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Best practice forum: standard high level disinfection protocol development.

Cindy J Dawson1, Ruth Nielsen, Douglas E Dawson

  • 1Otolaryngology-Head and Neck Surgery Clinic, Oral Surgery Clinic, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Orl-Head and Neck Nursing : Official Journal of the Society of Otorhinolaryngology and Head-Neck Nurses
|May 16, 2003
PubMed
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Gluteraldehyde high-level disinfection (HLD) presents safety and cost issues. This study reduced gluteraldehyde HLD use through policy changes and staff education, improving safety and reducing costs.

Area of Science:

  • Healthcare Safety
  • Infection Control
  • Occupational Health

Background:

  • Gluteraldehyde-based high-level disinfection (HLD) poses significant risks to healthcare staff and patients.
  • Associated institutional costs and environmental concerns necessitate alternative approaches.
  • Existing literature and Occupational Safety and Health Administration (OSHA) standards guide HLD practices.

Purpose of the Study:

  • To analyze current high-level disinfection practices.
  • To evaluate available HLD products and environmental requirements.
  • To reduce the use of gluteraldehyde-based HLD within the institution.

Main Methods:

  • A value analysis team conducted a comprehensive review of HLD practices.
  • Literature review and OSHA standards were utilized for evaluation.

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  • Standardized, unit-specific educational and competency programs were developed and implemented.

    • Main Results:

    • Institutional areas utilizing gluteraldehyde-based HLD were identified.
    • Policy and procedure modifications were enacted based on findings.
    • A significant decrease in the overall use of gluteraldehyde-based HLD was achieved.

    Conclusions:

    • Implementing a value analysis approach can effectively reduce reliance on hazardous chemicals like gluteraldehyde.
    • Standardized education and policy modifications are crucial for safe and cost-effective HLD practices.
    • The study demonstrates a successful strategy for improving healthcare safety and managing institutional costs related to disinfection.