Reducing environmental surface contamination in healthcare settings: A statewide collaborative


      • 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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