Progress in colonoscope reprocessing in physician’s offices due to quality assurance
Leiss, Ottmar, Fröhlich, Eckhart, and Muller, Reinhold (2010) Progress in colonoscope reprocessing in physician’s offices due to quality assurance. Hygiene und Medizin, 35 (6). pp. 209-214.
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Flexible endoscopes are complex medical devices and difficult to clean and to disinfect. Following case reports on infection transmission in endoscopy the potential risk of infection transmission was critically discussed in the past questioning the appropriateness of reprocessing practices used at that time. In a historical perspective of the last 20 years different phases were characterized, which retrospectively correspond to the plan-do-check-act- phases of a national quality management program to improve endoscope reprocessing in the physician's offices. The HYGEA-Study reveals questionable results in about 50 % of microbiological surveillance cultures of reprocessed endoscopes. Before introducing a national screening program for colon cancer by colonoscopy in 2002 agreement for a quality assurance assessment was achieved with subsequent establishment of a nationwide quality assurance system. Thereby, the reprocessing quality improved considerably and questionable results of microbiological surveillance cultures drops down nationwide to 5 %. In analogy to the quality assurance assessment for colonoscope reprocessing similar quality assurance assessments for all other endoscopic examinations should be established. The private health assurances should support this quality assurance system.
|Item Type:||Article (Refereed Research - C1)|
German Title: Fortschritt bei der Koloskop-Aufbereitung in gastroenterologischen Praxen durch Qualitätssicherung
|Keywords:||hygiene in endoscopy, colonoscope reprocessing, quality assurance, infection prevention|
|FoR Codes:||11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111706 Epidemiology @ 50%|
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 50%
|SEO Codes:||92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 100%|
|Deposited On:||19 May 2011 10:05|
|Last Modified:||19 May 2011 10:29|
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