Effect of a "feedback prompt" from a disinfection tracking system on portable medical equipment disinfection

Am J Infect Control. 2022 Dec;50(12):1322-1326. doi: 10.1016/j.ajic.2022.01.004. Epub 2022 Jan 23.

Abstract

Background: Portable medical equipment (PME) may contribute to transmission of multidrug-resistant organisms without proper disinfection. We studied whether a Disinfection Tracking System (DTS) with feedback prompt, attached to PME, can increase the frequency of PME disinfection.

Methods: DTS devices were placed on 10 workstations-on-wheels (WOWs) and 5 vitals machine (VM). After a 25 day "screen-off" period, the DTS device screens were turned on to display the number of hours since the last recorded disinfection event for a 42 day period. We used a Bayesian multilevel zero-inflated negative binomial model to compare the number of events in the display "screen-off" to the "screen-on" period.

Results: During the "screen-off" period, there were 1.26 and 0.49 mean disinfection events and during the "screen-on" period, there were 1.76 and 0.50 mean disinfection events for WOWs and VM, respectively, per day. The model estimated mean events per device per day in the the "screen-on" period for WOW's were 1.32 (1.10 - 1.57) times greater than those in the "screen-off" period and the "screen-on" period for VM devices was 1.37 (0.89 - 2.01) times greater than those in the "screen-off" period.

Conclusions: The rate of disinfection events for WOWs increased following the implementation of the DTS feedback prompt.

Keywords: Health care associated infections; PME Disinfection; RME Disinfection.

MeSH terms

  • Bayes Theorem
  • Cross Infection* / prevention & control
  • Disinfection*
  • Feedback
  • Humans