Cost-Benefit Analysis of Allowing Additional Time in Cleaning Hospital Contact Precautions Rooms.
Increasing cleaning time may reduce hospital-acquired transmission of Clostridioides difficile, methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant enterococcus (VRE). We constructed a cost-benefit model to estimate the impact of implementing an enhanced cleaning protocol, allowing hospital housekeepers an additional 15 minutes to terminally clean contact precautions rooms. The enhanced cleaning protocol saved the hospital $758 per terminally-cleaned room when accounting for only C. difficile. Scaling up to a hospital with 100 cases of C. difficile/year, and the US annual C. difficile incidence, cost savings were $75,832/year and $169.8 million/year, respectively. These results may inform infection control strategic decision-making and resource allocation.
['Wendelboe|Aaron M|AM|https://orcid.org/0000-0002-8670-7730', 'Kim|Sue E|SE|', 'Kinney|Sharyl|S|', 'Cuellar|Alison E|AE|', 'Salinas|Linda|L|', 'Chou|Ann F|AF|']
D016360:Clostridioides difficile D003362:Cost-Benefit Analysis D006796:Household Work D006801:Humans D017053:Infection Control D055624:Methicillin-Resistant Staphylococcus aureus D010362:Patients' Rooms D058996:Quality Improvement D019984:Quality Indicators, Health Care D013997:Time Factors D065507:Vancomycin-Resistant Enterococci
implementation enhanced cleaning infection control Cost benefit analysis healthcare acquired infections