Effect of a “feedback prompt” from a disinfection tracking system on portable medical equipment disinfection

Crowley, Patrick; Chatterjee, Piyali; Coppin, John David; Choi, Hosoon; Williams, Marjory; Martel, Julie Ann; Stibich, Mark; Simmons, Sarah; Passey, Deborah; Allton, Yonhui; Jinadatha, Chetan

doi:10.1016/j.ajic.2022.01.004

Cited by 3 publications

(19 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Findings from that study included a pattern of disinfection events at a frequency higher than self-reported compliance to the standard hospital policy of a minimum of once every 24 h and improvement in disinfection when the instantaneous end-user feedback was turned on. 6,7 Our current study indicates that, despite adherence to our hospital policy, PME remains contaminated. Implications of this finding may indicate more frequent disinfection of PME, especially high touch areas may be advisable.…”

Section: Discussionmentioning

confidence: 62%

“…The ability to monitor adherence to standard infection prevention protocols is an important component of linking outcomes to practice. 5 – 7 Adherence to protocols may be challenged by increased workload and complexity of demands on nursing and ancillary staff for patient care, such as those experienced during the Coronavirus Diseases-19 (COVID-19) pandemic. Limitations on ability to adequately disinfect contaminated surfaces threaten the inferred effectiveness of established protocols demonstrated to prevent HAIs and may be important contributors to recent estimates by the Centers for Disease Control and Prevention (CDC) that 1 in 31 hospital patients contracts a HAI.…”

Section: Introductionmentioning

confidence: 99%

“…The ability to monitor adherence to standard infection prevention protocols is an important component of linking outcomes to practice. [5][6][7] Adherence to protocols may be challenged by increased workload and complexity of demands on nursing and ancillary staff for patient care, such as those experienced…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Assessment of microbial bioburden on portable medical equipment in a hospital setting

et al. 2023

Self Cite

View full text Add to dashboard Cite

Objectives: Although routine disinfection of portable medical equipment is required in most hospitals, frontline staff may not be able to disinfect portable medical equipment at a rate that adequately maintains low bioburden on high-use equipment. This study quantified bioburden over an extended time period for two types of portable medical equipment, workstations on wheels and vitals machines, across three hospital wards. Methods: Bioburden was quantified via press plate samples taken from high touch surfaces on 10 workstations on wheels and 5 vitals machines on each of 3 medical surgical units. The samples were taken at three timepoints each day over a 4-week period, with random rotation of timepoints and portable medical equipment, such that frontline staff were not aware at which timepoint their portable medical equipment would be sampled. The mean bioburden from the different locations and portable medical equipment was estimated and compared with Bayesian multilevel negative binomial regression models. Results: Model estimated mean colony counts (95% credible interval) were 14.4 (7.7–26.7) for vitals machines and 29.2 (16.1–51.1) for workstations on wheels. For the workstations on wheel, colony counts were lower on the mouse, 0.22 (0.16–0.29), tray, 0.29 (0.22, 0.38), and keyboard, 0.43 (0.32–0.55), when compared to the arm, as assessed by incident rate ratios. Conclusions: Although routine disinfection is required, bioburden is still present across portable medical equipment on a variety of surfaces. The difference in bioburden levels among surfaces likely reflects differences in touch patterns for the different portable medical equipment and surfaces on the portable medical equipment. Although the association of portable medical equipment bioburden to healthcare-associated infection transmission was not assessed, this study provides evidence for the potential of portable medical equipment as a vector for healthcare-associated infection transmission despite hospital disinfection requirements.

show abstract

Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of microbial bioburden on portable medical equipment in a hospital setting

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“…Of 77 publications that were assessed for eligibility in a full-text review, 68 were excluded, resulting in 9 studies that were further evaluated. [24][25][26][27][28][29][30][31][32] From these, 1 study was later excluded after data extraction and critical appraisal as it did not meet the quality assessment inclusion criteria (Supplement 2 online). 32 Each of the 8 included studies described an educational intervention to improve disinfection practices of noncritical PME.…”

Section: Resultsmentioning

confidence: 99%

Educational interventions to improve compliance with disinfection practices of noncritical portable medical equipment: A systematic review

Bhan,

Green,

Liang Philpotts

et al. 2023

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

Objective: To describe educational interventions that have been implemented in healthcare settings to increase the compliance of healthcare personnel (HCP) with cleaning and disinfection of noncritical portable medical equipment (PME) requiring low-level disinfection (LLD). Design: Systematic review. Methods: Studies evaluating interventions for improving LLD practices in settings with HCP, including healthcare students and trainees, were eligible for inclusion. Results: In total, 1,493 abstracts were identified and 1,416 were excluded, resulting in 77 studies that underwent full text review. Among these, 68 were further excluded due to study design, setting, or intervention. Finally, 9 full-text studies were extracted; 1 study was excluded during the critical appraisal process, leaving 8 studies. Various forms of interventions were implemented in the studies, including luminescence, surveillance of contamination with feedback, visual signage, enhanced training, and improved accessibility of LLD supplies. Of the 8 included studies, 4 studies reported successes in improving LLD practices among HCP. Conclusions: The available literature was limited, indicating the need for additional research on pedagogical methods to improve LLD practices. Use of visual indicators of contamination and multifaceted interventions improved LLD practice by HCP.

show abstract

“…The regular training and learning activities can further enhance the professional level of nursing staff, strengthen their theoretical foundation and operational skills in disinfection and sterilization work. [19,20] Inviting expert scholars or seasoned professionals for lectures and exchanges can improve nursing staff's understanding and cognition of disinfection and sterilization work, thereby improving their accuracy and consistency in practical operations. [21][22][23] Postconference lectures and training can ensure that nursing staff master the correct operating procedures.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the prevention effect of high-quality nursing quality control in disinfection supply center on nosocomial infection

Yu,

Yang,

Cen

2024

Medicine

View full text Add to dashboard Cite

To explore the application effect of high-quality nursing quality control in disinfection supply center. The control group consisted of 1850 medical devices managed using the conventional quality control mode from January 2021 to December 2021, while the observation group consisted of 1900 medical devices managed using the high-quality nursing quality control mode from January 2022 to December 2022. The qualified rates of equipment cleaning, sterilization, and packaging were analyzed in both the observation and control groups. The occurrence of nosocomial infections in 2021 and 2022 were compared, and the changes in the Beck-Srivaatava stress scale index (BSSI) and Symptom Checklist-90 scores of the staff before and after implementing the high-quality nursing quality control mode were analyzed. The qualified rate of equipment cleaning, sterilization, and packaging in the observation group were 99.08%, 99.73%, and 99.78%, respectively, which were significantly higher than those in the control group (P < .05). The incidence of nosocomial infections in interventional and surgical cases in 2022 was 0.79%, which was significantly lower than that in 2021 (P < .05). The BSSI score of female staff was (68.76 ± 7.81) points, which was higher than that of male staff (P < .05). After the implementation of the high-quality nursing quality control mode, the BSSI score of the staff was (47.76 ± 9.12) points, which was significantly lower than that before implementation (P < .05). After the implementation of the high-quality nursing quality control mode, the staff’s Symptom Checklist-90 scores for somatization, compulsion, interpersonal sensitivity, depression, hostility, and paranoia were (1.28 ± 0.29), (1.53 ± 0.24), (1.50 ± 0.21), (1.46 ± 0.32), (1.44 ± 0.26), and (1.38 ± 0.30) points, respectively, showing a decrease compared to before implementation (P < .05). The high-quality nursing quality control mode has great application value in the disinfection supply center. It can effectively improve the qualified rates of equipment cleaning, sterilization, and packaging, prevent nosocomial infections and improve the working pressure and psychological health of staff.

show abstract

Effect of a “feedback prompt” from a disinfection tracking system on portable medical equipment disinfection

Cited by 3 publications

References 14 publications

Assessment of microbial bioburden on portable medical equipment in a hospital setting

Assessment of microbial bioburden on portable medical equipment in a hospital setting

Educational interventions to improve compliance with disinfection practices of noncritical portable medical equipment: A systematic review

Evaluation of the prevention effect of high-quality nursing quality control in disinfection supply center on nosocomial infection

Contact Info

Product

Resources

About