Implementation of remote video auditing with feedback and compliance for manual-cleaning protocols of endoscopic retrograde cholangiopancreatography endoscopes

• Published in: American journal of infection control Vol. 46; no. 5; pp. 594 - 596
• Main Authors: Armellino, Donna, Cifu, Kelly, Wallace, Maureen, Johnson, Sherly, DiCapua, John, Dowling, Oonagh, Jacobs, Mitchel, Browning, Susan
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2018
• Subjects: Cholangiopancreatography, Endoscopic Retrograde - instrumentation; Decontamination - methods; Endoscopes - microbiology; Feedback; Guideline Adherence; Humans; Infection prevention; Medical Audit; Pilot Projects; Quality improvement; Reprocessing; Reprocessing; Quality improvement; Infection prevention
• ISSN: 0196-6553; 1527-3296
• DOI: 10.1016/j.ajic.2017.10.007

•Use of remote video auditing to document ERCP endoscope reprocessing was examined.•Compliance to ERCP endoscope manual cleaning steps was measured.•Performance feedback in the form of education and performance reports provided.•Introduction of performance feedback resulted in improved compliance
A pilot initiative to assess the use of remote video auditing in monitoring compliance with manual-cleaning protocols for endoscopic retrograde cholangiopancreatography (ERCP) endoscopes was performed. Compliance with manual-cleaning steps following the initiation of feedback was measured. A video feed of the ERCP reprocessing room was provided to remote auditors who scored items of an ERCP endoscope manual-cleaning checklist. Compliance feedback was provided in the form of reports and reeducation. Outcomes were reported as checklist compliance. The use of remote video auditing to document manual processing is a feasible approach and feedback and reeducation increased manual-cleaning compliance from 53.1% (95% confidence interval, 34.7-71.6) to 98.9% (95.0% confidence interval, 98.1-99.6).