Advertisement

Implementation of remote video auditing with feedback and compliance for manual-cleaning protocols of endoscopic retrograde cholangiopancreatography endoscopes

Published:November 28, 2017DOI:https://doi.org/10.1016/j.ajic.2017.10.007

      Highlights

      • Use of remote video auditing to document ERCP endoscope reprocessing was examined.
      • Compliance to ERCP endoscope manual cleaning steps was measured.
      • Performance feedback in the form of education and performance reports provided.
      • Introduction of performance feedback resulted in improved compliance
      A pilot initiative to assess the use of remote video auditing in monitoring compliance with manual-cleaning protocols for endoscopic retrograde cholangiopancreatography (ERCP) endoscopes was performed. Compliance with manual-cleaning steps following the initiation of feedback was measured. A video feed of the ERCP reprocessing room was provided to remote auditors who scored items of an ERCP endoscope manual-cleaning checklist. Compliance feedback was provided in the form of reports and reeducation. Outcomes were reported as checklist compliance. The use of remote video auditing to document manual processing is a feasible approach and feedback and reeducation increased manual-cleaning compliance from 53.1% (95% confidence interval, 34.7-71.6) to 98.9% (95.0% confidence interval, 98.1-99.6).

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Coelho-Prabhu N.
        • Shah N.D.
        • Van Houten H.
        • Kamath P.S.
        • Baron T.H.
        Endoscopic retrograde cholangiopancreatography: utilisation and outcomes in a 10-year population-based cohort.
        BMJ Open. 2013; 3
        • Weber D.J.
        Managing and preventing exposure events from inappropriately reprocessed endoscopes.
        Infect Control Hosp Epidemiol. 2012; 33: 657-660
        • Alrabaa S.F.
        • Nguyen P.
        • Sanderson R.
        • Baluch A.
        • Sandin R.L.
        • Kelker D.
        • et al.
        Early identification and control of carbapenemase-producing Klebsiella pneumoniae, originating from contaminated endoscopic equipment.
        Am J Infect Control. 2013; 41: 562-564
        • Aumeran C.
        • Poincloux L.
        • Souweine B.
        • Robin F.
        • Laurichesse H.
        • Baud O.
        • et al.
        Multidrug-resistant Klebsiella pneumoniae outbreak after endoscopic retrograde cholangiopancreatography.
        Endoscopy. 2010; 42: 895-899
        • Nelson D.B.
        Infection control during gastrointestinal endoscopy.
        J Lab Clin Med. 2003; 141: 159-167
        • Low D.E.
        • Micflikier A.B.
        • Kennedy J.K.
        • Stiver H.G.
        Infectious complications of endoscopic retrograde cholangiopancreatography.
        Arch Intern Med. 1980; 140: 1076-1077
        • Rubin Z.A.
        • Murthy R.K.
        Outbreaks associated with duodenoscopes: new challenges and controversies.
        Curr Opin Infect Dis. 2016; 29: 407-414
        • O'Horo J.C.
        • Farrell A.
        • Sohail M.R.
        • Safdar N.
        Carbapenem-resistant Enterobacteriaceae and endoscopy: an evolving threat.
        Am J Infect Control. 2016; 44: 1032-1036
        • Armellino D.
        • Hussain E.
        • Schilling M.E.
        • Senicola W.
        • Eichorn A.
        • Dlugacz Y.
        • et al.
        Using high-technology to enforce low-technology safety measures: the use of third-party remote video auditing and real-time feedback in healthcare.
        Clin Infect Dis. 2012; 54: 1-7
        • Armellino D.
        • Trivedi M.
        • Law I.
        • Singh N.
        • Schilling M.
        • Hussain E.
        • et al.
        Replicating changes in hand hygiene in a surgical intensive care unit with remote video auditing and feedback.
        Am J Infect Control. 2013; 41: 925-927
        • Overdyk F.
        • Dowling O.
        • Newman S.
        • Glatt D.
        • Chester M.
        • Armellino D.
        • et al.
        Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.
        BMJ. 2015; 25: 947-953