Editor's Note Amid continued debate about the best choice of preoperative skin antiseptic, findings published in JAMA June 17 show that povidone iodine in alcohol offers similar outcomes to chlorhexidine gluconate when used in alcohol. The randomized clinical trial included 3,360 patients in 3 tertiary care hospitals in Switzerland, 2,187…

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Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Establishing and maintaining best…

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Editor's Note  The Association for the Advancement of Medical Instrumentation (AAMI) has updated its standard on ethylene oxide (EO) sterilizers for healthcare facilities, according to a June 12 press release. The first update in two decades, the fourth edition ANSI/AAMI ST24:2024 covers labeling, safety, performance, and testing requirements for general-purpose…

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Over 20 years ago, an article from Johns Hopkins published in The New England Journal of Medicine showed that Staphylococcus aureus decolonization of the nares can decrease risk of surgical site infections (SSI). Since then, nasal decolonization—the application of a topical antimicrobial or antiseptic agent to the nares—has been adopted…

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Ambulatory surgery centers (ASCs) play an increasingly crucial role in delivering outpatient surgical care that is efficient, effective, and—most importantly—safe. As the ASC sector continues to grow and evolve, maintaining best practices in hand hygiene and environmental cleaning and disinfection is imperative to protect patients from infections. ASCs also should…

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Inspecting surgical devices is a time-consuming process. However, diligently checking every instrument prior to sterilization is essential to ensuring safe, proper functioning. As the last people to see devices before they are used for patient care, sterile processing technicians must be thorough. Exterior surfaces should be inspected for flaws such…

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Editor's Note New World Health Organization (WHO) guidance aims to prevent the occurrence of bloodstream and other infections caused by improper use of catheters during medical procedures. Released May 9, the global guidelines focus on insertion, maintenance, and removal of catheters during medical procedures, which can damage organs and cause…

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Editor's Note In a move one expert calls “a complete U-turn,” the World Health Organization (WHO) has concluded that viruses transmit through primarily the air via inhalation of tiny suspended particles of saliva and mucus, KFF Health News reported on May 1. Until now, health authorities have relied on the…

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Editor's Note Released May 1, the most recent Leapfrog Group hospital patient safety grades reflect declines in preventable healthcare-associated infections and improvements in patient’s hospital experiences since fall 2023. Leapfrog, a nonprofit, releases its Hospital Safety Grades report biannually, assigning traditional letter grades to nearly 3,000 general hospitals based on…

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Editor's Note A new guidance document covering the entire process for the selection, labeling, and sterile processing of dilators and ultrasound probes is available from The Association for the Advancement of Medical Instrumentation (AAMI). Released April 17, AAMI TIR99:2024; Processing Of Dilators, Transesophageal And Ultrasound Probes In Health Care Facilities…

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