Dr Kate Browne1, Georgia Matterson1, Prof Brett Mitchell1
1Avondale University, NSW, Australia
Abstract:
Introduction
The CLEEN study showcases how enhanced cleaning and disinfection can reduce healthcare-associated infections. However, bridging the gap between this study and its widespread implementation in healthcare facilities worldwide remains a challenge. There is often uncertainty over who is responsible for cleaning shared medical equipment, and this equipment can be overlooked. This study explores implementation strategies to improve cleaning and disinfection practices in healthcare facilities.
Methods
The multimodal intervention of the CLEEN study encompassed resources for enhanced cleaning and disinfection, educational initiatives, comprehensive training programs, and regular audit and feedback mechanisms. Thematic analysis of interviews with cleaning staff provided insights into optimal implementation strategies, along with cost-effectiveness evaluations to inform different cleaning models.
Results
We developed a range of training materials which will be shared and discussed. The implementation process encountered hurdles, particularly concerning staffing and enacting systematic changes. Notably, in-person refresher training was the most effective strategy for improving cleaning audit results. Additionally, fluorescent marker audits helped to identify which pieces of shared medical equipment were cleaned, guiding subsequent training efforts and goal setting. Future solutions and models for improving the cleaning of shared medical equipment will be discussed.
Conclusion
The success of cleaning and disinfection practices requires robust implementation strategies. Achieving sustainable change requires multidisciplinary collaboration and a concerted effort toward hospital-wide implementation. By addressing these crucial components, we can effectively translate research findings into tangible improvements in healthcare facilities globally.