An evaluation of cleaning practices at a teaching hospital

Meyer, Julien; Nippak, Pria; Cumming, A.

doi:10.1016/j.ajic.2020.06.187

Cited by 21 publications

(22 citation statements)

References 26 publications

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“…Surface cleanliness has been a focus of research for several years, particularly in hospitals because of the potential spread of disease, and more recently in hotels (Al-Hamad and Maxwell, 2008; Calfee et al , 2020; Kline et al , 2014; Lei et al , 2019; Meyer et al , 2020; Otter and French, 2009; Park et al , 2019). In 2010, the Hospital Infection Control Practices Advisory Committee and the CDC put forth the recommendation to clean high-touch areas [defined as “frequently touched by hands” (Park et al , 2019)] more frequently than low-touch surfaces [defined as “not frequently touched by hands” (Park et al , 2019)] (Huslage et al , 2010).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Huslage et al (2010) found that contaminated hospital surfaces, contaminated equipment and contaminated hands were all linked to pathogen transmission and led to multiple outbreaks of infection. More recently, Meyer et al (2020) reiterated the need to clean high-touch surfaces in hospitals compared to other surfaces. High- and low-touch areas have also been a focus of research in hotels where high-touch surfaces in the guestroom were first identified and then tested to see if the surfaces were actually cleaned properly and met guests’ expectations (Park et al , 2019).…”

Section: Literature Reviewmentioning

confidence: 99%

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The cleanliness of restaurants: ATP tests (reality) vs consumers’ perception

Kim

Almanza

et al. 2021

IJCHM

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Purpose This study aims to empirically assess restaurant surfaces’ cleanliness and compare them to customers’ perceptions about the cleanliness of surfaces when dining in a restaurant. Design/methodology/approach This study used two methods to collect data. The first was a survey method to gauge customers’ perceptions and an empirical test to measure cleanliness using an adenosine triphosphate (ATP) meter. Two data sets were collected to compare customers’ perceptions and actual cleanliness measurements. One data set surveyed respondents as to their perceptions of high- and low-touch restaurant surfaces among 19 areas of the dining room and 15 surfaces from the restroom, and their perceived cleanliness or dirtiness of those same surfaces. The second one conducted empirical measurements of the cleanliness of these surfaces using an ATP meter, which were then compared to customers’ perceptions. Findings Although all surfaces had higher ATP readings than a 30 relative light units’ threshold, there were significant differences in ATP readings among surfaces. Results showed a fair amount of consistency between the consumers’ perceptions of cleanliness and the actual results of ATP readings for the cleanest areas, but very little consistency in customers’ perceptions and experimental measurements for the dirtiest areas. Practical implications This study empirically demonstrated the need for improved cleaning techniques and the importance of proper training for foodservice employees. Especially during the COVID-19 pandemic, results of this study suggest an additional responsibility on managers and staff to ensure clean environments and the imperative to address the concerns of their customers. Originality/value Based on an extensive literature review, to the best of the authors’ knowledge, no prior studies have compared consumers’ cleanliness perceptions with empirical measurements of cleanliness in restaurant settings using an ATP meter. The results of this study provide restaurant managers a better understanding of customers’ perceptions of cleanliness. It also provides restaurant managers and staff information to develop more effective cleaning procedures. In the context of the COVID-19 pandemic, perceptions of cleanliness and measures of actual cleanliness are more important than they have been in the past.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

The cleanliness of restaurants: ATP tests (reality) vs consumers’ perception

Kim

Almanza

et al. 2021

IJCHM

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“…Environmental cleanliness is a foundational concept in nursing and midwifery 11 , but one that may be undervalued or brushed aside due to time constraints, lack of resources, and other factors 3 , 4 , 5 , 12 , 13 . As shown in this study, workplace factors can play a key role in shaping compliance with IPC policies.…”

Section: Discussionmentioning

confidence: 99%

“…Environmental cleaning is key to preventing infections in healthcare and is cost-effective 1 , 2 . Workplace factors such as time pressures, staff knowledge, work processes, organisational structures, and the everyday complexity of health care systems can play a key role in how well environmental cleanliness is maintained and healthcare associated infections (HCAIs) prevented 3 , 4 , 5 , 6 . This paper builds on previous work from the authors, 7 which explored nurses’ and midwives’ knowledge of infection prevention and control (IPC) and cleaning processes.…”

Section: Introductionmentioning

confidence: 99%

Environmental hygiene, knowledge and cleaning practice: a phenomenological study of nurses and midwives during COVID-19

Curryer

Russo

Kiernan

et al. 2021

American Journal of Infection Control

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Background Environmental cleanliness is a fundamental tenet in nursing and midwifery but often overshadowed in practice. This study explored nurses’ and midwives’ knowledge and experiences of infection prevention and control (IPC) processes and cleaning, and perceptions about workplace risk-management during COVID-19. Methods Six registered and enrolled nurses (one with dual midwife qualifications) were recruited. In-depth telephone interviews were analysed using Colaizzi's phenomenological method. Results Four major themes were identified: Striving towards environmental cleanliness; Knowledge and learning feeds good practice; There's always doubt in the back of your mind; and COVID has cracked it wide open. These articulate the nurses’ and midwives’ experiences and knowledge of IPC, particularly during COVID-19. Discussion The findings emphasise the dynamic, interdependent nature of clinical (time, staff knowledge and compliance, work processes, hospital design) and organisational contexts and environmental cleanliness, which must be constantly maintained. COVID-19 opened up critical insights regarding poor past practices and lack of IPC compliance. Conclusion COVID-19 has highlighted the criticality of environmental cleanliness within clinical and community settings. Evidence-based, experiential learning is important for nurses and midwives at all career stages, but provides only one solution. Clinician-led hospital design may also reduce the spread of infection; thus promoting better patient care.

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“…Además, en lo que respecta al etiquetado de los envases de los desinfectantes, estos no tienen identificación, ni fecha de activación o preparación del desinfectante, en un 25% que el hospital de segundo nivel, situación similar ocurre en el hospital de tercer nivel con un 34%. Para garantizar la calidad de los desinfectantes estos durante el tiempo de almacenamiento, deben permanecer sellados, si se debe efectuar preparaciones este debe ser en volumen pequeño, considerando las especificaciones del fabricante para uso único y diario (27,28).…”

Section: Discussionunclassified

Evaluación Del Proceso De Limpieza Y Desinfección en Unidades De Cuidados Intensivos, en Hospitales De Segundo Y Tercer Nivel De Atención

Saltos

Segovia

2021

Enferm. investig.

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Introducción: Las infecciones asociadas con la atención de salud son un problema de salud pública, todos los esfuerzos que se realizan para prevenir y controlar las infecciones aún son insuficientes. La limpieza y desinfección en la Unidad de Cuidados Intensivos (UCI) por las características del paciente y las medidas terapéuticas invasivas que se ejecutan, la limpieza y desinfección deben ser rigurosas. Objetivo: Evaluar el proceso de limpieza y desinfección en unidades de cuidados intensivos de segundo y tercer nivel de atención, de referencia nacional, de la Ciudad de Quito, de acuerdo con el protocolo del Ministerio de Salud Pública del Ecuador. Métodos: Se realizó un estudio observacional descriptivo, trasversal, se recolectó información mediante observación directa utilizando una guía diseñada sobre la base de los protocolos de limpieza y desinfección reglamentarios. Resultados: Los protocolos de limpieza y desinfección que se realizan en la UCI evidencian brechas de incumplimiento que afectan su eficacia y eficiencia en la limpieza concurrente, la limpieza terminal, la utilización del equipo de protección personal por los trabajadores y en el manejo, conservación de los desinfectantes. Conclusiones: Los protocolos de limpieza y desinfección que se aplican en la UCI, evidencian brechas en el cumplimiento. Por tal razón, deben ser objeto de procesos rigurosos de mejora continua, en lo relacionado a la limpieza y desinfección de todos los elementos como (cama, colchón, velador, monitor y ventilador mecánico), es necesario intervenir en el adecuado uso de los desinfectantes y es necesario monitorear y educar sobre el uso correcto en el manejo de los guantes. Palabras Claves: Limpieza, desinfección, cuidados intensivos, desinfectantes ABSTRACT Introduction: Infections associated with health care are a public health problem, all the efforts made to prevent and control infections are still insufficient. Cleaning and disinfection in the Intensive Care Unit (ICU) due to the characteristics of the patient and the invasive therapeutic measures that are carried out, cleaning and disinfection must be rigorous. Objective: To evaluate the process of cleaning and disinfection in intensive care units of second and third level of care, of national reference, of the City of Quito, in accordance with the protocol of the Ministry of Public Health of Ecuador. Methods: A descriptive, cross-sectional observational study was carried out, information was collected by direct observation using a guide designed on the basis of the regulatory cleaning and disinfection protocols. Results: The cleaning and disinfection protocols carried out in the ICU show non-compliance gaps that affect their effectiveness and efficiency in concurrent cleaning, terminal cleaning, the use of personal protective equipment by workers and in the handling and conservation of disinfectants. Conclusions: The cleaning and disinfection protocols applied in the ICU show gaps in compliance. For this reason, they must be subject to rigorous processes of continuous improvement, in relation to the cleaning and disinfection of all elements such as (bed, mattress, nightstand, monitor and mechanical ventilator), it is necessary to intervene in the proper use of disinfectants and it is necessary to monitor and educate on the correct use in the handling of gloves. Keywords: Cleaning, disinfection, intensive care, disinfectants

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An evaluation of cleaning practices at a teaching hospital

Cited by 21 publications

References 26 publications

The cleanliness of restaurants: ATP tests (reality) vs consumers’ perception

The cleanliness of restaurants: ATP tests (reality) vs consumers’ perception

Environmental hygiene, knowledge and cleaning practice: a phenomenological study of nurses and midwives during COVID-19

Evaluación Del Proceso De Limpieza Y Desinfección en Unidades De Cuidados Intensivos, en Hospitales De Segundo Y Tercer Nivel De Atención

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