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Twenty-nine of 107 (27.1%) systems dispensed product with lower-than-expected concentrations, including 15 (14.0%) with no detectable disinfectant.<\/jats:p>","DOI":"10.1017\/ice.2024.148","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T12:51:37Z","timestamp":1728564697000},"page":"1362-1365","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Dilution dysfunction: evaluation of automated disinfectant dispenser systems in 10 hospitals demonstrates a need for improved monitoring to ensure that correct disinfectant concentrations are delivered"],"prefix":"10.1017","volume":"45","author":[{"given":"Jennifer L.","family":"Cadnum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5468-1910","authenticated-orcid":false,"given":"Claire E.","family":"Kaple","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth C.","family":"Eckstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2514-3820","authenticated-orcid":false,"given":"Elie A.","family":"Saade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy J.","family":"Ray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trina F.","family":"Zabarsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardino J.","family":"Guerrero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed H.","family":"Yassin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0990-4498","authenticated-orcid":false,"given":"Curtis J.","family":"Donskey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"S0899823X2400148X_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2012.12.010"},{"key":"S0899823X2400148X_ref7","first-page":"226","article-title":"Quality control is indispensable for automated dilution systems with accelerated hydrogen peroxide","volume":"24","author":"O\u2019Neill","year":"2009","journal-title":"Can J Infect Control"},{"key":"S0899823X2400148X_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2016.275"},{"key":"S0899823X2400148X_ref3","doi-asserted-by":"publisher","DOI":"10.1086\/678416"},{"key":"S0899823X2400148X_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-016-0111-x"},{"key":"S0899823X2400148X_ref8","unstructured":"8. United States Environmental Protection Agency. OxyCideTM Daily Disinfectant Cleaner. Available at: https:\/\/www3.epa.gov\/pesticides\/chem_search\/ppls\/001677-00237-20191003.pdf. Accessed March 15, 2024."},{"key":"S0899823X2400148X_ref9","volume-title":"Standard Quantitative Disk Carrier Test Method for Determining Bactericidal, Virucidal, Fungicidal, Mycobactericidal, and Sporicidal Activities of Chemicals","year":"2011"},{"key":"S0899823X2400148X_ref10","unstructured":"10. Hawley, B , Casey, M , Cummings, KJ , Edwards, N , Johnson, A , Cox-Ganser, J ; National Institute of Occupational Safety and Health. Evaluation of exposure to a new cleaning and disinfection product and symptoms in hospital employees. NIOSH health hazard evaluation report, HHE 2015-0053-3269, 2017. Available at: https:\/\/stacks.cdc.gov\/view\/cdc\/44556. 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