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Evaluating and operationalizing an environmental auditing program: a pilot study.

Laura Gordon1, Natalie Bruce1, Kathryn N Suh1

  • 1The Ottawa Hospital, Ottawa, Ontario, Canada.

American Journal of Infection Control
|June 28, 2014
PubMed
Summary
This summary is machine-generated.

Environmental auditing using fluorescent marking was preferred by users for its visual coaching capabilities, despite ATP bioluminescence showing higher pass rates in patient rooms. Both methods highlighted variability in cleaning effectiveness.

Keywords:
ATP bioluminescenceFluorescent markingQuality assurance

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Area of Science:

  • Infection Control and Hospital Epidemiology
  • Environmental Hygiene and Auditing
  • Healthcare-Associated Infection Prevention

Background:

  • Environmental auditing is crucial for maintaining consistent and effective cleaning standards in healthcare settings.
  • A pilot study was conducted to compare two environmental auditing products: alcohol-based fluorescent marking and adenosine-5'-triphosphate (ATP) bioluminescence.
  • The study aimed to determine the practicality and user acceptability of each product for an environmental auditing program.

Purpose of the Study:

  • To compare the effectiveness and user preference of alcohol-based fluorescent marking versus ATP bioluminescence for environmental auditing.
  • To assess the practicality and operational considerations of implementing these auditing tools.
  • To identify the optimal method for enhancing cleaning consistency and effectiveness in patient rooms.

Main Methods:

  • Two auditing products were tested on 15 high-touch objects in randomly selected patient rooms post-cleaning.
  • A 'pass' was defined as ≥80% adequately cleaned surfaces according to manufacturer guidelines.
  • User preference and operational factors were evaluated through a qualitative survey.

Main Results:

  • Fluorescent marking achieved a 'pass' rate in 24% (9/37) of rooms, while ATP bioluminescence achieved 57% (21/37).
  • Significant variability in cleaning results was observed across different high-touch objects.
  • Eighty percent of users preferred the fluorescent marking product for its visual coaching and ease of use.

Conclusions:

  • Translucent, alcohol-based fluorescent marking best met the organization's environmental auditing requirements.
  • The study underscores the importance of multidisciplinary team involvement in developing and implementing environmental auditing programs.
  • User preference and practical application are key factors in the successful operationalization of cleaning auditing tools.