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PATIENT HARM CAUSED BY IMPROPER/INADEQUATE INTRUMENT REPROCESSING

Elmed

Improper or inadequate decontamination, cleaning and sterilization of surgical instruments continues to be a major source of patient harm that is preventable through proper practice and adherence to manufacturers’ instructions for use (IFUs). The problem of contaminated instruments being returned to the O.R. 1 and Sept. after reprocessing.4

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Preventing Surgical Infections Caused By Biofilms

Elmed

Health officials determined that the infection control breach was due to human error that occurred during “a gap” in the manual pre-cleaning phase — before the instruments underwent heat sterilization. The instruments likely still contained bioburden when they were sent along for automated cleaning and heat sterilization.3

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The Importance Of Pre-Cleaning Instruments At Point Of Use (Part I)

Elmed

Over the past year there has been a lot of increased emphasis and attention placed on pre-cleaning surgical instruments at the point of use prior to transport to sterile reprocessing. Joint Commission then conducts their surveys/audits based on the standards that have been set for sterile processing activities. Section 7.3

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Hospital Forced To Cancel Surgeries For A Week Due to Contaminated Instruments

Elmed

While this happened a few years ago, it is a great example of the incredible importance of pre-cleaning at point of use, proper decontamination and thorough cleaning of surgical instruments during reprocessing and prior to sterilization. The hospital said it identified a gap in the pre-cleaning process , prior to sterilization.