Implementation lessons from the Researching Effective Approaches to Cleaning in Hospitals (REACH) Study

Brett Mitchell1, Lisa Hall2,3 , Alison Farrington2, Nicholas Graves1, Adrian Barnett1, Anne Gardner1, Kate Halton1, David Paterson4, Thomas Riley5, Katie Page1, Christian Gericke3,6

1 Faculty of Nursing and Health, Avondale College, 185 Fox Valley Road, Wahroonga, NSW 2076
2 Queensland University of Technology, GPO Box 2434, Brisbane, QLD, 4001
3 School of Public Health, University of Queensland, Herston, QLD 4006
4 University of Queensland Centre for Clinical Research, Royal Brisbane and Women’s Hospital, Herston, QLD 4029
5 School of Biomedical Sciences, The University of Western Australia, 35 Stirling Hwy, Crawley, WA 6009
6 College of Public Health, Medical and Veterinary Sciences and College of Medicine and Dentistry, James Cook University, Cairns, QLD 4870


The Researching Effective Approaches to Cleaning in Hospitals (REACH) Study used an implementation science approach to inform the structured yet pragmatic trial of an environmental cleaning bundle intervention in 11 Australian hospitals. This allowed for the development of a tailored implementation plan that responded to the evidence-practice gap at each hospital and aimed to support the practice change required for effective cleaning bundle implementation. After the trial, the project team reviewed the implementation plan to assess the extent of implementation of the bundle and the key enablers and barriers.

This presentation will provide a unique insight into the lessons learned when implementing the REACH Study.  It will include useful advice for infection control professionals wanting to implement effective change in their cleaning programs, and researchers interested in how to improve infection prevention trials.

The REACH Study was an NHMRC partnership project  GNT1076006

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