Related Experiment Video
Updated: Oct 2, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Impact of Infection Control Education on Gastrointestinal Endoscopy Procedural Staff
Elissa M Karels1,2,3,4,5, Jo Voss1,2,3,4,5, Robin Arends1,2,3,4,5
1Elissa M. Karels, DNP, CNP, FNP-C, is Nurse Practitioner, Department of Family Medicine, Madelia Health, Lake Crystal, Minnesota.
Implementing updated guidelines for personal protective equipment (PPE) and hand hygiene in endoscopy significantly improved staff technique and adherence. This quality improvement project demonstrated better practices to reduce organism transmission from patients to staff.
Area of Science:
- Infection Control
- Gastrointestinal Endoscopy
- Healthcare Quality Improvement
Background:
- Limited research exists on personal protective equipment (PPE) and hand hygiene practices in endoscopy.
- The American Society for Gastrointestinal Endoscopy provides guidelines for infection control in endoscopy suites.
Purpose of the Study:
- To implement and evaluate a practice change based on infection control guidelines.
- To assess the impact of education on staff knowledge, skills, and attitudes regarding PPE and hand hygiene.
- To improve patient safety by reducing organism transmission.
Main Methods:
- A Midwestern hospital implemented a practice change incorporating World Health Organization's 5 Moments for Hand Hygiene and PPE education.
- Paired pre- and post-education surveys assessed staff knowledge, skills, and attitudes.
- Direct observation documented PPE use and hand hygiene implementation during procedures.
Main Results:
- Staff demonstrated willingness to adopt proper PPE donning and doffing procedures.
- Observed technique for PPE use in the endoscopy suite improved post-education.
- Hand hygiene questionnaire results showed moderate improvement.
Conclusions:
- Education on PPE and hand hygiene, based on established guidelines, led to observable improvements in endoscopy staff practices.
- These enhanced practices hold clinical significance for reducing patient-to-staff organism transmission.
- Quality improvement initiatives in endoscopy infection control are crucial for patient safety.
Related Concept Videos
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions I: Contact, Enteric, and Droplets
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

