Healthcare worker feedback on duodenoscope reprocessing workflow and ergonomics |
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| Institution: | 1. ECRI, Plymouth Meeting, PA;2. Department of Psychology, Rowan University, Glassboro, NJ;1. Sultan Qaboos University Hospital, Nursing Department-ICU, Al Khoud, Muscat, Oman;2. Al al-Bayt University/Faculty of Nursing, Mafraq, Jordan;3. College of Nursing, Sultan Qaboos University, Al Khoud, Muscat, Oman;4. Senior Consultant In tensivist, Sultan Qaboos University Hospital, Al Khoud, Muscat, Oman;1. Clinical Microbiology Laboratory, McLendon Clinical Laboratories, University of North Carolina Medical Center, Chapel Hill, NC;2. Department of Hospital Epidemiology, University of North Carolina Medical Center, Chapel Hill, NC;3. Department of Allied Health Sciences, UNC School of Medicine, Chapel Hill, NC;4. Department of Information Services, HonorBridge, Durham, NC;5. Department of Family Medicine. UNC School of Medicine, Chapel Hill, NC;6. Department of Medicine, Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, NC;7. Department of Pathology and Laboratory Medicine, UNC School of Medicine, Chapel Hill, NC;1. Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea;2. Department of Hospital Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea;3. Centers for Digital Health, Yongin Severance Hospital, Yonsei University Health System, Yongin, Korea;4. Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario Canada;5. Infection Control Team, Soonchunhyang University Seoul Hospital, Seoul, Korea;6. Infectious Disease Control Division, Seoul Metropolitan Government, Seoul, Korea;1. Department of Veterans Affairs, Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr VA Hospital, Hines, IL;2. Department of Medicine, Division of Infectious Diseases, Loyola University Chicago Stritch School of Medicine, Maywood, IL;3. Department of Veterans Affairs, Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA;4. Department of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA;5. Department of Veterans Affairs, VA Salt Lake City Healthcare System, Salt Lake City, UT;6. Department of Medicine, Division of Epidemiology, University of Utah, Salt Lake City, UT;7. Department of Veterans Affairs, MRSA/MDRO Program Office, the National Infectious Diseases Service, Patient Care Services, VA Central Office and the Lexington VA Medical Center, Lexington, KY;8. Department of Internal Medicine, University of Kentucky School of Medicine, Lexington, KY;9. Department of Veterans Affairs, William S. Middleton Memorial VA Medical Center, Madison, WI;10. Department of Medicine, Division of Infectious Diseases, University of Wisconsin School of Public Health and Medicine, Madison, WI;11. Department of Preventive Medicine, Center for Health Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL;1. Department of Clinical Laboratory Medicine, Yongchuan Hospital of Chongqing Medical University, Chongqing, China;2. Department of Clinical Laboratory Medicine, Sichuan Academy of Medical Sciences Sichuan Province People''s Hospital, Sichuan Province, Chengdu, China;3. Department of Clinical Laboratory Medicine, University-Town Hospital of Chongqing Medical University, Chongqing, China;4. Department of Clinical Laboratory Medicine, Sanya Women and Children''s Hospital Managed by Shanghai Children''s Medical Center, Hainan, China;1. Office of Human Research, Memorial Healthcare System, Hollywood, FL;2. Division of Infectious Disease, Memorial Healthcare System, Hollywood, FL |
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| Abstract: | BackgroundThe objectives of this survey study were to assess duodenoscope precleaning and manual cleaning times, identify human factors issues in duodenoscope reprocessing workflow or ergonomics, and ascertain any best practices in duodenoscope reprocessing.MethodsResearchers developed the confidential, qualitative, online Duodenoscope Reprocessing Workflow and Ergonomic Design Human Factors Survey with an intended audience of healthcare workers (HCWs) who routinely perform duodenoscope precleaning or manual cleaning. The unrestricted survey link was distributed to target HCW email addresses in December 2020; the survey closed in January 2021.ResultsThree hundred and forty-one individuals completed the survey. Most respondents complete duodenoscope precleaning in 10 minutes or less and manual cleaning in 16-to-30 minutes. Most respondents’ facilities use fixed distal endcap duodenoscopes. Most respondents experience pressure to work faster when cleaning duodenoscopes and reported that cleaning duodenoscopes caused fatigue or discomfort in at least one body part. Mentoring HCWs and retaining experienced staff were 2 primary duodenoscope reprocessing best practices identified by respondents.Discussion and ConclusionsTo enhance duodenoscope cleaning, facilities should provide ample reprocessing work spaces with incorporated height-adjustable work surfaces, train HCWs on validated duodenoscope reprocessing instructions, provide step-by-step instructions for HCWs when duodenoscope cleaning is performed, mentor reprocessing HCWs, and retain experienced staff. |
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