Implementation Lessons Learned From the Benefits of Enhanced Terminal Room (BETR) Disinfection Study: Process and Perceptions of Enhanced Disinfection with Ultraviolet Disinfection Devices

Details

• Alternative Title:
  Infect Control Hosp Epidemiol
• Corporate Authors:
  CDC Prevention Epicenters Program.
• Description:
  OBJECTIVE
  
  To summarize and discuss logistic and administrative challenges we encountered during the Benefits of Enhanced Terminal Room (BETR) Disinfection Study and lessons learned that are pertinent to future utilization of ultraviolet (UV) disinfection devices in other hospitals.
  
  DESIGN
  
  Multicenter cluster randomized trial.
  
  SETTING AND PARTICIPANTS
  
  Nine hospitals in the southeastern United States.
  
  METHODS
  
  All participating hospitals developed systems to implement 4 different strategies for terminal room disinfection. We measured compliance with disinfection strategy, barriers to implementation, and perceptions from nurse managers and environmental services (EVS) supervisors throughout the 28-month trial.
  
  RESULTS
  
  Implementation of enhanced terminal disinfection with UV disinfection devices provides unique challenges, including time pressures from bed control personnel, efficient room identification, negative perceptions from nurse managers, and discharge volume. In the course of the BETR Disinfection Study, we utilized several strategies to overcome these barriers: (1) establishing safety as the priority; (2) improving communication between EVS, bed control, and hospital administration; (3) ensuring availability of necessary resources; and (4) tracking and providing feedback on compliance. Using these strategies, we deployed ultraviolet (UV) disinfection devices in 16,220 (88%) of 18,411 eligible rooms during our trial (median per hospital, 89%; IQR, 86%–92%).
  
  CONCLUSIONS
  
  Implementation of enhanced terminal room disinfection strategies using UV devices requires recognition and mitigation of 2 key barriers: (1) timely and accurate identification of rooms that would benefit from enhanced terminal disinfection and (2) overcoming time constraints to allow EVS cleaning staff sufficient time to properly employ enhanced terminal disinfection methods.
  
  TRIAL REGISTRATION
  
  Clinical trials identifier: NCT01579370
  
  
• Subjects:
  Attitude Of Health Personnel Cross Infection Disinfection Guideline Adherence Hospitals Humans Infection Control Interprofessional Relations Nurse Administrators Patients' Rooms Surveys And Questionnaires Ultraviolet Rays

  More +
• Source:
  Infect Control Hosp Epidemiol. 39(2):157-163
• Pubmed ID:
  29331170
• Pubmed Central ID:
  PMC5935456
• Document Type:
  Journal Article
• Funding:
  K08 HS023866/HS/AHRQ HHS/United States ; K23 AI095357/AI/NIAID NIH HHS/United States ; U54 CK000164/CK/NCEZID CDC HHS/United States ; UL1 TR001111/TR/NCATS NIH HHS/United States
• Place as Subject:
  Southeastern United States
• Volume:
  39
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bdaaad042d19665603e9d6892692d6147ac3b69b322f151412701fd0ba6010b4
• Download URL:
  https://stacks.cdc.gov/view/cdc/59401/cdc_59401_DS1.pdf
• File Type:
  [PDF - 407.06 KB ]