Biomedical Instrumentation and Technology最新文献

{"title":"Ask The Joint Commission.","authors":"","doi":"10.2345/0899-8205-54.5.317","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.317","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"317"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frontlines: We Hear You.","authors":"Gavin Stern","doi":"10.2345/0899-8205-54.5.314","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.314","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"314"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Roundtable Discussion: The Challenge of Developing Effective Sterilization and Reprocessing Instructions for Use.","authors":"Gavin Stern, Amanda Benedict, Ralph Basile, Damien Berg, Loraine Durigan, Janet Prust, Steven Turtil","doi":"10.2345/0899-8205-54.5.352","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.352","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"352-358"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Troubleshoot It: Diagnosing Issues Involving Patient Monitors not Showing Up at the Central Station.","authors":"Becky Crossley","doi":"10.2345/0899-8205-54.5.374","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.374","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"374-375"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feature: Beating the COVID-19 Surge: How Allina Health Doubled Its ICU Capacity in Eight Weeks.","authors":"Mark Crawford","doi":"10.2345/0899-8205-54.5.328","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.328","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"328-331"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis: Overcoming Human Factors Challenges of Endoscope Culturing with Turbulent Fluid Flow.","authors":"Jahan Azizi, Miranda Gavette, Kaumudi Kulkarni, Mary Ann Drosnock","doi":"10.2345/0899-8205-54.5.338","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.338","url":null,"abstract":"The lifesaving diagnoses and procedures performed with endoscopes are a vital part of modern healthcare. However, endoscopes are difficult to clean, particularly because of the persistence of biofilms. This creates challenges for manufacturers, healthcare facilities, sterile processing department (SPD) staff, and regulatory agencies seeking to ensure that these complex devices are processed and stored safely and responsibly. This analysis reviews current studies of endoscope processing, focusing on persistent problems with human factors challenges created by current cleaning and sampling methods. It also looks at cleaning verification, highlights the academic call to include microbial surveillance as a necessary task, and identifies an emerging technology—turbulent fluid flow (TFF)—that may help to fill the gaps in this area. Many reports from the Food and Drug Administration’s (FDA’s) Manufacturer and User Facility Device Experience (MAUDE) database demonstrate that flexible endoscopes can inadvertently cause patient harm due to inadequate removal of soil, such as protein and bacterial bioburden, and improper high-level disinfection (HLD) and sterilization after use. In one surveillance study reported in the MAUDE database, a duodenoscope cultured positive for Staphylococcus aureus bacteria after processing. It was reported that the facility failed to properly perform visual checks to determine whether debris was removed and that multiple steps were missed during processing. Residual soil that is not removed from endoscopes during manual cleaning reduces the effectiveness of HLD and sterilization, placing patients at risk for exposure to other patients’ tissue, secretions, and potential pathogens. Studies have described the practical challenges of establishing functional protocols for endoscope processing. These studies point out that the previous explanation for processing failures was primarily based on human factors. A closer examination of the designs of endoscopes and the processes of the cleaning identified daunting challenges related to both vision and memory. Because of limited time and resources of SPDs for verification testing of flexible endoscopes, there is a lack of feedback on cleaning efficacy. Implementation of this testing may help identify processing failures before they pose potential risks to patient safety. One such innovation that can be incorporated into verification testing is TFF. This emerging technology enhances the flushing of endoscope channels for better extraction and can subsequently provide more reliable samples for both cleaning verification and microbial surveillance of flexible endoscopes.","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"338-344"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Setting Standards: Establishing Expectations for Artificial Intelligence Applications through Standards Development.","authors":"Pat Baird","doi":"10.2345/0899-8205-54.5.368","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.368","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"368-370"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bright Ideas: HTM Team Realizes Major Time Savings by Devising the AEM 'Holy Grail'.","authors":"Brian Stallard","doi":"10.2345/0899-8205-54.5.360","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.360","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"360-363"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sterilization Central: HVAC and Infection Prevention Considerations in Sterile Processing Departments.","authors":"James Jj Jenkins","doi":"10.2345/0899-8205-54.5.372","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.372","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"372-373"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review: Trends in Processing Prion-Contaminated Surgical Instruments.","authors":"Camila Q M Bruna,&nbsp;Rafael Queiroz de Souza,&nbsp;Kazuko U Graziano","doi":"10.2345/0899-8205-54.5.332","DOIUrl":"https://doi.org/10.2345/0899-8205-54.5.332","url":null,"abstract":"<p><p>This review sought to provide an overview of proposed methods and protocols for processing surgical instruments contaminated with prions. A search of PubMed was conducted to identify studies published between January 1, 2012, and January 2, 2019, with no language restrictions and using varying combinations of the following terms: prions (Medical Subject Heading [MeSH]) OR decontamination (MeSH) OR cleaning OR disinfection OR sterilization. Articles were excluded if they did not involve medical device surfaces or describe the processing protocol. At least two reviewers independently selected articles, extracted data, and assessed data. A total of 627 articles published in peer-reviewed journals were identified. Of the 55 articles assessed for full-text eligibility, eight met the inclusion criteria. Only a few studies investigated protocols and methods for processing prion-contaminated medical devices; therefore, determining the best way to sterilize device surfaces and preserve the integrity of surgical instruments remains challenging. Moreover, the perspective of sterile processing department staff continues to be overlooked when designing studies.</p>","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"54 5","pages":"332-337"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38483995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}