ATP Study To Improve Cleaning of Environmental Surfaces in Patient Rooms

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ATP Study To Improve Cleaning of Environmental
Surfaces in Patient Rooms

• By Jack McGurk, REHS, MPA
• Rick Parker, REH

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A Call for Improved Cleaning Tracking

• 2002 National estimates of healthcare associated
  infections (HAIs) and deaths was
• 1.7 million HAIs
• 98,987 associated deaths
• These figures have not declined
• Its time for action
• Dr. John Snows action in 1854 to end the cholera
  epidemic in London
• Now its our turn to take action to reduce HAIs

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Proposed Plan of Action

• Step 1
• Assessment of current conditions
• ATP monitoring of 14 High Risk Objects as done by
  Dr. P.C. Carling in 23 acute care hospitals
  following terminal cleaning
• This data provides a baseline from which to
  evaluate changes

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Proposed Plan of Action

• Step 2
• Use Quality Improvement Plan-Do-Check-Act-Standard
  ize Cycle to implement intervention strategy
• Measure results and monitor intervention strategy
  
• For example training staff on improved cleaning
  techniques
• Use ATP tool to provide immediate feedback on
  cleaning
• Use ATP tool to monitor change as compared to
  earlier baseline data

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Proposed Plan of Action

• Step 3
• Standardize intervention if it is successful
• New cleaning procedures
• New training for staff
• Continue to monitor using ATP tool

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Proposed Plan of Action

• Step 4
• Publicize results
• Use as process improvement for Joint Commission
• Apply for awards
• Determine if HAI rates or costs have declined
• Let the community know of success

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Data From One Hospital
HRO RLUs Before RLUs After

• Patient Telephone
• Nurses Call Box
• Bedside Rail
• Visitor Chair Arm Rest
• Sink/Counter

• 1,010 63
• 820 117
• 799 91
• 698 128
• 468 97

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Study Results From One Hospital