Sterile Processing AORN’s updated Guideline for Sterilization is based on a recent review of evidence in peer-reviewed journals and regulations from 2012 to 2017. In addition to guidance for sterilizing reusable medical devices to be used in perioperative and procedural settings, the updated guideline points to findings that substantiate current practices, and…
As healthcare strives to become an industry of high-reliability organizations, identifying problems proactively is key. ECRI Institute’s annual Top 10 Patient Safety Concerns for Healthcare Organizations list highlights looming patient safety challenges and offers resources for addressing them. In selecting this year’s list, ECRI Institute relied on data regarding events…
Sometimes surgeons ask to have nonmedical devices sterilized, such as spoons, hockey pucks, and fish hooks. Healthcare staff may want to accommodate their requests, but there are times when they cannot do so. A central service (CS) should only sterilize medical devices that have undergone validation testing, which demonstrates that…
What does it take to get endoscopes dry? That is the question that prompted a new study on endoscope drying effectiveness by Ofstead & Associates (St Paul, Minnesota). “We asked that question after a study we did 2 years ago found that increasing the automated endoscope reprocessor [AER] drying cycle…
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…
Improving teamwork between OR and sterile processing department (SPD) staff is an obvious way to increase the safety and efficiency of surgical procedures, but getting everyone on the same page can be challenging. Often the staff have limited understanding of what takes place in each respective department. Firsthand observation has…
The new year brings a newly updated Guideline for Manual Chemical High-Level Disinfection (formerly the Guideline for High-Level Disinfection). This AORN guideline, which is based on a comprehensive, systematic review of research- and non-research-based evidence, recommends best practices for safe and effective high-level disinfection (HLD) performed manually when automated methods…
A new study by Ofstead & Associates (St Paul, Minnesota) is the latest to raise concerns about infections associated with endoscopic procedures. The study, which focused on ureteroscopes, found that the techniques used to clean and sterilize or high-level disinfect flexible ureteroscopes are not sufficient and leave behind contamination including…
The Association for the Advancement of Medical Instrumentation (AAMI) in September released the newest version of the ANSI/AAMI ST 79 Comprehensive Guide to Steam Sterilization and Sterility Assurance in Healthcare Facilities. This document, last updated in 2013, has been under a major review for changes in the format presentation and…
Compliance with sterilization and disinfection standards is critical to patient safety, yet Joint Commission surveyors continue to cite healthcare facilities for noncompliance with high-level disinfection (HLD) and sterilization processes during accreditation surveys. Organizations with HLD and/or sterilization breaches during a survey may receive an immediate threat to life or adverse…
