TY - JOUR
T1 - Management of surgical instruments at loaner companies in upper-middle and high-income countries
T2 - the other side of the coin
AU - de Melo Costa, Dayane
AU - de Oliveira Lopes, Lillian Kelly
AU - Pereira, Luiz Antônio
AU - Vickery, Karen
AU - Hu, Honghua
AU - Castillo, Roel
AU - Ferreira Veiga Tipple, Anaclara
PY - 2022/11
Y1 - 2022/11
N2 - Background: The complex and specific surgical instruments (SI) acquired from loaner companies are provided non-sterile and must be reprocessed before each use. We evaluated the management practices of SI in loaner companies in a high (Australia) and a middle-income (Brazil) country. Methods: Seven company managers in Australia and eight in Brazil replied to the self-administrated survey. Results: Failures to meet recommended practices were detected, including standard operating procedure (SOP) provision, minimum delivery time, transport container and decontamination in loaner companies in both countries. Six of seven loaner companies in each country provided SOP for instrument reprocessing (one company in Brazil did not reply). Solicitation of the SI may occur 12 h before need in Brazil, and delivery of the set could be accepted 4 h before surgery in both countries. Transport of SI on stainless steel/aluminium trays was reported by 42.85% and 28.6% of companies in Brazil and Australia, respectively. In Australia, 57.1% of the loaner companies affirmed they performed cleaning only if the SI were visibly dirty. In Brazil, 62.5% of the companies reported they use alcohol to wipe SI. Conclusions: There is a need for standardisation of requirements and process verification improvement in loaner SI reprocessing and management.
AB - Background: The complex and specific surgical instruments (SI) acquired from loaner companies are provided non-sterile and must be reprocessed before each use. We evaluated the management practices of SI in loaner companies in a high (Australia) and a middle-income (Brazil) country. Methods: Seven company managers in Australia and eight in Brazil replied to the self-administrated survey. Results: Failures to meet recommended practices were detected, including standard operating procedure (SOP) provision, minimum delivery time, transport container and decontamination in loaner companies in both countries. Six of seven loaner companies in each country provided SOP for instrument reprocessing (one company in Brazil did not reply). Solicitation of the SI may occur 12 h before need in Brazil, and delivery of the set could be accepted 4 h before surgery in both countries. Transport of SI on stainless steel/aluminium trays was reported by 42.85% and 28.6% of companies in Brazil and Australia, respectively. In Australia, 57.1% of the loaner companies affirmed they performed cleaning only if the SI were visibly dirty. In Brazil, 62.5% of the companies reported they use alcohol to wipe SI. Conclusions: There is a need for standardisation of requirements and process verification improvement in loaner SI reprocessing and management.
KW - Health care
KW - Implants and prostheses
KW - Outsourced services
KW - Quality indicators
KW - Surgical instruments
UR - http://www.scopus.com/inward/record.url?scp=85141693136&partnerID=8YFLogxK
U2 - 10.1016/j.idh.2022.05.007
DO - 10.1016/j.idh.2022.05.007
M3 - Article
C2 - 35753992
AN - SCOPUS:85141693136
SN - 2468-0451
VL - 27
SP - 235
EP - 238
JO - Infection, Disease and Health
JF - Infection, Disease and Health
IS - 4
ER -