{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:54:37Z","timestamp":1777726477226,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003785","name":"Medical Scientific Research Foundation of Guangdong Province of China","doi-asserted-by":"crossref","award":["A2017342"],"award-info":[{"award-number":["A2017342"]}],"id":[{"id":"10.13039\/501100003785","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003785","name":"Medical Scientific Research Foundation of Guangdong Province of China","doi-asserted-by":"crossref","award":["B2017046"],"award-info":[{"award-number":["B2017046"]}],"id":[{"id":"10.13039\/501100003785","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In recent years, the Emergency Care Research Institute has advised that endoscope cleaning is of considerable importance. In the present study, a quality control circle (QCC) was used to reduce the formation of biofilms in flexible endoscopes within one hospital in Guangdong Province, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>During reprocessing of 235 flexible endoscopes in the urology surgical suite, adenosine triphosphate (ATP) detection was used to monitor the efficacy of biofilm removal. The internal and external parts of flexible endoscopes were used as sampling sites by means of the flushing and smudge methods, respectively. When the two results reached the standard of less than 500 relative light units\/piece at the same time, endoscopic biofilm clearance was considered to be qualified. A QCC was established to implement a 10-step plan-do-check-act model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The baseline qualified rate (i.e., ATP monitoring pass rate) during reprocessing of 235 flexible endoscopes was 50%. During the study, the qualified rate increased to 85.29% after establishment of the QCC. During reprocessing of 150 flexible endoscopes in the following 6 months, the qualified rate remained at 90%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Establishment of the QCC improved the removal of biofilm from flexible endoscopes in the urology surgical suite.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060520952983","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T03:21:17Z","timestamp":1600658477000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Establishment of a quality control circle to reduce biofilm formation in flexible endoscopes by improvement of qualified cleaning rate"],"prefix":"10.1177","volume":"48","author":[{"given":"Yingxia","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qixuan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1755-9620","authenticated-orcid":false,"given":"Bingkun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7588-2886","authenticated-orcid":false,"given":"Yao","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Medical Quality Management, Zhujiang Hospital, Southern Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"key":"bibr1-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2013.04.022"},{"key":"bibr2-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2015.04.204"},{"key":"bibr3-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.acuro.2016.02.005"},{"key":"bibr4-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2013.06.010"},{"key":"bibr5-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2019.02.015"},{"key":"bibr6-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10433"},{"key":"bibr7-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.mimet.2010.08.018"},{"key":"bibr8-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1097\/01.qco.0000171925.47452.8f"},{"key":"bibr9-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2018.03.002"},{"key":"bibr10-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.744"},{"key":"bibr11-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1177\/0300060517726863"},{"key":"bibr12-0300060520952983","unstructured":"Liu TF, Liu N. Operation manual of Chinese Hospital quality management.  Beijing:  People's Medical Publishing House 2012:26\u201372."},{"key":"bibr13-0300060520952983","unstructured":"Health Technical Memorandum (HTM01-06). Management and decontamination of flexible endoscope. https:\/\/www.gov.uk. Accessed 2016-6-30."},{"key":"bibr14-0300060520952983","unstructured":"National Health and Family Planning Commission of China (NHFPC). Regulation for cleaning and disinfection technique of flexible endoscope. WS507-2016. http:\/\/nhc.gov.cn."},{"key":"bibr15-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2012.12.008"},{"key":"bibr16-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1186\/2193-1801-2-141"},{"key":"bibr17-0300060520952983","unstructured":"Gastroenterological Society of Australia\/Gastroenterological Nurse College of Australia (GESA\/GENCA). Infection Control in Endoscopy. http:\/\/www.genca.org.2010."},{"key":"bibr18-0300060520952983","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2016.06.004"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520952983","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060520952983","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520952983","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:46:41Z","timestamp":1777459601000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060520952983"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":18,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/0300060520952983"],"URL":"https:\/\/doi.org\/10.1177\/0300060520952983","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]},"article-number":"0300060520952983"}}