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Evaluation of Flexible Endoscope Reprocessing Training and Education Programs


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Background or Problem/Issue: The High-Level Disinfection (HLD) reprocessing of flexible endoscopes is a high-risk, high-volume process. Literature supports a lack of standardized training and education leads to variability in clinical practice, which has resulted in Healthcare Associated Infections (HAIs) and in some cases even death. Clinical Question or Purpose: Will performing an evaluation of existing flexible endoscope reprocessing training and education programs (FERTEPs) compared to evidence-based practice guidelines result in the identification of a comprehensive program that could be implemented across the Defense Health Agency (DHA)? Project Design: The Centers for Disease Control and Preventions (CDCs) framework for program evaluation was utilized as a procedural guide to evaluate five HLD FERTEPs over six months. Analysis of Results: HLD FERTEPs graded using an audit checklist. 80% of HLD FERTEPs did not include visual inspection of endoscopes for damage in the precleaning phase of their training and education material. Only 40% of HLD FERTEPs provided training and education on cleaning and brushing the elevator and recesses surrounding it on duodenoscopes. A 39% variance noted between the top and bottom HLD FERTEPs concerning use of evidence-based rationales to support training and education content. HLD FERTEPs averaged 63% for training and education delivery platform training element fulfillment. Organizational Impact/Implications for Practice: Implementation of a standardized HLD FERTEP by the DHA is projected to impact 424,944 patients and 700 reprocessing personnel while preventing 8,799 HAIs and saving the enterprise $84,991,600.00 dollars annually.



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