Assessment of applications for reprocessing single-use devices: experiences from Taiwan

Reprocessing single-use medical devices (SUDs) is a common procedure worldwide. However, standardized guidelines are needed to ensure the quality and safety of reprocessed SUDs.

To examine the factors associated with SUD reprocessing in Taiwanese medical settings.

A standardized qualification checklist for reprocessing assessment was developed under the supervision of Taiwan's Ministry of Health and Welfare. A retrospective review of administrative data was used in the present study. Applications for reprocessing SUDs were received and analysed from 26 healthcare settings across different regions. Success rates over 12 checklist items, as well as the total success rate, were computed. Generalized estimating equations were used to identify potential associated factors with the success rates.

The present study results show that five medical centres, 12 regional hospitals, and nine district hospitals participated. Overall, 394 applications for reprocessing of 33 SUDs were received. Approximately 27% of applications could pass all 12 checklist items. Hospital class and location, number of employees, and annual income were associated with the overall success rate.

Because only about one-quarter of contributing hospitals could pass all criteria defined for successful evaluation of SUD reprocessing, establishing a stronger monitoring system is suggested to ensure acceptable reprocessing procedures. Further investigation of factors associated with successful evaluation of SUD reprocessing is warranted.