Risk assessment and remedial action required to curb infections
They are so attractive, those surgeons with rakish beards, those nurses with sparkling manicures, those surgical technologists with dangling earrings. Unfortunately, what is acceptable in many other workplaces is an invitation to infection in the surgical arena (and other healthcare settings as well). Jean Day, BSN, CNOR, director of education…
Joint Commission: Proposed revisions to CAUTI National Patient Safety Goal
Editor's Note The Joint Commission is asking for comments on revisions to its National Patient Safety Goal on prevention of catheter-associated urinary tract infections (NPSG.07.06.01). Comments will be accepted until October 14.
Implementation of integrated recovery pathway quickly improves outcomes
Editor's Note A trust-based accountability model that included senior hospital leadership and frontline providers provided an enabling structure to rapidly implement an integrated recovery pathway and quickly improve outcomes, value, and experience of colorectal surgical patients, in this study. The pathway included preoperative education, mechanical bowel preparation with oral antibiotics,…
Standardized approach for preop chlorhexidine showers reduces SSIs
Editor's Note A standardized process of dose, duration, and timing for preoperative showers with 4% chlorhexidine gluconate maximizes the benefit of the shower as an effective risk reduction strategy for surgical site infections, finds this study. The process includes: 118 mL of aqueous 4% chlorhexidine gluconate per shower a minimum…
CDC updates Ebola PPE guidelines
Editor's Note The Centers for Disease Control and Prevention on August 27 updated its guidelines for personal protective equipment (PPE) to be used by healthcare personnel caring for suspected and confirmed Ebola patients. The guidance clarifies the use of fluid-resistant and impermeable gowns and coveralls and provides additional explanation on:…
Another possible outbreak from contaminated duodenoscopes
Editor's Note Huntington Memorial Hospital, Pasadena, California, alerted health authorities on August 19 to a suspected outbreak of bacterial infections associated with contaminated duodenoscopes, the Los Angeles Times reports. Three patients with Pseudomonas bacterial infections had procedures with Olympus duodenoscopes. The bacteria are similar to the carbapenem-resistant Enterobacteriaceae superbug at…
FDA warns three duodenoscope manufacturers about spread of superbugs
Editor's Note The Food and Drug Administration (FDA) sent warning letters August 12 to three manufacturers of duodenoscopes involved in transmitting deadly bacteria earlier this year, the Boston Globe reports. The FDA says the companies (Olympus, Pentax, and Fujifilm) failed to: report problems with the scopes as required by law…
New AAMI standard for endoscope reprocessing
The Association for the Advancement of Medical Instrumentation (AAMI) has published its first standard on flexible endoscope reprocessing. ANSI/AAMI ST91: 2015 Flexible and Semi-rigid Endoscope Processing in Health Care Facilities was developed from research and input from manufacturers of flexible endoscopes, users, consultants, and regulatory bodies. The new standard, which…
FDA releases supplemental measures for duodenoscope reprocessing
Editor's Note The Food and Drug Administration on August 4 released a Safety Communication that contains supplemental measures to enhance duodenoscope reprocessing. The measures emerged from an expert panel meeting earlier this year. In addition to following manufacturer reprocessing instructions, the FDA says facilities can use one or more of…
UTIs reduced by focusing on catheter use in the OR
Editor's Note Surgical teams at Northwesterm Memorial Hospital in Chicago are decreasing the rate of urinary tract infections by focusing on the use of catheters before and immediately after surgical procedures. A process improvement program reduced the number of UTIs associated with catheters placed in patients in the OR from…
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