CONF-18-Cheron-Rojo.pdf

1、Findings of an Internal Auditing Study of Insulation Testing Practices to Improve Healthcare Facility Testing Practices and Patient OutcomesCheron Rojo,BS,FCS,CHL,CIS,CER,CFER,CRCSTSenior Clinical Education Specialist,Healthmark IndustriesThe Root-Cause of the AIM September of 2020 my daughter becam

2、e ill Emergency lap appendectomy Facility did not perform insulation testing 7-days later daughter returned to emergency with complications(not related to arching)This incident was a(near miss)Had some data for a 2019 from a preliminary study,published in 2021 Then a more robust study in 2021-2022AI

3、M The aim of the study was to identify how common insulation testing failures and malfunctions are in insulated medical devices used in healthcare facilities.The study is a retrospective cross-section 12-month study that was conducted from May 2021 to May 2022 at 49 healthcare facilities that consis

4、ted of 416 insulted instrumentations.The study was published in the 2023 March/April Edition of the PROCESS Magazine(HSPA).Methods Auditing of random laparoscopic insulated trays Bipolar insulated forceps using an insulation tester with variable power settings and a variety of adapters to fit the in

5、strument being tested.A cable continuity tester was utilized to identify any disruption of the electrical current within reusable monopolar and bipolar cables.An enhanced inspection microscope was used to evaluate the damage identified with the insulation tester and other visible damage observed.NOT

6、E:Personnel at the healthcare facility observing the audit were notified of any failures.Methods Continued A qualitative survey question was administered to operating room nurses randomly across the United States asking if they had experienced events such as arcing of electrical current during a pro