{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T03:51:22Z","timestamp":1791863482147,"version":"4.3.4"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T00:00:00Z","timestamp":1588550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Healthc Risk Manag"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Reusable, invasive medical devices within the outpatient setting pose a risk for patient harm. Ineffective disinfection of medical devices can potentially lead to transmission of pathogens between patients; and improper handling can lead to patient injury. A risk assessment was conducted, and the results strongly supported the necessity to develop a robust infection prevention program within the risk management department. This exclusive program was a proactive approach to preventing patient exposure within our healthcare system. Designing and integrating an Infection Prevention program into the Risk Management Department presented challenges, especially with the magnitude of devices and lack of standardization throughout our 33 clinics. Key components of the program included: capturing an accurate inventory of devices throughout the system, hiring a sterile processing expert, engaging support from senior leadership, adhering to rigorous auditing processes, and establishing a staff competency training structure. Since the program was launched 2 years ago, outcomes include: identification of high\u2010risk practices with immediate resolution, increase in average clinic compliance to device reprocessing standards from 88% to 99%, elimination of 71% of scope reprocessing and 39% of instrument sterilization by clinic staff with allocation to central sterile processing departments, and development of a staff competency training structure.<\/jats:p>","DOI":"10.1002\/jhrm.21407","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T05:59:11Z","timestamp":1588658351000},"page":"44-49","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Design and implementation of the infection prevention program into risk management: Managing high level disinfection and sterilization in the outpatient setting"],"prefix":"10.1002","volume":"40","author":[{"given":"Wendy","family":"Sweet","sequence":"first","affiliation":[{"name":"Scripps Medical Foundation  San Diego CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayna","family":"Snyder","sequence":"additional","affiliation":[{"name":"Scripps Medical Foundation  San Diego CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Raymond","sequence":"additional","affiliation":[{"name":"Scripps Medical Foundation  San Diego CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,4]]},"reference":[{"key":"e_1_2_13_2_1","article-title":"Improperly sterilized or disinfected equipment is a growing problem, says joint commission","author":"ECRI","year":"2017","journal-title":"ERCI Institute"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.1875"},{"key":"e_1_2_13_4_1","unstructured":"Kastner J.Dirty surgical equipment at UC San Diego Hospital sparked serious state response. ABC 10 News San Diego. June 7 2018."},{"key":"e_1_2_13_5_1","unstructured":"Terhun C.Superbug linked to 2 deaths at UCLA hospital; 179 potentially exposed. Los Angeles Times. February 18 2015."},{"key":"e_1_2_13_6_1","first-page":"247","volume-title":"Proceedings of International Conference on Nosocomial Infections, 1970","author":"Brachman PS","year":"1971"},{"key":"e_1_2_13_7_1","unstructured":"CDC.Healthcare Infection Control Practices Advisory Committee (HICPAC). Centers for Disease Control and Prevention. December 27 2018.https:\/\/www.cdc.gov\/hicpac\/recommendations\/flexible-endoscope-reprocessing.html. Accessed February 1 2020."},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2019.08.018"},{"key":"e_1_2_13_9_1","unstructured":"Nanosonics.Trophon microbial efficacy.2017.https:\/\/www.nanosonics.us\/clinical\/microbial-efficacy\/. Accessed February 1 2020."},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.24421"},{"issue":"2","key":"e_1_2_13_11_1","first-page":"2","article-title":"How to assess risk of disease transmission to patients when there is a failure to follow recommended disinfection and sterilization guidelines","volume":"28","author":"Rutala William","year":"2017","journal-title":"Infect Control Hosp Epidemiol"}],"container-title":["Journal of Healthcare Risk Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhrm.21407","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhrm.21407","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhrm.21407","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhrm.21407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T04:39:11Z","timestamp":1693888751000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhrm.21407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,4]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1002\/jhrm.21407"],"URL":"https:\/\/doi.org\/10.1002\/jhrm.21407","archive":["Portico"],"relation":{},"ISSN":["1074-4797","2040-0861"],"issn-type":[{"value":"1074-4797","type":"print"},{"value":"2040-0861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,4]]},"assertion":[{"value":"2019-12-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}