Patient safety and reprocessing

A usability test of the endoscope reprocessing procedure

Jonathan D. Jolly, Emily A. Hildebrand, Russell Branaghan, T. B. Garland, Dana Epstein, Judith Babcock-Parziale, Victoria Brown

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

When endoscopes are reprocessed correctly, endoscopy is a safe procedure. Recent incidents of insufficient reprocessing, however, have resulted in public concern. Results of a usability test of the reprocessing procedure identified that none of 24 users, naîve to the procedure, could reprocess endoscopes correctly, nor could they correctly complete any of the component tasks in the procedure. Five of the 76 subtasks were identified as particularly critical. These were 1) brushing the instrument channel, 2) attaching the channel plug and injection tube, 3) identifying leaks, 4) blowing water out of the endoscope's internal channels during high-level disinfection, and 5) aspirating solution through the endoscope to remove debris loosened by brushing. Additionally, three themes were identified as causes of the majority of problems: 1) lack of visibility, 2) high memory demands, and 3) insufficient user feedback. Design recommendations for these problems are discussed.

Original languageEnglish (US)
Pages (from-to)39-51
Number of pages13
JournalHuman Factors and Ergonomics In Manufacturing
Volume22
Issue number1
DOIs
StatePublished - Jan 2012

Fingerprint

reprocessing
Endoscopy
Disinfection
incident
Blow molding
Debris
Visibility
water
cause
lack
Feedback
Data storage equipment
Water

Keywords

  • Endoscope
  • Patient safety
  • Reprocessing
  • Reusable medical equipment
  • Usability test

ASJC Scopus subject areas

  • Industrial and Manufacturing Engineering
  • Human Factors and Ergonomics

Cite this

Patient safety and reprocessing : A usability test of the endoscope reprocessing procedure. / Jolly, Jonathan D.; Hildebrand, Emily A.; Branaghan, Russell; Garland, T. B.; Epstein, Dana; Babcock-Parziale, Judith; Brown, Victoria.

In: Human Factors and Ergonomics In Manufacturing, Vol. 22, No. 1, 01.2012, p. 39-51.

Research output: Contribution to journalArticle

Jolly, Jonathan D. ; Hildebrand, Emily A. ; Branaghan, Russell ; Garland, T. B. ; Epstein, Dana ; Babcock-Parziale, Judith ; Brown, Victoria. / Patient safety and reprocessing : A usability test of the endoscope reprocessing procedure. In: Human Factors and Ergonomics In Manufacturing. 2012 ; Vol. 22, No. 1. pp. 39-51.
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