Impact of adenosine triphosphate detection and feedback on hospital room cleaning.
OBJECTIVE
To assess the effect of adenosine triphosphate (ATP) device measurement of hospital room cleaning and feedback of pooled results to environmental service workers (EVS) to improve cleaning efficacy.


METHODS
Nonrandomized controlled trial conducted over 20 months.


METHODS
Three hospitals of varying size.


METHODS
EVS workers, randomly selected on the basis of convenience sample of rooms.


METHODS
Environmental cleanliness composite scores were combined with layered educational interventions and used to provide feedback to EVS workers on specific hospital units. Trends in cleaning efficacy were observed after the interventions.


RESULTS
Cleaning efficacy improved significantly with each intervention (P < .01) and decreased during the washout period.


CONCLUSIONS
The ATP detection device combined with educational feedback for EVS workers resulted in significant improvement in cleaning efficacy of the hospital room environment.
College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska.
Philip W
PW
Smith
Elizabeth
E
Beam
Harlan
H
Sayles
Mark E
ME
Rupp
R Jennifer
RJ
Cavalieri
Shawn
S
Gibbs
Angela
A
Hewlett
D000046:Academic Medical Centers / Q000379:methods / Q000592:standards; D000255:Adenosine Triphosphate / Q000032:analysis*; D003428:Cross Infection / Q000517:prevention & control; D005246:Feedback; D006797:Housekeeping, Hospital / Q000379:methods* / Q000592:standards; D006801:Humans; D010362:Patients' Rooms / Q000592:standards*
D000255:Adenosine Triphosphate