Abstract

Sterile processing errors in medical and dental offices are ranked the third highest hazard according to the annual ECRI ‘Top 10 Health Technology Hazards’ 2020 report. Other experts have raised similar concerns with sterilisation processes. For example, the WHO and the Clinical Engineering Division of International Federation of Medical and Biological Engineering (IFMBE) have partnered to provide a series of webinars with international experts exchanging knowledge on COVID-19 related critical topics. A recent webinar addressed the critical challenge of decontamination and disinfection of COVID-19 medical equipment in low-income and middle-income countries. During the webinar, participants asked about methodologies to assess whether the transmission of infection is borne by technological tools used to fight the disease. How can critical lifesaving breathing equipment be safely and quickly sterilised and moved from one patient to the next? The WHO/IFMBE webinar2 stated that ‘engineers and infection control professionals seem to be working in different silos’. Such silos must be dismantled because medical technology is indispensable in the provisioning of healthcare services. Disinfection and sterilisation of medical equipment are key concerns for healthcare organisations, and they require serious consideration of sociotechnical system interactions. The annual ‘top 10 Health Technology Hazards report’ is based on retrospective studies, yet management of COVID-19 safety requires capacity to process real- time data and the input of experts to predict where risks may occur and how to deploy plans to maintain a safe healthcare environment.

Highlights

  • Sterile processing errors in medical and dental offices are ranked the third highest hazard according to the annual ECRI ‘Top 10 Health Technology Hazards’ 2020 report.[1]

  • ‘develop a comprehensive understanding of the Sterile Processing Department (SPD) assembly work system by uncovering key relationships between system components, and the sources of variance that might influence reliable assembly in instrument reprocessing’. They explain their findings as a function of a variety of contributing factors including: technological, labelling and human capacity issues

  • The authors’ analysis cogently points to interventions ‘beyond the hospital’s traditional focus on individual staff ’. Their results show the necessity of identifying system components and the impact of their interactions, to reveal appropriate interventions to improve the quality and safety of care and to reduce delays

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Summary

Introduction

Sterile processing errors in medical and dental offices are ranked the third highest hazard according to the annual ECRI ‘Top 10 Health Technology Hazards’ 2020 report.[1]. David: Unravelling the magic of latent safety threats their job to teach and apply medical, engineering and other scientific knowledge to improve the quality and safety of everything related to the healthcare services.

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