Azizi Jahan, Anderson Susan G, Murphy Shawn, Pryce Susanne
University of Michigan Hospital, Ann Arbor, USA.
AORN J. 2012 Aug;96(2):152-62. doi: 10.1016/j.aorn.2012.03.018.
After its investigation of cross-contamination from arthroscopic shavers, the US Food and Drug Administration issued an alert to hospitals about medical device reprocessing methods. In response to this, a team of risk management and instrument room personnel at a university hospital undertook a project that tested the manufacturer's recommended cleaning methods for surgical instruments with the objective of determining the efficacy of automated instrument reprocessing and identifying a process that would produce a verifiably clean instrument after the cleaning process is performed. The quality improvement project focused on suction tips because they are used in most surgical procedures, are exposed to high levels of organic debris, and are difficult to clean. A variety of suction tips were cleaned and tested with a variety of processes and products to determine best instrument cleaning practices. Results of the project were eye-opening--debris was found where debris should not be, and the manufacturer's recommended cleaning methods--the current practices-were not effective.
美国食品药品监督管理局在对关节镜刨削器交叉污染问题进行调查后，就医疗器械再处理方法向医院发布了一项警示。对此，一所大学医院的风险管理团队和器械室工作人员开展了一个项目，对制造商推荐的手术器械清洁方法进行测试，目的是确定自动器械再处理的效果，并找出一种在完成清洁过程后能产生可验证的清洁器械的流程。该质量改进项目聚焦于吸引头，因为它们在大多数外科手术中都会使用，会接触到大量有机碎片，且难以清洁。使用各种流程和产品对多种吸引头进行清洁和测试，以确定最佳的器械清洁方法。该项目的结果令人大开眼界——在不该有碎片的地方发现了碎片，而且制造商推荐的清洁方法——即当前的做法——并不有效。
