医院清洁也可以发SCI
医院清洁的有效方法研究：REACH研究的协议，多部位逐步楔形随机试验。Researching Effective Approaches to Cleaning in Hospitals（REACH，医院清洁的有效方法研究）
医疗相关感染（HAI）是可避免的费用，也是发病率和医院病人死亡的主要原因。 在澳大利亚，每年出现20万例HAI病例，190万例病床收治此类病例。减少HAI需要成功实施多个基于循证的方法。REACH试验的证据将有助于未来关于医院环境清洁的政策和实践指南。 它将被医疗保健领导者和临床医生用于决策和实施最佳实践感染预防策略，以减少医院中的HAI。
Researching effective approaches to cleaning in hospitals: protocol of the REACH study, a multi-site stepped-wedge randomised trial.(PMID:27009342 PMCID:PMC4806497)
Type: Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't
DOI: 10.1186/s13012-016-0406-6 http://europepmc.org/images/qmark.png
AbstractThe Researching Effective Approaches to Cleaning in Hospitals (REACH) study will generate evidence about the effectiveness and cost-effectiveness of a novel cleaning initiative that aims to improve the environmental cleanliness of hospitals. The initiative is an environmental cleaning bundle, with five interdependent, evidence-based components (training, technique, product, audit and communication) implemented with environmental services staff to enhance hospital cleaning practices.The REACH study will use a stepped-wedge randomised controlled design to test the study intervention, an environmental cleaning bundle, in 11 Australian hospitals. All trial hospitals will receive the intervention and act as their own control, with analysis undertaken of the change within each hospital based on data collected in the control and intervention periods. Each site will be randomised to one of the 11 intervention timings with staggered commencement dates in 2016 and an intervention period between 20 and 50 weeks. All sites complete the trial at the same time in 2017. The inclusion criteria allow for a purposive sample of both public and private hospitals that have higher-risk patient populations for healthcare-associated infections (HAIs). The primary outcome (objective one) is the monthly number of Staphylococcus aureus bacteraemias (SABs), Clostridium difficile infections (CDIs) and vancomycin resistant enterococci (VRE) infections, per 10,000 bed days. Secondary outcomes for objective one include the thoroughness of hospital cleaning assessed using fluorescent marker technology, the bio-burden of frequent touch surfaces post cleaning and changes in staff knowledge and attitudes about environmental cleaning. A cost-effectiveness analysis will determine the second key outcome (objective two): the incremental cost-effectiveness ratio from implementation of the cleaning bundle. The study uses the integrated Promoting Action on Research Implementation in Health Services (iPARIHS) framework to support the tailored implementation of the environmental cleaning bundle in each hospital.Evidence from the REACH trial will contribute to future policy and practice guidelines about hospital environmental cleaning. It will be used by healthcare leaders and clinicians to inform decision-making and implementation of best-practice infection prevention strategies to reduce HAIs in hospitals.Australia New Zealand Clinical Trial Registry ACTRN12615000325505.
原文可点击：http://europepmc.org/abstract/MED/27009342
只要用心就会有收获 SCI追求的是质量内涵
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