New term clarifies instrument point-of-use treatment
What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…
FDA: Class I recall of Medtronic angiographic guidewire
Editor's Note The Food and Drug Administration (FDA) on July 2 identified the recall by Medtronic Vascular of its angiographic guidewire component as Class I, the most serious. The recall was initiated because the devices were not sterilized before being shipped to hospitals. The guidewire is used during angiography or other interventional…
Researchers raise the alarm on splashing during reprocessing--Part 1
Does it really matter if surgical instruments are submerged in cleaning solution when technologists or nurses scrub them after a case? Is there a reason for the 3-foot separation between dirty and clean areas? Do germs stop at the red line? During the COVID-19 pandemic, much attention has been focused…
Risk of COVID-19 transmission via electrocautery plume
Editor's Note In this Canadian experimental study, SARS-CoV-2 was not detectable in aerosolized electrocautery plume generated from any of the conditions investigated. The researchers mimicked surgery by applying electrocautery at 25 W using three different methods (monopolar cut, monopolar coagulate, and bipolar electrocautery) for 1 minute on raw chicken breast.…
ANSI/AAMI ST79 amendments refine sterilization practices
Amendments have been added to the Association for the Advancement of Medical Instrumentation (AAMI) standard ANSI/AAMI ST79, Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. The standard, which is used in healthcare facilities to guide their sterilization processes, is considered a useful resource to promote best…
The Joint Commission announces top 5 most challenging requirements for 2020
Editor's Note The Joint Commission, on May 12, listed the top 5 standards most frequently identified as “not compliant” during surveys and reviews from January 1 to December 31, 2020. The top five for accredited hospitals are: NPSG.15.01.01: Reduce the risk for suicide. EP1. IC.02.02.01: The hospital reduces the risk…
ECRI, national leaders collaborate on COVID-19 lessons for value analysis teams
Editor's Note ECRI and the Association for Healthcare Value Analysis Professionals (AHVAP) have partnered on a new white paper outlining key supply chain lessons and risk mitigation strategies learned from the COVID-19 pandemic. Among the lessons learned is the critical role physicians play in the value analysis process and that…
The Joint Commission releases 2020 sentinel event statistics
Editor's Note The Joint Commission, on March 24, released its sentinel event statistics for 2020, which totaled 794. The top five most frequently reported events were: Falls: 170 Unintended retention of a foreign object: 106 Suicide: 81 Delay in treatment: 76 Wrong-site surgery: 68. The Joint Commission’s Office of Quality…
Diligence in implant processing will decrease infection risks
Implants are foreign bodies, and they increase the risk of a surgical site infection. Processing implants requires strict adherence to the required steps because implants have sustained contact with sterile tissue. An implant is defined as a device that is placed into a surgically or naturally formed cavity of the…
AAMI releases four amendments to steam sterilization standard
Editor's Note The Association for Advancement of Medical Instrumentation (AAMI), on January 20, released four amendments to the “ANSI/AAMI ST79 Comprehensive guide to steam sterilization and sterility assurance in healthcare facilities.” Among the additions: recommendations and clarifications for maintaining the integrity of the sterile processing area, including common sense additions,…
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