Reduce Positive Endoscope Microsurvilience Culture (MSC) result
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
Achieve less than 20% positive MSC rate for flexible endoscopes by March 2020. Reduced MSC rates improved patient safety; DHLD and enhanced brushing practices sustained improvements.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Value Based Care, Safe Care, Risk Management, Preventive Approach
About this Content
Aims
Achieve less than 20% positive MSC rate for flexible endoscopes by March 2020.
Background
Positive MSC rates of 32.5% posed risks of infection, delays, and increased reprocessing costs.
Methods
Implemented Double High-Level Disinfection (DHLD) and increased manual brushing frequency from 3-5 to 6-10 times.
Results
Positive MSC rate reduced to below 20%; DHLD was effective but increased workload and costs.
Conclusion
Reduced MSC rates improved patient safety; DHLD and enhanced brushing practices sustained improvements.
Lessons Learnt
Root cause analysis and evidence-based disinfection were key to achieving a sustainable solution.
Additional Information
Presented at SGNA in the United States
Keywords
Endoscope MSC, Double High-Level Disinfection, Patient Safety, Workflow Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Gastroenterology |
Project Lead(s) | Zhang Rong |
Project Member(s) | Wang Cai Hong |
Connect with this contributor!
Zhang Rong - rong_zhang@nuhs.edu.sg
Project Attachment
C_248_NTFGH_QM_2020_Reduce_Positive_Endoscope_Microsurvilience_Culture_MSC_result.pdf