September 6, 2018

Joint Commission refines scoring on HLD, sterilization

By: Judy Mathias

Editor’s Note

The Joint Commission on September 5 announced it has refined its scoring for high-level disinfection (HLD) and sterilization to focus on process steps that post the highest risk to patients if they fail.

The new scoring revisions apply to:

  • soiled instruments
  • enzymatic solution
  • transportation of instruments
  • instruments in closed position
  • release of instruments before biologic indicator read
  • storage of HLD items in drawers
  • stored endoscopes.

These revisions, which went into effect September 1, are the focus of the Joint Commission’s latest 4-1-1 Survey Enhancements, a series that takes a deep look at four high-risk areas evaluated by surveyors.


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