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Cleaning UpHow Hospital Outsourcing Is Hurting Workers and Endangering Patients$
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Dan Zuberi

Print publication date: 2013

Print ISBN-13: 9780801450723

Published to Cornell Scholarship Online: August 2016

DOI: 10.7591/cornell/9780801450723.001.0001

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Breaking Up the Team

Breaking Up the Team

(p.67) 5 Breaking Up the Team
Cleaning Up

Dan Zuberi

Cornell University Press

This chapter argues that outsourcing has fundamentally compromised the teamwork required for effective infection control. Outsourced workers report to managers from their company, not doctors, nurses, or hospital administrators. The new model replaces cooperation and teamwork with a system of divided loyalties, a paradigm shift that seriously diminishes job quality and cleanliness. In such a system, hospital administrators have a single blunt tool to address any concerns about cleanliness—direct audits to check for compliance. Unfortunately, although auditing can identify problems, it cannot magically create the kinds of fundamental changes that will make a hospital any cleaner. Once jobs are outsourced, hospitals have almost no control over the who, what, when, why, and how of hygiene.

Keywords:   teamwork, hospital administrators, direct audits, infection control, hospital cleanliness, hospital hygiene, work quality

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