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Healthcare worker feedback on duodenoscope reprocessing workflow and ergonomics.

Amanda D Sivek¹, James Davis¹, Patrice Tremoulet²

¹ECRI, Plymouth Meeting, PA.

American Journal of Infection Control

|February 2, 2022

Summary

This summary is machine-generated.

Healthcare workers reported time pressures and physical discomfort during duodenoscope reprocessing. Mentoring and retaining experienced staff are key best practices for improving duodenoscope cleaning.

Keywords:

Cleaning Duodenoscope Endoscope Ergonomics Human factors Patient safety Reprocessing Staff Survey Workflow

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Published on: August 1, 2019

Area of Science:

Healthcare quality and safety
Medical device reprocessing
Human factors engineering

Background:

Duodenoscope reprocessing is critical for patient safety.
Previous studies have not fully addressed human factors in reprocessing.
This study focuses on workflow and ergonomics in duodenoscope reprocessing.

Purpose of the Study:

Assess duodenoscope precleaning and manual cleaning times.
Identify human factors challenges in reprocessing workflow and ergonomics.
Determine best practices for duodenoscope reprocessing.

Main Methods:

A confidential, qualitative, online survey was developed.
The survey targeted healthcare workers (HCWs) involved in duodenoscope cleaning.
Survey data was collected from December 2020 to January 2021.

Main Results:

341 HCWs completed the survey.
Most precleaning took ≤10 minutes; manual cleaning took 16-30 minutes.
Respondents reported time pressures, fatigue, and discomfort during cleaning.

Conclusions:

Facilities should optimize reprocessing workspaces with adjustable surfaces.
Training HCWs on validated instructions and providing step-by-step guidance is essential.
Mentoring and retaining experienced staff are crucial for effective duodenoscope reprocessing.