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首页> 外文期刊>Joint Commission Journal on Quality and Safety >Ongoing Discovery of High-Level Disinfection of Endoscope Practices and the Use of Performance Improvement Methodologies to Improve Processes
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Ongoing Discovery of High-Level Disinfection of Endoscope Practices and the Use of Performance Improvement Methodologies to Improve Processes

机译：持续发现内窥镜操作的高级消毒方法，以及使用性能改进方法来改进过程

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摘要

Preventing health care-associated infections, regardless of the setting (hospital, ambulatory, office-based), has become a priority. This focused attention can be attributed to leaders motivated to improve the quality of care with highly reliable, repetitive, evidence-based process practices; patient expectations of an uncomplicated health care experience; increased awareness of reported infections; and financial implications (positive and negative) to the organization. A topic that has recently become a main concern is high-level disinfection (HLD) and endoscopes used for endoscopic retrograde cholangiopancrea-tography (ERCP) procedures, as represented in the Food and Drug Administration (FDA) Safety Communication in February 2015. Increased infection risk may reflect the complexity of the endoscope device, which contains many small working parts with hidden, often difficult to reach, crevices, and/or reprocessing errors, which can occur during any of the steps for preclean-ing, manual cleaning, HLD process, and endoscope storage.
机译：无论环境如何（医院，门诊，办公室），预防与卫生保健相关的感染已成为当务之急。这种高度集中的关注可以归因于领导者，他们被激励通过高度可靠，重复，循证的过程实践来提高护理质量；患者对简单卫生保健经验的期望；提高对报告感染的认识；以及对组织的财务影响（正面和负面）。最近成为一个主要关注的话题是用于内窥镜逆行胰胆管造影（ERCP）程序的高水平消毒（HLD）和内窥镜，如2015年2月食品和药物管理局（FDA）安全通讯中所代表。感染增加风险可能反映了内窥镜设备的复杂性，该内窥镜设备包含许多小的工作部件，这些部件具有隐藏的，通常难以到达的缝隙和/或重新处理错误，这些错误可能发生在预清洁，手动清洁，HLD工艺的任何步骤中和内窥镜存储。

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