Why does our hospital have a higher rate of venous thromboembolism (VTE) than others in our state? How are others preventing surgical site infections (SSIs) after colorectal surgery? What’s behind our urinary tract infection (UTI) rate? Hospitals in Tennessee are openly discussing issues like these through the Tennessee Surgical Quality…

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How long can a flexible endoscope be stored before it needs to be reprocessed for use in a patient? Guidelines differ, raising questions about the appropriate storage or “hang time.” Evidence is limited. What’s the best course? How do accreditation surveyors assess this? Though infections from GI endoscopes are rare,…

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How will a surgical site infection (SSI) develop in the next patient who has colorectal surgery? What can we do to prevent it? These 2 questions helped a team at Johns Hopkins Hospital in Baltimore to identify 6 interventions that achieved a 33% reduction in SSIs after colon operations. The…

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A spore test strip is now available for the Steris System 1E Liquid Chemical Sterilant Processing System. The Steris Verify Spore Test Strip for S40 was cleared by the Food and Drug Administration (FDA) in June 2012. What is the role of this new spore test strip? How is this…

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A new villain has emerged in the struggle against drug shortages that continue to plague health care: the single-use vial. When a vial of injectable medication contains more than a particular patient needs, if the vial is designated “single-use,” the remainder must be discarded, according to recommendations from the Centers…

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A high rate of nurse burnout is linked to higher rates of catheter-related urinary tract infection (UTI) and surgical site infection (SSI), a new study in the American Journal of Infection Control finds. How can that be? How could burnout be linked to SSIs? The lead author, Jeannie Cimiotti, DNSc,…

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Narrow-lumened instruments and endoscopes are one of your biggest reprocessing challenges. They have the highest risk of being improperly processed, notes Michelle J. Alfa, PhD, FCCM, a researcher in health care-associated infections. If the lumens and channels of endoscopes are not cleaned properly, high-level disinfection or sterilization may not be…

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OR leaders will want to check that their surgical site infection (SSI) rates are in line with 5-year goals in the updated National Action Plan for reducing health care-associated infection (HAI) from the Department of Health and Human Services (HHS). By and large, hospitals are on target to meet SSI…

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Infection control is in the spotlight again, as ambulatory surgery centers (ASCs) examine a draft Health and Human Services (HHS) document calling for closer scrutiny of precautions in outpatient settings. The agency released a draft of Phase 2 of its National Action Plan to Prevent Healthcare-Associated Infections (HAI) on April…

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A surgical site infection (SSI) prevention “bundle” is helping OR teams at Maine Medical Center (MMC) in Portland to further a strategic goal of preventing SSIs. Known as Operation Zero, or “Op-Z,” the initiative is led by the chief of surgery, Brad Cushing, MD, with inspiration from a family whose…

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