Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…

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Takeaways • VA and Navy hospitals are subject to many of the same requirements as their civilian counterparts, including adherence to quality and infection control standards as well as regulations from organizations such as AORN. • Rank structure plays a significant role in forming and leading OR teams at Navy…

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Water is a major component of medical device processing. It is used in cleaning solutions, rinse water, and to generate steam for sterilization. Because of its crucial role in medical device processing, the Association for the Advancement of Medical Instrumentation (AAMI) determined it was necessary to upgrade the Technical Information…

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Editor's Note The Joint Commission, on August 16, announced a strategic affiliation with the National Quality Forum (NQF) in an effort to accelerate improvements across the continuum of patient care and change the focus from competing measures to advancing key outcomes. The NQF will maintain its independence in developing consensus-based…

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Editor's Note The Joint Commission, on July 20, announced that it will eliminate and consolidate 200 additional standards, following the first reduction announced last year. Among the changes: Critical Access Hospitals: Of 150 in-scope elements of performance (EPs), 31 were deleted or consolidated, for a 15% reduction Office-Based Surgery: Of…

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Editor's Note The Joint Commission, on March 22, announced that it is seeking comments on proposed new requirements to address environmental sustainability for the hospital and critical access hospital programs. The aim of the proposed new Leadership (LD) Standard LD.05.01.01 is to help facilities minimize their carbon footprints as they…

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Editor's Note The Joint Commission on March 23 announced that it is developing new and revised requirements on reducing healthcare disparities for its accreditation programs. A field review is open and seeking comments on the proposed new Leadership (LD) standard LD.04.03.08 as well as revisions to the Record of Care,…

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Editor's Note After 7 years, ANSI/AAMI has updated its standard for cleaning and storing medical devices, such as flexible bronchoscopes and various endoscopes. The updated standard, “ANSI/AAMI ST91:2021, Flexible and semi-rigid endoscope processing in health care facilities,” addresses new technologies and concerns about device cleanliness and patient safety. “ANSI/AAMI ST91:2021…

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Each year, there are more studies raising concerns about infections associated with endoscopic procedures and the techniques used to clean and sterilize or high-level disinfect (HLD) endoscopic devices. In this article, in partnership with Boston Scientific, epidemiologist Cori L. Ofstead, MSPH, president and CEO of Ofstead & Associates, St Paul,…

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Editor's Note This pilot project, by epidemiologist Cori L. Ofstead, MSPH, and colleagues finds that routine reprocessing activities generate substantial splashing and droplet dispersal, and that currently recommended items of personal protective equipment (PPE) do not adequately protect personnel from exposure. The researchers found that: Droplets were generated during every…

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