英文摘要 |
Proper environmental cleaning is important in the prevention and control of healthcare associated infections. This study was a multidisciplinary collaboration between the infection control office, general affairs office, nursing department, and the outsourcing cleaning services company, to improve the quality in environmental cleaning from January to December in 2014. Utilizing direct observations and questionnaires from first-line healthcare workers, we identified the main issues regarding cleaning quality improvement, including: 1. lack of standard procedures and monitoring systems for environmental cleaning. 2. wastes and soiled linens rooms were poorly organized and cleaning tools were not well segregated; medical vehicles were unsanitary. 3. hospital cleaning staff lacked knowledge about enviro nmental cleaning and the proficiency of cleaning procedures. According to the above problems, strategies to improve environmental cleaning were implemented in 3 aspects: 1. Policy: Establishing standard procedures and monitoring systems with associated audit tables for environmental cleaning. 2. Equipment: Establishing rules of tool cleaning and segregation with different color codes, and unifying object placement in medical vehicles, as well as wastes and soiled linen rooms. 3. Education: Provide cleaning staff training courses and producing educational materials, including posters, videos, and manuals, as well as granting certification after training. In this study, adenosine triphosphate (ATP) bioluminescence assay was introduced for measurement of surface cleanliness. Significant improvement in the ATP assay pass rate was noted after implementation of the above infection control strategies (from 69.5% to 93.8%, improvement of 34.9%). The pass rates were all above 90% one year after this study. From these diversified quality and infection control strategies, we significantly improved the environmental cleaning quality, leading to these interventions becoming routine practice at our hospital. |