Document Detail


Bedpan washer disinfectors: An in-use evaluation of cleaning and disinfection.
MedLine Citation:
PMID:  21864763     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: As part of a comprehensive approach to decreasing Clostridium difficile in our health authority, an evaluation of the in-use performance of 2 brands of bedpan decontaminators (BPDs) in 2 acute care facilities was performed.
METHODS: A continuous quality improvement approach consisting of 5 BPD audits and 4 intervention phases was used over a 16-month evaluation period. Visible fecal soil on processed items was used as the progress indicator, and infection preventionists performed audits.
RESULTS: A total of 1,982 observations was recorded. Percent failures rates ranged from 7.6% to 33% dependent on the intervention phase. Polypropylene materials had fewer failures compared with stainless steel. The addition of rinse agent significantly improved results particularly in polypropylene items (1% failure rate). A number of human factors issues and equipment design features compromised the BPD's ability to function adequately.
CONCLUSION: Users should thoroughly evaluate the in-use efficacy of BPDs and use a step-wise approach to identify and correct both human and equipment deficiencies. Forced function and compliance features for correct loading of machines, detergent and rinse agent dispensing, and ability to operate the machine only when detergent is present should be integral to the BPD design.
Authors:
Elizabeth Bryce; Allison Lamsdale; Leslie Forrester; Linda Dempster; Sydney Scharf; Michael McAuley; Ian Clearie; Sharon Stapleton; Sheila Browning
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of infection control     Volume:  39     ISSN:  1527-3296     ISO Abbreviation:  Am J Infect Control     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8004854     Medline TA:  Am J Infect Control     Country:  United States    
Other Details:
Languages:  eng     Pagination:  566-70     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.
Affiliation:
Infection Prevention and Control, Vancouver Coastal Health, Vancouver, British Columbia, Canada.
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