Time and motion evaluation of cleaning and disinfection practices before and after a switch from a dilutable quaternary ammonium disinfectant to a ready-to-use wipe product.
Environmental services programs may choose dilutable or ready-to-use (RTU) disinfectants. Dilutable products are generally less expensive but may have greater potential for incorrect use. We conducted a time and motion evaluation of environmental services post-discharge and daily room cleaning and d...
| Publicado en: | American Journal of Infection Control Vol. 54; no. 9; pp. 959 - 964 |
|---|---|
| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Sep2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195865668&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195865668 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01966553 44Q jtl: American Journal of Infection Control issn: 01966553 maglogo: N pubinfo: dt: Sep2026 vid: 54 iid: 9 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 195865668 195865668 195865668 10.1016/j.ajic.2026.04.020 195865668 ppf: 959 ppct: 5 formats: tig: atl: Time and motion evaluation of cleaning and disinfection practices before and after a switch from a dilutable quaternary ammonium disinfectant to a ready-to-use wipe product. aug: au: Cadnum, Jennifer L. Milner, Amelia L. Memic, Samir Donskey, Curtis J. affil: Research Service, Louis Stokes Cleveland VA Medical Center, Cleveland, OH sug: subj: Quaternary Ammonium Compounds Administration and Dosage Disinfectants Administration and Dosage Sterilization and Disinfection Methods Housekeeping Department Methods Product Evaluation Human Time and Motion Studies Descriptive Statistics Guideline Adherence Time Factors Patients' Rooms Nonexperimental Studies Time Task Performance and Analysis Infection Control Methods Personnel, Health Facility Scales Pretest-Posttest Design Disinfectants Supply and Distribution ab: Environmental services programs may choose dilutable or ready-to-use (RTU) disinfectants. Dilutable products are generally less expensive but may have greater potential for incorrect use. We conducted a time and motion evaluation of environmental services post-discharge and daily room cleaning and disinfection practices before and after a facility-wide switch from dilutable to RTU quaternary ammonium disinfectants. Observations were completed to determine the time required for tasks, appropriateness of product use, and percentage of high-touch sites wiped. Personnel were graded using a standardized compliance scale (17-20, highly compliant). We observed 40 total hours of post-discharge room cleaning and disinfection by 10 personnel before and 9 after the product substitution. After the substitution, mean compliance scores increased from 11.5 to 17.7 (P =.003) and there was a reduction in time gathering supplies (3.8 vs 13.2 minutes; P =.002) but not in total time per post-discharge room (50.8 vs 65.2 minutes; P =.08). Noncompliance with dilutable disinfectants was often due to incorrect product use, including inappropriate mixing of disinfectants. For daily rooms, less than 3 minutes was spent wiping high-touch surfaces. In our facility, switching from dilutable to RTU disinfectants was associated with reduced time gathering supplies and improved compliance with recommended practices. • Dilutable or ready-to-use (RTU) disinfectants are commonly used in health care. • We conducted a time and motion evaluation before and after a switch to RTU wipes. • Compliance scores increased after the switch to RTU wipes. • There was a non-significant reduction in time for post-discharge cleaning. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|