INSTRUMENT READINESS

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Results Endoscopic evaluation of Arthoscopic instruments revealed retained tissue in the lumen of the inflow/outflow cannulae and arthroscopic shaver hand piece. Changes in instrument reprocessing protocols were implemented Safety alert issued by US FDA about concern of retained tissue in arthroscopic shavers Conclusions SSI related to surgical instrument contamination with Pseudomonas during instrument reprocessing Retained tissue in inflow/outlaw cannula and shaver hand pieces could have allow bacteria to survive sterilization procedures.
Not an Isolated Case The Center for Disease Control (CDC) estimates 100,000 deaths/yr from Hospital Acquired Infections (HAI) alone – all considered preventable. 2010 – Office of the General (OIG) audit of Medicare patient charts -Estimated 15,000 preventable deaths per month – just in Medicare patients The overall estimate -over 200,000 preventable deaths/yr in the US half from HAIs or 100,000 17 % from SSIs half from other kinds of errors Is Costly to all concerned
Page 1 and 2: Patient Safety Beneath the Surface
Page 3 and 4: 12 Hospitals-3 in Medical Center Gr
Page 5 and 6: Operating Rooms s are in the Spotli
Page 7 and 8: Right Here
Page 9 and 10: IMMEDIATELY AVAILABLE TOLEDO, OHIO
Page 11 and 12: It Works
Page 13 and 14: Laparoscopic gallbladder grabber Gr
Page 15 and 16: Work arounds and substitutions to c
Page 17 and 18: STACKING IS MISHANDLING “Instrume
Page 19 and 20: Scope Instruments Fragile scopes-ea
Page 21 and 22: Laser burned scope tip ® 2012 Inte
Page 23 and 24: STERILE IS THE PATIENT SAFE?
Page 25: Issue: Infections of Pseudomonas Ae
Page 29 and 30: Public Reporting National Healthcar
Page 31 and 32: Laparoscopic Instruments (cautery t
Page 33 and 34: ® 2012 Integrated Medical Systems
Page 35 and 36: Suctions (Fujita, Yankauer, Trumpet
Page 37 and 38: Vendor Instruments (total joint / s
Page 39 and 40: ® 2012 Integrated Medical Systems
Page 41 and 42: Instruments Exposed to Bone Cement
Page 43 and 44: Shortcut to Flex bioburden.jpg.lnk
Page 45 and 46: Bioburden • Human tissue on steri
Page 47 and 48: Ultimate End Result • Substitutio
Page 49 and 50: When choosing instrumentation/medic
Page 51 and 52: What Can I do? FIRST DO NO HARM
Page 53 and 54: References 1. Clarke JR. Is my pati
Page 55 and 56: 10. World Alliance for Patient Safe
Page 57: Questions?

INSTRUMENT READINESS

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