TY - JOUR
T1 - Feedback of ATP measurement as a tool for reducing environmental contamination in hospitals in the Dutch/Belgian border area
AU - Van Arkel, Andreas
AU - Willemsen, Ina
AU - Kilsdonk-Bode, Linda
AU - Vlamings-Wagenaars, Sindy
AU - Van Oudheusden, Anne
AU - De Waegemaeker, Pascal
AU - Leroux-Roels, Isabel
AU - Verelst, Martine
AU - Maas, Evelien
AU - Van Oosten, Anita
AU - Willemse, Patricia
AU - Van Asselen, Esther
AU - Klomp-Berens, Ella
AU - Franssen, Karen
AU - Van Cauwenberg, Elise
AU - Schweitzer, Valentijn
AU - Kluytmans, Jan
N1 - Publisher Copyright:
© 2021 The Author(s) 2021. Published by Oxford University Press on behalf of International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: [email protected].
PY - 2021/11/1
Y1 - 2021/11/1
N2 - Design: A two-phase prospective intervention study. Objective: The objective of this study was to determine if feedback of adenosine triphosphate (ATP) measurements decreases environmental contamination within hospitals in the Dutch/Belgian border area. Methods: Standardized ATP measurements were conducted in nine hospitals on pre-defined fomites. Four different fomite groups were defined: medical devices, patient-bound materials, ward-bound materials and sanitary items. ATP results were reported in relative light unit (RLU), RLU >1000 was considered as 'not clean.' Two rounds of ATP measurements were conducted. After the first round of ATP measurements, results were provided to the wards and cleaning staff. The second round of ATP measurements was performed one year later. The amount of surface contamination before and after the feedback was compared. Results: In total 1923 ATP measurements were performed. Before feedback 960 ATP measurements were conducted and after feedback 963 were conducted. The overall median reduction in RLU was 381 (P < 0.001), from 568 before feedback to 187 afterward. In each hospital there was a reduction of the median RLU after feedback. Conclusions: Substantial reductions in RLU values were found after feedback of ATP measurements. Feedback of ATP measurement in itself was associated with a major reduction of surface contamination in hospitals.
AB - Design: A two-phase prospective intervention study. Objective: The objective of this study was to determine if feedback of adenosine triphosphate (ATP) measurements decreases environmental contamination within hospitals in the Dutch/Belgian border area. Methods: Standardized ATP measurements were conducted in nine hospitals on pre-defined fomites. Four different fomite groups were defined: medical devices, patient-bound materials, ward-bound materials and sanitary items. ATP results were reported in relative light unit (RLU), RLU >1000 was considered as 'not clean.' Two rounds of ATP measurements were conducted. After the first round of ATP measurements, results were provided to the wards and cleaning staff. The second round of ATP measurements was performed one year later. The amount of surface contamination before and after the feedback was compared. Results: In total 1923 ATP measurements were performed. Before feedback 960 ATP measurements were conducted and after feedback 963 were conducted. The overall median reduction in RLU was 381 (P < 0.001), from 568 before feedback to 187 afterward. In each hospital there was a reduction of the median RLU after feedback. Conclusions: Substantial reductions in RLU values were found after feedback of ATP measurements. Feedback of ATP measurement in itself was associated with a major reduction of surface contamination in hospitals.
KW - health-care quality improvement
KW - infection control
KW - nosocomial infections
KW - performance measures
UR - http://www.scopus.com/inward/record.url?scp=85121044821&partnerID=8YFLogxK
U2 - 10.1093/intqhc/mzab153
DO - 10.1093/intqhc/mzab153
M3 - Article
C2 - 34791294
AN - SCOPUS:85121044821
SN - 1353-4505
VL - 33
SP - 1
EP - 5
JO - International Journal for Quality in Health Care
JF - International Journal for Quality in Health Care
IS - 4
M1 - mzab153
ER -