Optical illusions: The vital importance of instructions for use and intentionally approaching eye device processing

Am J Infect Control. 2024 Mar;52(3):324-330. doi: 10.1016/j.ajic.2023.09.009. Epub 2023 Sep 21.

Abstract

Background: The purpose of this process and quality improvement activity was to address opportunities identified with cleaning, disinfection, and sterilization requirements for eye devices, and implement a robust and sustainable processing system to support safe patient care.

Methods: Through the lean 6 Sigma methodology, the evaluation of noncritical, semicritical and critical device processing was conducted. A hierarchal approach to law, regulation, manufacturer's instructions for use, evidence-based guidelines, consensus documents, facility risk assessments, policy, and procedure was conducted. Over 15 diverse clinical areas within a large health care network were assessed for utilization of ophthalmic and optometric devices, with the review of inventory for manufacturer-instructed cleaning, disinfection and sterilization compliance.

Results: An interdepartmental multidisciplinary team with oversight of over 10 service lines led the implementation of point-of-use treatment, transport, high-level disinfection, sterilization, storage, and documentation based on intended use.

Conclusions: During this experience, infection Preventionists performed a vital role in supporting a highly reliable cleaning, disinfection, and sterilization process. This undertaking required a team approach to apply instructions for uses and evidence-based practice that promoted sustainability and ultimately led to supporting the prevention of health care-associated infections and patient harm.

Keywords: Cleaning, Disinfection and Sterilization; Eye health; Eye instruments; Intended use; Ophthalmic devices; Patient safety.

MeSH terms

  • Cross Infection* / prevention & control
  • Disinfection / methods
  • Health Facilities
  • Humans
  • Optical Illusions*
  • Policy
  • Sterilization / methods