal cleaning.
        (Available from) (Accessed February 16, 2017)
        • Centers for Disease Control and Prevention
        CDC/NHSN Surveillance Definitions for Specific Types of Infections.
        (Available from) (Accessed March 18, 2018)
        • Eckmanns T.
        • Bessert J.
        • Behnke M.
        • Gastmeier P.
        • Rudenet H.
        Compliance with antiseptic hand rub use in intensive care units: the Hawthorne effect.
        Infect Control Hosp Epidemiol. 2006; 27: 931-934