Implementing Audits to Improve High-Level Disinfection of Flexible Endoscopes

Area of Science:

• Gastroenterology
• Infection Control
• Healthcare Management

Background:

• Flexible endoscopes feature complex narrow channels, challenging effective decontamination and high-level disinfection.
• Infections can arise from inadequate reprocessing, especially with aging equipment or biofilm presence.
• Optimal reprocessing relies on trained staff, adequate time, and appropriate resources.

Purpose of the Study:

• To assess the impact of implementing endoscope reprocessing audits across multiple clinical sites.
• To evaluate the effectiveness of audit feedback in improving compliance with reprocessing procedures.

Main Methods:

• Implementation of standardized endoscope reprocessing audits in five clinical settings.
• Regular audits were conducted to assess adherence to reprocessing protocols.
• Feedback was provided to staff based on audit findings.

Main Results:

• Audit compliance improved from 296/325 to 317/325 audited items post-implementation.
• Consistent increases in audit compliance scores were observed.
• The project demonstrated a moderate, positive influence on overall endoscope reprocessing quality.

Conclusions:

• Structured audits and feedback are effective in enhancing endoscope reprocessing compliance.
• Improved reprocessing practices contribute to better patient safety and infection prevention.
• The findings align with literature suggesting audits positively impact healthcare procedures.