06/05/2026
Infection prevention has made genuine progress. HAI rates are down. The accountability frameworks work. That matters.
But there's a structural gap that hasn't closed: nobody owns shared mobile equipment.
Environmental services owns rooms. Sterile processing owns instruments. Lead aprons, tourniquets, and portable imaging devices move through your facility all day, and the Spaulding classification framework leaves them in a gray zone that a surface wipe is supposed to cover.
It doesn't.
Not when biofilm is involved. NIH estimates biofilms contribute to nearly two-thirds of microbial infections. Surface wiping reduces colony counts. It doesn't disrupt established biofilm communities.
RCS co-founder Justin McKay lays out the full picture in a new PSQH piece, the progress worth acknowledging, the blind spots worth interrogating, and what it would take to close the gap.
One in 31 hospital patients still develops an infection on any given day. The data on shared equipment is published and consistent. The question is whether someone decides to act on it.
Check it out: https://psqh.pulse.ly/wosgurbbna
Despite the good news, hospitals and other providers still have a lot of work to do. On any given day, one in 31 hospital patients develop at least one infection. I offer some next steps that will protect patients while improving provider bottom lines.