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A Multidisciplinary Approach to Enhancing Sterilization Processes for Pleuravideoscopes in a Pulmonary Clinic
Bethany I Atwood1, Mia Eaddy, Alaina Downey
1Author Affiliations: DNP Resident of the Adult-Gerontology Clinical Nurse Specialist Program (Dr. Atwood), Graduate School of Nursing, Uniformed Services University of the Health Sciences (Dr. Eberhardt, Dr. Smith, and Dr Romito), Bethesda, Maryland; Nurse Consultant, Department of Homeland Security, Medical and Fitness Branch (Ms. Eaddy), Washington, DC; and Head Nurse, Sterile Processing Department, Walter Reed National Military Medical Center (Mrs. Downey), Bethesda, Maryland.
Purpose/Objectives:
The Centers for Disease Control and Prevention has highlighted the strong association between healthcare-associated infections and the reprocessing of flexible endoscopes. This process improvement project provided an evidence-based workflow analysis of pleuravideoscope reprocessing to validate and implement safe practices in the pulmonary clinic and sterile processing department.
Description Of The Project/Program:
A multidisciplinary team created an audit tool to complete infection control risk assessment using Lean Six Sigma methodology.
Outcome:
The risk assessment identified gaps in clinical practice, prompting corrective measures using a shared decision-making approach. The organization updated standard operating procedures, provided training and competency assessments, and purchased single-use pleuravideoscopes. These initiatives addressed the deficiencies and reinforced a culture of continuous process improvement and patient safety.
Conclusion:
Multidisciplinary teams should perform comprehensive reviews of facility processes and assess the risks related to infection control to identify optimal pleuravideoscope workflows for the healthcare institution. The involvement of a clinical nurse specialist is advantageous, as they possess the expertise necessary to facilitate collaborative efforts among team members spanning various departments. By leveraging the insights and skills of diverse professionals, healthcare organizations can optimize their reprocessing programs and enhance patient safety.
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