title: Maintain the gain: program to sustain performance improvement in environmental cleaning.
abstract: Sustaining performance is a difficult and often overlooked aspect of quality improvement and implementation science. Over a 4-year period, we observed that monthly feedback of performance data in face-to-face meetings with frontline personnel was crucial in maintaining environmental-cleaning effectiveness in adult critical care units.
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: Theresa
authors.initials: T
authors.lastname: Fitzgerald
authors.forename: Lee
authors.initials: L
authors.lastname: Sholtz
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lyden
authors.forename: Philip
authors.initials: P
authors.lastname: Carling
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D003428:Cross Infection / Q000517:prevention & control; D006797:Housekeeping, Hospital / Q000592:standards*; D006801:Humans; D007362:Intensive Care Units; D058996:Quality Improvement