Special Edition on Operating Room Imperatives Special Edition- Operating Room Imperatives | Page 13
and efficiently than did their coworkers. Housekeeper A cleaned
rooms quickly but was not effective. The researchers report that
there was no correlation between the average effectiveness and
median efficiency.
Rupp, et al. (2014) note, “From the viewpoint of hospital
administration, there are two major variables to be considered in
managing the operations of EVS. First, cleaning must be effective;
as much as possible, potential pathogens should be eradicated
or removed. There are increasing data to link environmental
contamination to HAI, and the first priority should be given
to providing patients a safe environment. Second, resources
are limited, and thus housekeepers must be encouraged to
maximize efficiency.”
The researchers say their study provides insight into optimi-
zation of EVS performance relating to the measurable values
of effectiveness and efficiency, within the context of employing
optimum outlier models, which previously have been used to
improve hand hygiene compliance.
Where it gets interesting is when variability of cleaning and
disinfection practice is studied. Rupp, et al. (2014) identified
a subset of housekeepers who regularly clean hospital rooms
more effectively and more efficiently than their coworkers. The
researchers say the critical next step is to study the habits of these
optimum outliers and translate the knowledge into improved
practice for all housekeepers.
While the study did not seek to demonstrate an association
between room cleanliness and HAI incidence, it highlights the
importance of understanding the motivations of these outliers and
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