{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T11:11:40Z","timestamp":1772795500150,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aornjournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AORN Journal"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Because of the variety of guidelines for instrument processing and sterilization (eg, government regulations on infection prevention and control [IPC], manufacturers\u2019 instructions for use, publications from professional organizations), practices may vary from one country or facility to another. The Joint Commission recommends that when creating or revising IPC\u2010related policies, organizations should use a hierarchical model to address relevant IPC requirements. Joint Commission International accredits health care organizations outside the United States using standards and a survey process similar to, but not the same as, The Joint Commission. During a survey, perioperative nurses should use facility policies and procedures to provide evidence of compliance with regulations, guidelines, and best practices for surgical instrument processing. This article provides an overview of national and international IPC guidelines, the hierarchical models for organizations to use to update policies at their facilities, and differences in sterilization load release practices inside and outside the United States.<\/jats:p>","DOI":"10.1002\/aorn.13533","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T17:16:51Z","timestamp":1635355011000},"page":"430-441","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Compliance Conversation: Navigating Variations in Sterile Processing Practices"],"prefix":"10.1002","volume":"114","author":[{"given":"Joan M.","family":"Spear","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria B.","family":"Navarro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Gayton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Reis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Conditions for Coverage (CfCs) & Conditions of Participation (CoPs).Centers for Medicare &Medicaid Services.https:\/\/www.cms.gov\/regulations-and-guidance\/legislation\/cfcsandcops. Updated May 19 2020. Accessed July 20 2021."},{"key":"e_1_2_10_3_1","unstructured":"Tracer methodology. The Joint Commission Fact Sheet.https:\/\/www.jointcommission.org\/-\/media\/tjc\/documents\/fact-sheets\/tracer-methodology-7-12-21.pdf. Accessed September 13 2021."},{"key":"e_1_2_10_4_1","unstructured":"Robust Process Improvement.The Joint Commission.https:\/\/www.jointcommission.org\/performance-improvement\/joint-commission\/robust-process-improvement. Accessed July 20 2021."},{"key":"e_1_2_10_5_1","unstructured":"Substitute House Bill No. 5913. Public Act No. 15\u201011. An Act Concerning Persons Who Decontaminate Reusable Medical Instruments or Devices.https:\/\/cga.ct.gov\/2015\/act\/pa\/pdf\/2015PA-00011-R00HB-05913-PA.pdf. Approved May 26 2015. Accessed July 20 2021."},{"key":"e_1_2_10_6_1","volume-title":"Comprehensive Accreditation Manual for Hospitals: CAMH","author":"Joint Commission on Accreditation of Healthcare Organizations","year":"2021"},{"key":"e_1_2_10_7_1","unstructured":"The Joint Commission. Great achievements come one step at a time: deemed status for ASCs seeking Medicare certification.https:\/\/www.jointcommission.org\/-\/media\/tjc\/documents\/accred-and-cert\/ahc\/ahc-steps-to-deemed-status-checklist.pdf. Accessed September 15 2021."},{"key":"e_1_2_10_8_1","unstructured":"State Operations Manual.Centers for Medicaid and Medicare Services.https:\/\/www.cms.gov\/Regulations-and-Guidance\/Guidance\/Manuals\/Internet-Only-Manuals-IOMs-Items\/CMS1201984. Accessed July 21 2021."},{"issue":"5","key":"e_1_2_10_9_1","article-title":"Quality and safety","volume":"41","author":"The Joint Commission","year":"2021","journal-title":"Joint Commission Online"},{"key":"e_1_2_10_10_1","volume-title":"Joint Commission International Accreditation Standards for Hospitals","author":"Joint Commission International","year":"2020"},{"key":"e_1_2_10_11_1","volume-title":"Infection Prevention and Control Issues in the Environment of Care","author":"The Joint Commission"},{"key":"e_1_2_10_12_1","unstructured":"EU projects with ASEAN. Delegation of the European Union to ASEAN.https:\/\/eeas.europa.eu\/delegations\/association-southeast-asian-nations-asean\/area\/projects_en. Accessed July 7 2021."},{"key":"e_1_2_10_13_1","unstructured":"Occupational Safety and Health Administration.Bloodborne pathogens. 29 CFR \u00a71910.1030.https:\/\/www.osha.gov\/laws-regs\/regulations\/standardnumber\/1910\/1910.1030. Updated May 14 2019. Accessed July 7 2021."},{"key":"e_1_2_10_14_1","unstructured":"OSHA Fact Sheet. Occupational Safety and Health Administration. United States Department of Labor.https:\/\/www.osha.gov\/sites\/default\/files\/publications\/bbfact01.pdf. Updated January 2021. Accessed July 21 2021."},{"key":"e_1_2_10_15_1","unstructured":"Medical devices. U.S. Food & Drug Administration.https:\/\/www.fda.gov\/medical-devices. Accessed July 7 2021."},{"key":"e_1_2_10_16_1","unstructured":"Reprocessing of reusable medical devices: information for manufacturers. U.S. Food & Drug Administration.https:\/\/www.fda.gov\/medical-devices\/device-advice-comprehensive-regulatory-assistance\/reprocessing-reusable-medical-devices-information-manufacturers. Reviewed September 27 2018. Accessed June 24 2021."},{"key":"e_1_2_10_17_1","first-page":"381","volume-title":"Guidelines for Perioperative Practice","year":"2021"},{"key":"e_1_2_10_18_1","volume-title":"Reprocessing of Instruments to Retain Value","author":"Instrument Reprocessing Working Group","year":"2017"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.2345\/0899-8205-46.3.184"},{"key":"e_1_2_10_20_1","volume-title":"Guideline Compiled by DGKH, DGSV and AKI for the Validation and Routine Monitoring of Automated Cleaning and Thermal Disinfection Processes for Medical Devices","year":"2017"},{"key":"e_1_2_10_21_1","volume-title":"ANSI\/AAMI ST90:2017 Processing of Health Care Products \u2014 Quality Management Systems for Processing in Health Care","author":"Association for the Advancement of Medical Instrumentation","year":"2017"},{"key":"e_1_2_10_22_1","first-page":"985","volume-title":"Guidelines for Perioperative Practice","year":"2020"},{"key":"e_1_2_10_23_1","volume-title":"ANSI\/AAMI ST79:2017 Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities","author":"Association for the Advancement of Medical Instrumentation","year":"2017"},{"key":"e_1_2_10_24_1","volume-title":"ISO 11139:2018 Sterilization of Health Care Products \u2014 Vocabulary of Terms Used in Sterilization and Related Equipment and Process Standards","author":"International Organization for Standardization","year":"2018"},{"key":"e_1_2_10_25_1","volume-title":"Good Practices for the Sterilisation of Medical Devices: Revision of the Recommendations on Sterilisation. (SHC 7848 \u2013 2006)","year":"2017"},{"key":"e_1_2_10_26_1","unstructured":"Aesculap surgical instruments instructions for use. Braun. General Insert for Surgical Instruments.https:\/\/www.aesculapusaifus.com\/sites\/default\/files\/ifus\/General%20Insert%20for%20Surgical%20Instruments%20SOP-AIC-5000235.pdf. Accessed July 27 2021."},{"key":"e_1_2_10_27_1","volume-title":"Instruction of Use Reusable Surgical Instruments","author":"Medizintechnik AS"}],"container-title":["AORN Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.13533","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aorn.13533","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.13533","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T13:49:20Z","timestamp":1693230560000},"score":1,"resource":{"primary":{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/10.1002\/aorn.13533"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,27]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1002\/aorn.13533"],"URL":"https:\/\/doi.org\/10.1002\/aorn.13533","archive":["Portico"],"relation":{},"ISSN":["0001-2092","1878-0369"],"issn-type":[{"value":"0001-2092","type":"print"},{"value":"1878-0369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,27]]},"assertion":[{"value":"2020-11-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}