{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:29:54Z","timestamp":1786386594056,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aornjournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AORN Journal"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The increasing dependence on loaner instrument sets for surgical procedures can create significant challenges for the sterile processing department (SPD), and can also lead to surgical delays or possible patient harm. This article examines common challenges associated with loaner sets, including inconsistent arrival timing; incomplete manufacturer's instructions for use; complex and unfamiliar instruments; inventory and scheduling conflicts; communication gaps between sterile processing, OR personnel, and vendors; and difficulties with loaner set return after procedures. These issues strain SPD workflows and increase the risk of errors in instrument assembly and sterilization. Key recommendations for addressing these challenges include implementing clear policies for set arrival and processing timelines, adopting digital inventory management systems, enhancing personnel education, and establishing standardized communication protocols. Multidisciplinary collaboration among SPD personnel, perioperative teams, and vendors is essential to ensure safe and efficient handling of loaner sets.<\/jats:p>","DOI":"10.1002\/aorn.70123","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:31:39Z","timestamp":1785227499000},"page":"81-88","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Addressing Challenges Associated With Loaner Instrument Sets"],"prefix":"10.1002","volume":"124","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1093-4855","authenticated-orcid":false,"given":"Brian","family":"Shea","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Avilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7613-8473","authenticated-orcid":false,"given":"Rebecca T.","family":"Alvino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"ANSI\/AAMI ST79:2017\/(R)2022 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_5_3_1","author":"DeLuca W.","year":"2018","journal-title":"The challenges associated with loaner instrumentation"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2009.12.032"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/hygiene2010005"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2011.07.002"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2022.06.038"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.09.006"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201013740\u20107"},{"key":"e_1_2_5_10_1","volume-title":"Guidelines for Perioperative Practice","year":"2024"},{"key":"e_1_2_5_11_1","volume-title":"Guidelines for Perioperative Practice","year":"2025"},{"key":"e_1_2_5_12_1","volume-title":"AORN Position Statement on the Role of the Health Care Industry Representative in Perioperative Settings","author":"AORN","year":"2020"},{"key":"e_1_2_5_13_1","unstructured":"TeamSTEPPS: Team Strategies & Tools to Enhance Performance & Patient Safety.Agency for Healthcare Research and Quality. Accessed April 3 2026.https:\/\/www.ahrq.gov\/teamstepps"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/aorn.14382"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.3912\/OJIN.Vol26No02PPT23"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq\u20102020\u2010000948"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1108\/JHOM\u201010\u20102021\u20100383"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010028280"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605251407884"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/11786329251352018"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102022\u2010073412"}],"container-title":["AORN Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.70123","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aorn.70123","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.70123","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:00:55Z","timestamp":1786384855000},"score":1,"resource":{"primary":{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/10.1002\/aorn.70123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/aorn.70123"],"URL":"https:\/\/doi.org\/10.1002\/aorn.70123","archive":["Portico"],"relation":{},"ISSN":["0001-2092","1878-0369"],"issn-type":[{"value":"0001-2092","type":"print"},{"value":"1878-0369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"2025-10-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}