Challenges of Medical Devices Reprocessing - ASP University

WEBINARS SERIES#2

“Challenges of Medical Device Reprocessing”

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ASP 2021 Webinar series on “Challenges of Medical Devices Reprocessing”

General Announcement

Every day, millions of surgeries are done throughout the World. Surgical Site Infections (SSIs) can complicate any type of surgery and are among the most prevalent healthcare associated infections (HAI)1. According to the ECDC, 18,3% of all HAIs in Europe are SSIs.2

SSIs are also among the most preventable Healthcare Associated Infections (HAIs), requiring interventions in several moments of the patient stay.1 The consequences of SSI are very broad: morbidity, mortality and costs are increased.1,3

According to the last ECRI report, device cleaning, disinfection, and sterilization are on the top 10 of Patient Safety Concerns.8
 

Improving the reprocessing of medical devices and endoscopes should be considered a major target for healthcare institutions to comply with the highest standards of quality and safety.9,10,11

 

Its success is dependent on a deep commitment of several facilities departments and healthcare workers.12

Prof. Francesco Venneri

MEDICAL DEVICE REPROCESSING
FROM HISTORY TO CURRENT CONCEPTS OF GOOD PRACTICE

Prof. Jon Otter

HEALTHCARE-ASSOCIATED INFECTIONS
RELATED WITH MEDICAL DEVICE REPROCESSING

Mrs. Moya Alexander

ROBOTIC AND LAPAROSCOPIC SURGERY  MD REPROCESSING:
PITFALLS AND OPPORTUNITIES FOR IMPROVED SAFETY

Mrs. Soraia Pedroso

THE CHALLENGE OF ENDOSCOPIC REPROCESSING:
MOVING TOWARDS HIGHER STANDARDS

Eng. Jonathan Hart

HEALTH TECHNOLOGY ASSESSMENT
FOR MD REPROCESSING IMPROVEMENT
WEBINAR #1
MEDICAL DEVICE REPROCESSING
FROM HISTORY TO CURRENT CONCEPTS OF GOOD PRACTICE

Prof. Francesco Venneri

Clinical Risk Manager and Patient Safety Officer

Florence Healthcare System, Italy

SYNOPSIS:

A brief survey of the “art” of reprocessing recalling its history and background through guidelines on a national and international basis. A focus on reprocessing as part of the concept of patient safety and risk management principles towards the goal of reducing HAIs correlated to inadequate procedures.

The Reprocessing Cycle:
the importance of Guidelines.
Role in prevention
of SSIs
Healthcare workers
training implementation
Accountability on
patient safety outcomes
Reprocessing is a key
in infection prevention and control
questions

QUESTIONS:

  • How strategic are guidelines in medicine practice and patient safety?
  • What is the importance of medical devices reprocessing to ensure the reduction of SSIs?
  • How important are reprocessing and risk management in order to implement Patient Safety?
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WEBINAR #2
HEALTHCARE-ASSOCIATED INFECTIONS
RELATED WITH MEDICAL DEVICE REPROCESSING

Prof. Jon Otter

Honorary Senior Lecturer in HCAI AMR

Imperial College London

SYNOPSIS:

This webinar will provide an overview of HAI associated with medical device reprocessing, including a summary of the epidemiology of HAI related to medical device reprocessing failure. Past failures in medical device reprocessing will be reviewed to promote safer systems to prevent HAI from medical device reprocessing in the future.

Overview of the risk of HAI
associated with medical device reprocessing
When reprocessing goes wrong:
lessons from past failures
Making Medical Device reprocessing
safer to prevent HAI
Future
perspectives
questions

QUESTIONS:

  • What are the key HAI risks and control points in the medical device reprocessing process?
  • What are the most common failures related to medical device reprocessing that have led to HAI?
  • What can we change to improve existing systems to make medical device reprocessing simpler?
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WEBINAR #3
ROBOTIC AND LAPAROSCOPIC SURGERY  MD REPROCESSING:
PITFALLS AND OPPORTUNITIES FOR IMPROVED SAFETY

Mrs. Moya Alexander

Decontamination Lead

Imperial College Healthcare NHS Trust

SYNOPSIS:

Minimally invasive surgery which includes both laparoscopic and robotic surgery has brought new challenges with regards the reprocessing of medical devices. Most of these instruments are not designed to be disassembled for cleaning, disinfection, and sterilization.

Laparoscopic & Robotic
surgery
Reprocessing challenges
of robotic instruments
Addressing the challenges
and pitfalls
Future perspectives
for improved safety
questions

QUESTIONS:

  • What are the key challenges related with robotic and laparoscopic medical device reprocessing?
  • What are the relations between robotic and laparoscopic medical device reprocessing and SSIs?
  • What can we change to improve robotic and laparoscopic medical device reprocessing?
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WEBINAR #4
THE CHALLENGE OF ENDOSCOPIC REPROCESSING:
MOVING TOWARDS HIGHER STANDARDS

Mrs. Soraia Pedroso

 Clinical Nurse Specialist/ Lead Infection Prevention and Control

Nurse at Hospital Beatriz Ângelo, Lisbon

SYNOPSIS:

The outbreaks with duodenoscopes identified in the beginning of this last decade have brought a big and real concern regarding the flexible endoscopes reprocessing since most of those instruments are complex to be proper cleaning. Besides the question is now if we should just high level disinfect them or sterilize them?

Outbreaks
related to endoscopes
An overview of
endoscopic reprocessing
Quality assessment
of endoscopes reprocessing
Moving towards
sterilization of endoscopes
questions

QUESTIONS:

  • Could endoscopes be the source of gram negative multi resistant outbreaks in hospitals?
  • What are the different types of tests to monitor the reprocessing efficacy? Are they enough?
  • Which are the solutions to address the flexible scopes reprocessing issue? How efficient are they?
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WEBINAR #5
HEALTH TECHNOLOGY ASSESSMENT
FOR MD REPROCESSING IMPROVEMENT

Eng. Jonathan Hart

Head of Technological Innovation and Health Technology Assessment

Campus Bio-Medico University Hospital, Rome

SYNOPSIS:

This webinar will provide an overview on the role played by Health Technology Assessment (HTA) in a multidimensional approach to planning, managing and improving the MD reprocessing cycle, contributing to higher quality standards and enhance Patient Safety.

An introduction
to HTA
HTA in planning
and control
HTA in the effectiveness and efficiency process
of the Medical Devices (MD) reprocessing cycle
HTA and equipment
used in the MD reprocessing
HTA and the
Medical Devices
questions

QUESTIONS:

  • What is Heath Technology Assessment (HTA) and how important is for the healthcare institutions?
  • How critical is the HTA role on the reprocessing cycle and how can HTA contribute for the Quality?
  • How important is HTA to guarantee the process efficiency and effectiveness and Patient Safety?
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References :

1. Global guidelines for the prevention of surgical site infection, second edition. Geneva: World Health Organization; 2018. (pag.27 3.1 Surgical site infection risk factors: epidemiology and burden worldwide). https://www.who.int/gpsc/ssi-prevention-guidelines/en/

2. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017 (Pag. 7, Table 3) https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2018.23.46.1800516

3. Badia, J. M., Casey, A. L., Petrosillo, N., Hudson, P. M., Mitchell, S. A., & Crosby, C. (2017). Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries. The Journal of hospital infection, 96(1), 1–15. https://doi.org/10.1016/j.jhin.2017.03.004

4. Gandaglia, G., Ghani, K. R., Sood, A., Meyers, J. R., Sammon, J. D., Schmid, M., Varda, B., Briganti, A., Montorsi, F., Sun, M., Menon, M., Kibel, A. S., & Trinh, Q. D. (2014). Effect of minimally invasive surgery on the risk for surgical site infections: results from the National Surgical Quality Improvement Program (NSQIP) Database. JAMA surgery, 149(10), 1039–1044. https://doi.org/10.1001/jamasurg.2014.292

5. Hermsen, E. D., Hinze, T., Sayles, H., Sholtz, L., & Rupp, M. E. (2010). Incidence of surgical site infection associated with robotic surgery. Infection control and hospital epidemiology, 31(8), 822–827. https://doi.org/10.1086/654006

6. Ofstead, C. L., Buro, B. L., Hopkins, K. M., Eiland, J. E., Wetzler, H. P., & Lichtenstein, D. R. (2020). Duodenoscope-associated infection prevention: A call for evidence-based decision making. Endoscopy international open, 8(12), E1769–E1781. https://doi.org/10.1055/a-1264-7173

7. Scoping the problem – endoscopy associated infections – The Lancet Gastroenterology & Hepatology (www.thelancet.com/gastrohep Vol 3 July 2018)

8. Special Report Top 10 Patient Safety 2020 – Executive-Brief, ECRI, page 9, 5. Device Cleaning, Disinfection, and Sterilization. https://www.ecri.org/landing-top-10-patient-safety-concerns-2020

9. Dancer, S. J., Stewart, M., Coulombe, C., Gregori, A., & Virdi, M. (2012). Surgical site infections linked to contaminated surgical instruments. The Journal of hospital infection, 81(4), 231–238. https://doi.org/10.1016/j.jhin.2012.04.023. Journal Hosp Infection 2012 Aug;81(4):231-8. doi: 10.1016/j.jhin.2012.04.023. Epub 2012 Jun 15.

10. Southworth P. M. (2014). Infections and exposures: reported incidents associated with unsuccessful decontamination of reusable surgical instruments. The Journal of hospital infection, 88(3), 127–131. https://doi.org/10.1016/j.jhin.2014.08.007

11. Tosh, P. K., Disbot, M., Duffy, J. M., Boom, M. L., Heseltine, G., Srinivasan, A., Gould, C. V., & Berríos-Torres, S. I. (2011). Outbreak of Pseudomonas aeruginosa surgical site infections after arthroscopic procedures: Texas, 2009. Infection control and hospital epidemiology, 32(12), 1179–1186. https://doi.org/10.1086/662712

12. WHO Library Cataloguing-in-Publication Data Decontamination and reprocessing of medical devices for health-care facilities. (pag.12 – Introduction; pag.14 Quality Assurance) https://www.who.int/infection-prevention/publications/decontamination/en/