Process-oriented and Outcome-oriented Visual Assessments

Completed

• Conditions: Hospital Cleanliness

• Registration Number: NCT03908398
• Lead Sponsor: Taichung Veterans General Hospital

Brief Summary

This study aimed to compare the effectiveness of outcome-oriented visual assessment and process-oriented visual assessment using ATP bioluminescence test as a comparator in order to find out which method can be used to assess hospital cleanliness.

Detailed Description

This study was conducted in a 17-bed adult medical intensive care unit at a medical center during December 2019 to December 2020. First of all, high-touch room surfaces were selected in patient rooms, including bed rails / controls, light switch, IV pump control, feeding pump control, monitor control, bedside table handle, call button, IV pole (grab area) and suction machine control. Then, Areas to be sampled on those high-touch room surfaces were identified. Whenever the housekeepers started to do terminal cleaning after patients were transferred or discharged, the researcher also started to observe directly the practices of cleaning at the same time and recorded "cleaned" if surfaces were cleaned and disinfected properly. Then, the researcher inspected surfaces and recorded "clean" if surfaces were free of dust, debris, and stains immediately after terminal cleaning.Ten minutes after terminal cleaning, Hygiena Ultrasnap Surface ATP test was performed to swab a standard area of 10 square centimeters on specific surfaces. After completing sampling, swabs were replace back in swab tube and all liquid in bulbs was expelled to activate the reaction. Once activated, samples were read right after shaking swab tube for 5-10 seconds.

Study Timeline

• Study Start: 2019-04-01
• Study First Submitted: 2019-04-03
• Study First Submitted QC: 2019-04-07
• Study First Posted: 2019-04-09
• Primary Completion: 2020-10-23
• Study Completion: 2020-10-23
• Status Verified: 2020-11
• Last Update Submitted: 2020-11-24
• Last Update Posted: 2020-11-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 504

Inclusion Criteria

• the environmental surfaces immediately after patients are discharged

Exclusion Criteria

• no

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ATP DATA	10 minutes after environmental cleaning	ATP bioluminescence test
score of process-oriented visual assessments	immediately after environmental cleaning	There are ten environment surfaces. Whenever the housekeepers start to do terminal cleaning after patients are transferred or discharged, the researcher also start to observe the practices of cleaning at the same time and score "one point" if one surface is cleaned and disinfected properly. The total of the score is ten.
score of outcome-oriented visual assessments	immediately after environmental cleaning	There are ten environment surfaces. Whenever the housekeepers start to do terminal cleaning after patients are transferred or discharged, the researcher also start to observe directly the cleanliness of the environment surfaces at the same time and score "one point" if one surface is clean visually. The total of the score is ten.

Trial Locations

Locations (1)

Taichung Veterans General Hospital; 🇨🇳 Taichung, Taiwan