title: Optimum outlier model for potential improvement of environmental cleaning and disinfection.
abstract: The effectiveness and efficiency of 17 housekeepers in terminal cleaning 292 hospital rooms was evaluated through adenosine triphosphate detection. A subgroup of housekeepers was identified who were significantly more effective and efficient than their coworkers. These optimum outliers may be used in performance improvement to optimize environmental cleaning.
authors.affiliation: Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Rupp
authors.forename: Tomas
authors.initials: T
authors.lastname: Huerta
authors.forename: R J
authors.initials: RJ
authors.lastname: Cavalieri
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lyden
authors.forename: Trevor
authors.initials: T
authors.lastname: Van Schooneveld
authors.forename: Philip
authors.initials: P
authors.lastname: Carling
authors.forename: Philip W
authors.initials: PW
authors.lastname: Smith
mesh_terms: D000046:Academic Medical Centers; D003428:Cross Infection / Q000517:prevention & control*; D004203:Disinfection / Q000592:standards*; D017598:Efficiency, Organizational; D006797:Housekeeping, Hospital / Q000592:standards*; D006801:Humans; D016015:Logistic Models; D017146:Models, Organizational; D058996:Quality Improvement