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Utilizing a failure mode and effects analysis to prevent errors in endoscope reprocessing
Alex Wells1, Amanda Renard1, Rupinder Mahal1
1Henry Ford West Bloomfield Hospital, West Bloomfield, MI.
Abstract:
Following two potential endoscope-related patient exposures, a multidisciplinary team, led by Infection Prevention, conducted a Failure Mode and Effects Analysis to identify and address high-risk steps in endoscope reprocessing. Four key vulnerabilities were identified, leading to targeted actions with equipment, competencies, and process verification. Since implementation, no exposures have occurred, underscoring the value of Failure Mode and Effects Analysis in Infection Prevention.
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