Using a Risk Assessment to Transition to a 14-Day Endoscope Hang Time.

Guidelines for endoscope hang time following device processing do not provide a specific time frame; instead, they recommend conducting a multidisciplinary risk assessment for any changes in protocol. After undertaking a risk assessment, a proposal to move from a 7- to 14-day hang time was developed and approved at a pediatric hospital. Rigorous protocols were put into place to assess for endoscope contamination and to surveil for endoscope-related infections. In the 3 months following the protocol change, no instances of contamination were identified and no concerns related to endoscope-related infections were noted. Implementation of the increase in scope hang time was estimated to save more than $150,000 annually in equipment and staff costs. Modifying endoscope hang time can be accomplished safely and cost effectively by adhering to strict procedures and ensuring dedicated process oversight.