Infection Prevention

Latest Issue of OR Manager
October 2018
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Statewide safety program sharply reduces colorectal SSIs

Editor's Note A Hawaii statewide collaborative for surgical patient safety successfully reduced colorectal surgical site infections (SSIs) and improved patient safety culture, finds this study. Between January 2013 and June 2015, Hawaii’s 15 hospitals implemented the Agency for Healthcare Research and Quality’s (AHRQ’s) Comprehensive Unit-based Safety Program (CUSP) in addition…

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By: Judy Mathias
May 18, 2018
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AAMI releases new standard on sterilization quality management

The Association for the Advancement of Medical Instrumentation (AAMI) has released a sterilization standard on quality management for central service (CS) sterile processing. The new standard, ANSI/AAMI ST90: 2017 Processing of Health Care Products: Quality Management Systems for Processing in Health Care Facilities, provides guidelines to support quality management systems…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
May 18, 2018
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ACS, other organizations offer recommendations on OR attire

Editor's Note The American College of Surgeons (ACS), Association for Professionals in Infection Control and Epidemiology, AORN, Joint Commission, and three other organizations have developed consensus recommendations on OR attire. The recommendations focus on ear and hair covering and include: Evidence-based recommendations on surgical attire are best created collaboratively, with…

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By: Judy Mathias
May 8, 2018
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Effect of bouffant vs skull caps on SSIs

Editor's Note Surgeon preference for bouffant versus skull caps does not have a significant effect on surgical site infection (SSI) rates, after accounting for procedure type, this study finds. Of 1,543 procedures analyzed, surgeons wore bouffant caps in 39% and skull caps in 61% of cases. Overall, SSIs occurred in…

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By: Judy Mathias
May 7, 2018
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Washington nurse suspected of infecting two patients with hepatitis C

Editor's Note An emergency department (ED) nurse at MultiCare Good Samaritan Hospital in Puyallup, Washington, who was suspected of stealing injectable drugs and infecting at least two patients with hepatitis C, has now contracted the disease herself, the May 1 News Tribune reports. The linkage between the nurse and the…

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By: Judy Mathias
May 2, 2018
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MRSA more transmissible in OR than methicillin-sensitive S aureus

Editor's Note In this study, methicillin-resistant Staphylococcus aureus (MRSA) had a greater risk of transmission in the OR than methicillin-sensitive S aureus. Researchers collected 173 S aureus isolates from 274 randomly selected ORs (first and second cases of the day in each OR) at three hospitals. The isolates underwent systematic-phenotypic…

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By: Judy Mathias
April 30, 2018
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Effect of stringent OR attire policies on SSIs

Editor's Note Implementation of stringent OR attire policies that included full coverage of ears and facial hair did not reduce surgical site infection (SSI) risks in this study. Researchers compared American College of Surgeons National Surgical Quality Improvement Program data of all patients undergoing surgical procedures 9 months before implementation…

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By: Judy Mathias
April 24, 2018
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Study: Residual moisture, waterborne pathogens found inside flexible endoscopes

Editor's Note Inadequate reprocessing and insufficient drying contributed to retained fluid and contamination found inside flexible endoscopes in this study led by noted epidemiologist Cori L. Ofstead. Of 45 endoscopes analyzed at 3 hospitals, fluid was detected in 49%, and the prevalence of moisture varied significantly by site (5%, 83%,…

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By: Judy Mathias
April 19, 2018
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FDA issues letter to healthcare providers on risks of endoscope connectors

Editor's Note The Food and Drug Administration (FDA) on April 18 alerted healthcare providers and facilities about the risk of cross-contamination with 24-hour, multipatient use connectors used in gastrointestinal (GI) endoscopy. Endoscope connectors are small accessories used to connect the auxiliary water channel to a water source and irrigation tubing.…

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By: Judy Mathias
April 19, 2018
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FDA: System 83 Plus AERs complete validation testing

Editor's Note The Food and Drug Administration (FDA) on April 10 notified healthcare facilities that Custom Ultrasonics (Ivyland, Pennsylvania) has completed validation testing of the System 83 Plus (ie, System 83 Plus, System 83 Plus 2, and System 83 Plus 9) automated endoscope reprocessors (AERs) with specific duodenoscopes. The FDA…

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By: Judy Mathias
April 11, 2018
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