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首页> 美国政府科技报告 >Healthcare Inspection: Alleged Endoscope Reprocessing Issues, St. Louis VA Medical Center, St. Louis, Missouri
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Healthcare Inspection: Alleged Endoscope Reprocessing Issues, St. Louis VA Medical Center, St. Louis, Missouri

机译：医疗检查：所谓的内窥镜再处理问题，密苏里州圣路易斯的圣路易斯Va医疗中心

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The VA Office of Inspector General, Office of Healthcare Inspections conducted an inspection to determine the validity of allegations regarding ongoing issues in the Supply, Processing, and Distribution (SPD) department related to endoscope reprocessing and communication at the St. Louis VA Medical Center, St. Louis, Missouri. A complainant alleged that endoscope reprocessing issues have been ongoing. It was further alleged that there were breakdowns in communication with regard to adverse events and outcomes. We substantiated the allegation that endoscope reprocessing issues have been ongoing. We reviewed documentation related to three contaminated gastrointestinal (GI) endoscopes, which were identified prior to patient use. We also reviewed documents notifying managers that damage and repairs to endoscopes had increased. We requested the 2009 repair log and associated costs from SPD and found that a majority of the scopes that were damaged or needed repair belonged to the GI service. We substantiated the allegation of breakdowns in communication of adverse events and outcomes. We found minimal documentation as well as communication failures for two of the three adverse event reports (AER) reviewed.

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