Patient Safety

Another Company Recalls Its Duodenoscopes

On July 21, 2017, Fujifilm Medical Systems USA issued an Urgent Medical Device Correction and Removal notification to inform customers of a recall of its ED-530XT duodenoscopes.  This voluntary recall includes the replacement of the ED-530XT forceps elevator mechanism including the O-ring seal, replacement of the distal end cap, and the provision of new Operation […]

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Patient Recall in Maryland Continues Recent Spat of Endoscope-Related Issues

Kaiser Permanente’s Largo Medical Center in Maryland has issued a notice to 23 patients that they should undergo testing following the use of an improperly disinfected flexible endoscope in their cases.  This recall, coupled with the recent issue at an armed forces facility in Qatar, continues to remind us of the risks that improperly reprocessed

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What A Recent Outbreak in a US Military Hospital Can Teach Us

The recent revelation of a potential endoscope-related outbreak at the Al Udeid Air Base in Qatar reminds us once again of the risks that improperly reprocessed scopes represent to our patients.  This unfortunate episode potentially exposed 135 airmen to such diseases as HIV, hepatitis B and C and other potentially fatal bugs. The most disturbing

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Spotlight on New Best Practices For Scope Reprocessing

The recent issues surrounding scope-related infections continue to gather media attention.  A recent article by the Pittsburgh-Post Gazette follows the story of how UPMC in Pittsburgh, PA has managed its endoscope reprocessing since a scope-related outbreak in 2012.  In the article, UPMC points to its adoption of additional steps added to its reprocessing guidelines since

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Why Your Automated Endoscope Reprocessor Is Not a Documentation System

Hospitals and healthcare providers are under increased scrutiny by The Joint Commission (TJC), the FDA, DNV and even Congress to improve the documentation practices around flexible endoscope usage. There are articles are in the media seemingly every day about how a hospital was cited, sued or otherwise put in a negative light around their endoscope

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First Olympus Superbug Trial Underway And What It Means For All Hospitals

The first trial accusing Olympus Corp. of wrongdoing associated with contaminated duodenoscopes in US hospitals is underway.  The case surrounds the death of Richard Bigler, a 57 year-old patient who underwent a scope procedure while battling pancreatic cancer in 2013.  It’s alleged that during the procedure, a tainted duodenoscope at Virginia Mason Medical Center passed

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The Dangers Of Copy-And-Paste In Your Medical Records

With the seemingly endless amount of information clinicians are required to enter into medical records software each day, it comes as no surprise that doctors and other hospital staff are looking for short-cuts to reduce their documentation burden.  At our customers, we’ve seen copying and pasting of data from templates or other patient records to

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The Risk Of Improperly Trained Staff In The Endoscopy Suite

A recent incident in the Philadelphia area reminds us of the dangers that can result from improperly trained staff in the endoscopy area of a hospital.  In the incident, an elderly patient undergoing a surgical procedure had an improperly cleaned endoscope used on them during their procedure.  The incident occurred at Crozer-Chester Medical Center, outside

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Why Patient Outcomes Improve During Joint Commission Surveys

A recent study published in JAMA Internal Medicine found that mortality of patients during Joint Commission surveys was reduced by 6% compared to before and after the surveys.  The study, authored by Andrew Olenski, Michael Barnett and Anupam Jena, attributed the improved patient outcomes to the “Hawthorne Effect.”  The “Hawthorne Effect” suggests that people actively

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Are You Able To Inspect What You Expect?

In hospitals, endoscopy, perioperative, sterile processing and infection control teams have done a wonderful job of teaming up together to implement solutions for effective flexible endoscope management. This area has been one of the biggest, if not the biggest, area of scrutiny by Joint Commission and other surveying agencies in the past 1.5 years. We

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