Evidence-Based Practice Poster Session (Posters #1-#10)
5 - Evaluation of Flexible Endoscope Reprocessing Programs
Description: Background or Problem/Issue: The high-level disinfection (HLD) reprocessing of flexible endoscopes is a high-risk, high-volume process that differs amongst healthcare facilities. In 2018, the Society for Healthcare Epidemiology of America noted that all infections associated with gastrointestinal endoscopy were due to failure to follow reprocessing guidelines or defective equipment. Inaccuracies in reprocessing flexible endoscopes is a local, national, military, and global concern. To address this issue, recent findings from The Joint Commission highlight the need for healthcare organizations to implement standardized endoscope reprocessing educational programs. The literature supports that a lack of standardized education leads to variability in clinical practice which has resulted in healthcare associated infections and in some cases even death. Clinical Question or
Purpose: The purpose of this project is to perform an evaluation of existing flexible endoscope reprocessing programs (FERPs) and compare them to evidence-based practice guidelines to identify a comprehensive program that can be implemented across the Defense Health Agency (DHA).Project Design/Approach: This project will perform a current-state evaluation of available HLD FERPs to determine if one program can meet criteria to be recommended as a standardized training platform for endoscope reprocessing in the DHA. The Centers for Disease Control and Prevention’s framework for program evaluation will serve as a procedural guide in the performance of a systematic program evaluation and comparison of selected FERPs. Plan for Data Analysis: Available programs will be compared and scored on a binary scale using an evidence-based FERPs evaluation checklist to determine the most comprehensive program for recommendation to be implemented across the DHA. Proposed Organizational Impact/Implications for Practice: Identification of a comprehensive program for flexible endoscope reprocessing will enhance quality of care through decreased variability in clinical practice and improve clinical competencies through consistent delivery of knowledge, which will ultimately increase patient safety and maximize patient outcomes.