Optical illusions: The vital importance of instructions for use and intentionally approaching eye device processing.

Cleaning, Disinfection and Sterilization Eye health Eye instruments Intended use Ophthalmic devices Patient safety

Journal

American journal of infection control
ISSN: 1527-3296
Titre abrégé: Am J Infect Control
Pays: United States
ID NLM: 8004854

Informations de publication

Date de publication:
21 Sep 2023
Historique:
received: 19 07 2023
revised: 16 09 2023
accepted: 18 09 2023
pubmed: 24 9 2023
medline: 24 9 2023
entrez: 23 9 2023
Statut: aheadofprint

Résumé

The purpose of this process and quality improvement activity was to address opportunities identified with cleaning, disinfection, and sterilization requirements for eye devices, and implement a robust and sustainable processing system to support safe patient care. Through the lean 6 Sigma methodology, the evaluation of noncritical, semicritical and critical device processing was conducted. A hierarchal approach to law, regulation, manufacturer's instructions for use, evidence-based guidelines, consensus documents, facility risk assessments, policy, and procedure was conducted. Over 15 diverse clinical areas within a large health care network were assessed for utilization of ophthalmic and optometric devices, with the review of inventory for manufacturer-instructed cleaning, disinfection and sterilization compliance. An interdepartmental multidisciplinary team with oversight of over 10 service lines led the implementation of point-of-use treatment, transport, high-level disinfection, sterilization, storage, and documentation based on intended use. During this experience, infection Preventionists performed a vital role in supporting a highly reliable cleaning, disinfection, and sterilization process. This undertaking required a team approach to apply instructions for uses and evidence-based practice that promoted sustainability and ultimately led to supporting the prevention of health care-associated infections and patient harm.

Sections du résumé

BACKGROUND BACKGROUND
The purpose of this process and quality improvement activity was to address opportunities identified with cleaning, disinfection, and sterilization requirements for eye devices, and implement a robust and sustainable processing system to support safe patient care.
METHODS METHODS
Through the lean 6 Sigma methodology, the evaluation of noncritical, semicritical and critical device processing was conducted. A hierarchal approach to law, regulation, manufacturer's instructions for use, evidence-based guidelines, consensus documents, facility risk assessments, policy, and procedure was conducted. Over 15 diverse clinical areas within a large health care network were assessed for utilization of ophthalmic and optometric devices, with the review of inventory for manufacturer-instructed cleaning, disinfection and sterilization compliance.
RESULTS RESULTS
An interdepartmental multidisciplinary team with oversight of over 10 service lines led the implementation of point-of-use treatment, transport, high-level disinfection, sterilization, storage, and documentation based on intended use.
CONCLUSIONS CONCLUSIONS
During this experience, infection Preventionists performed a vital role in supporting a highly reliable cleaning, disinfection, and sterilization process. This undertaking required a team approach to apply instructions for uses and evidence-based practice that promoted sustainability and ultimately led to supporting the prevention of health care-associated infections and patient harm.

Identifiants

DOI: 10.1016/j.ajic.2023.09.009 PMID: 37741293
pubmed: 37741293
pii: S0196-6553(23)00630-2
doi: 10.1016/j.ajic.2023.09.009
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Auteurs

Katharine J Hoffman (KJ)

Infection Prevention & Control Department, Surgical Specialty, Ophthalmology Department, Central Sterile Processing Department, Performance Excellence, and Department of Surgery, Fort Worth, Texas. Electronic address: khoffman01@jpshealth.org.

Lisa Waldowski (L)

Infection Prevention & Control Department, Surgical Specialty, Ophthalmology Department, Central Sterile Processing Department, Performance Excellence, and Department of Surgery, Fort Worth, Texas.

James Bossert (J)

Infection Prevention & Control Department, Surgical Specialty, Ophthalmology Department, Central Sterile Processing Department, Performance Excellence, and Department of Surgery, Fort Worth, Texas.

Leslie Ray (L)

Infection Prevention & Control Department, Surgical Specialty, Ophthalmology Department, Central Sterile Processing Department, Performance Excellence, and Department of Surgery, Fort Worth, Texas.

Lisa Taite (L)

Infection Prevention & Control Department, Surgical Specialty, Ophthalmology Department, Central Sterile Processing Department, Performance Excellence, and Department of Surgery, Fort Worth, Texas.

G Robert Stephenson (GR)

Infection Prevention & Control Department, Surgical Specialty, Ophthalmology Department, Central Sterile Processing Department, Performance Excellence, and Department of Surgery, Fort Worth, Texas.

Classifications MeSH