Comparing visual inspection and performance observation for evaluation of hospital cleanliness - 18/11/21
Highlights |
• | Visual inspection had the highest clean rate and the lowest pass rate by adenosine triphosphate (ATP) |
• | No correlation between visual inspection and ATP interpretation |
• | Weak positive correlation between performance observation and ATP interpretation |
• | Results of visual inspection, performance observation and ATP were not consistent |
Abstract |
Background |
Environmental cleaning is an effective measure to prevent infections. However, performance observation has been rarely delineated. This study aimed to compare correlations among visual inspection, performance observation, and effectiveness by using adenosine triphosphate bioluminescence (ATP bioluminescence) as a comparator to find out which method is better to assess hospital cleanliness.
Methods |
This prospective study was conducted at a medical center from April 2019 to October 2020. Seven high-touch surfaces were evaluated during and after terminal cleaning by performance observation, visual inspection, and ATP bioluminescence.
Results |
The scores by performance observation, visual inspection, and ATP were 55.4%, 87.5%, and 26.6% after cleaning. The correlations between performance observation and visual inspection and between performance observation and ATP interpretation were weak positive (φ = 0.300, 0.324, P < .001). No correlation was between the visual inspection and ATP interpretation (φ=0.137). The median of ATP readings was lower in “compliant” group by performance observation and “clean” group by visual inspection than “not compliant” group and “not clean” group (P < .001).
Conclusions |
Performance observation combined with ATP would be preferred to include to audit cleanliness on high-risk surfaces. Visual inspection would be a rapid and time-saving assessment tool on low-risk surfaces.
El texto completo de este artículo está disponible en PDF.Key Words : Visual inspection, Performance observation, ATP, Hospital cleanliness, Intensive care unit, Care unit, Cleaning practices, Healthcare-associated infections
Esquema
| Conflict of interest: None. |
Vol 49 - N° 12
P. 1511-1514 - décembre 2021 Regresar al número
Artículo precedente
- Evaluating and contextualizing the efficacy of portable HEPA filtration units in small exam rooms
- Stephen Pirkle, Sandy Bozarth, Natasha Robinson, Wanda Hester, LaurieAnn Wagner, Sabrina Broome, Kim Allen, Supriya Mannepalli
- Establishment and validation of the predictive model for the in-hospital death in patients with sepsis
- Deyuan Zhi, Meng Zhang, Jin Lin, Pei Liu, Yajun Wang, Meili Duan
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
¿Ya suscrito a @@106933@@ revista ?