Sterilization/Disinfection

Latest Issue of OR Manager
December 2017
Home Sterilization/Disinfection

Three steps forward: Designing a superior sterile processing system

It is easy to overlook the sizable effort required to ensure that instrumentation and supplies are available to surgeons in the OR when needed, in the right amount, and in the right condition. Though sterile processing may not be the most glamorous element of a hospital or surgery center, it…

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By: OR Manager
September 2, 2016
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2016 IAHCSMM Conference: A comprehensive CS learning experience

More than 1,200 individuals from the US and abroad attended the 2016 annual conference of the International Association of Healthcare Central Service Materiel Management (IAHCSMM) in San Antonio, Texas. The conference, which covered sterile processing techniques, management skills, and regulations, also provided numerous networking opportunities. Preconference educational events included IAHCSMM’s…

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By: OR Manager
August 8, 2016
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Process improvements raise SPD standards and quality

When audits revealed areas of deficit in the sterile processing departments (SPDs) of the Memorial Hermann Health System in Houston, leaders pulled together a team to help implement a quality improvement plan. By analyzing and standardizing their processes, creating auditing tools, and educating staff, they significantly increased quality scores throughout…

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By: OR Manager
July 19, 2016
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11 deaths at Huntington Hospital were patients infected by dirty duodenoscopes

Editor's Note An investigation by the Pasadena Public Health Department, Pasadena, California, into the outbreak of Pseudomonas aeruginosa bacterial infections from duodenoscopes found that 16 patients at Huntington Hospital were infected from January 2013 to August 2015, including 11 who have now died, the June 1 Los Angeles Times reports.…

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By: Judy Mathias
June 2, 2016
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Risk factors linked to CRE transmission via contaminated duodenoscopes

Editor's Note In patients having endoscopic retrograde cholangiopancreatography (ERCP) with a contaminated duodenoscope, biliary stent placement, a diagnosis of bile duct cancer, and hospital inpatient status were independently associated with an increased risk of carbapenem-resistant Enterobacteriaceae (CRE) transmission, this study finds. The findings were based on data from a 2015…

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By: Judy Mathias
May 27, 2016
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Peer-to-peer assessment of endoscope reprocessing

Editor's Note In this study, a nonpunitive and collaborative peer methodology for assessing endoscope reprocessing at five Johns Hopkins GI endoscopy sites (three hospital based and two ASCs) was successful in capturing and sharing best practices for cleaning, disinfection, and sterilization of endoscopes. The assessments showed that 20 (42%) of…

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By: Judy Mathias
May 17, 2016
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Low-temperature sterilization: A disinfection alternative

Some complex medical devices cannot withstand high-temperature sterilization. An alternative is low-temperature sterilization, which works for heat- and moisture-sensitive devices. There are different types of low-temperature sterilizers, and this article will review them.   Spaulding classification A deciding factor in whether an instrument can undergo high-level disinfection is the Spaulding…

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By: OR Manager
May 16, 2016
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FDA drops recall of Custom Ultrasonics’ System 83 Plus endoscope reprocessor

Editor's Note The Food and Drug Administration (FDA) has dropped its recall of approximately 2,800 Custom Ultrasonics’ System 83 Plus automated endoscope reprocessors. This action comes despite the FDA's finding last year that the recall was “necessary to protect public health,” the May 6 Kaiser Health News reports. The FDA…

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By: Judy Mathias
May 9, 2016
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Infections from contaminated duodenoscopes higher than previously estimated

Editor's Note A new congressional investigation shows that the number of infections from contaminated duodenoscopes is much higher than previously estimated, the April 15 Los Angeles Times reports. The Food and Drug Administration (FDA) told investigators that from 300 to 350 patients at 41 facilities in the US and abroad…

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By: Judy Mathias
April 18, 2016
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FDA: Reprocessing instructions validated for Olympus duodenoscope models TJF-160F and TJF-160VF

Editor's Note The Food and Drug Administration (FDA) on March 15 announced that Olympus (Center Valley, Pennsylvania) has issued updated, validated manual reprocessing instructions for the TJF-160F and TJF-160 VF duodenoscope models to replace those provided in the original device labeling. The FDA reviewed the updated reprocessing instructions and the…

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By: Judy Mathias
March 16, 2016
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