Implementation Lessons Learned From the Benefits of Enhanced Terminal Room (BETR) Disinfection Study: Process and Perceptions of Enhanced Disinfection with Ultraviolet Disinfection Devices
| Autor: | Lauren P. Knelson, Sarah S. Lewis, David J. Weber, R. Marty Cooney, Daniel J. Sexton, J. Conrad Schwab, William A. Rutala, Patricia F Triplett, Rebekah W. Moehring, Yuliya Lokhnygina, Luke F. Chen, Deverick J. Anderson, Michael Blocker |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Attitude of Health Personnel Ultraviolet Rays Epidemiology Computer science Process (engineering) Interprofessional Relations 030106 microbiology Article Health administration 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Patients' Rooms medicine Humans Infection control Nurse Administrators 030212 general & internal medicine Cluster randomised controlled trial Trial registration Disinfection methods Cross Infection Infection Control Terminal (telecommunication) medicine.disease Hospitals Southeastern United States Disinfection Clinical trial Infectious Diseases Guideline Adherence Medical emergency |
| Zdroj: | Infection Control & Hospital Epidemiology. 39:157-163 |
| ISSN: | 1559-6834 0899-823X |
| Popis: | OBJECTIVETo summarize and discuss logistic and administrative challenges we encountered during the Benefits of Enhanced Terminal Room (BETR) Disinfection Study and lessons learned that are pertinent to future utilization of ultraviolet (UV) disinfection devices in other hospitalsDESIGNMulticenter cluster randomized trialSETTING AND PARTICIPANTSNine hospitals in the southeastern United StatesMETHODSAll participating hospitals developed systems to implement 4 different strategies for terminal room disinfection. We measured compliance with disinfection strategy, barriers to implementation, and perceptions from nurse managers and environmental services (EVS) supervisors throughout the 28-month trial.RESULTSImplementation of enhanced terminal disinfection with UV disinfection devices provides unique challenges, including time pressures from bed control personnel, efficient room identification, negative perceptions from nurse managers, and discharge volume. In the course of the BETR Disinfection Study, we utilized several strategies to overcome these barriers: (1) establishing safety as the priority; (2) improving communication between EVS, bed control, and hospital administration; (3) ensuring availability of necessary resources; and (4) tracking and providing feedback on compliance. Using these strategies, we deployed ultraviolet (UV) disinfection devices in 16,220 (88%) of 18,411 eligible rooms during our trial (median per hospital, 89%; IQR, 86%–92%).CONCLUSIONSImplementation of enhanced terminal room disinfection strategies using UV devices requires recognition and mitigation of 2 key barriers: (1) timely and accurate identification of rooms that would benefit from enhanced terminal disinfection and (2) overcoming time constraints to allow EVS cleaning staff sufficient time to properly employ enhanced terminal disinfection methods.TRIAL REGISTRATIONClinical trials identifier: NCT01579370Infect Control Hosp Epidemiol 2018;39:157–163 |
| Databáze: | OpenAIRE |
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