
Does perceived cleanliness reflect infection prevention performance?
Not consistently. We examined the relationship between patient cleanliness scores and actual infection rates and found no reliable connection between the two. That challenges a common assumption, that higher cleanliness scores signal stronger infection prevention. Cleanliness still shapes how patients judge their care, but it may not tell you what you think it does about safety. An effective hospital cleaning service must therefore address both infection prevention and the broader patient experience. What patients respond to is broader than a clean room. They notice people, communication, consistency and the confidence those create across their entire care journey.





