Flexible endoscope processing: execution of the steps from the perspective of professionals
DOI:
https://doi.org/10.5327/Z1414-442520242996%20Keywords:
Gastroscopes, Patient safety, Nursing staff, Disinfection, EndoscopesAbstract
Objective: To identify studies in the literature that address the processing of flexible endoscopes in the context of the challenges presented regarding the omission and difficulty of the steps and the perception of the process from the perspective of professionals. Method: Integrative review that included original articles, without an initial time frame, published up to February 2023, available in the Cochrane Library, Scopus, Web of Science, Medical Literature Analysis and Retrieval System Online (Medline), and United States National Library of Medicine (PubMed) databases. Controlled descriptors in Health Sciences and the PICO strategy were used. Results: Five articles were identified for analysis. The sealing test, pre-cleaning, alcohol instillation and manual cleaning were the steps most likely to be omitted (20%). Pre-cleaning (20%), drying (20%), manual cleaning (40%) and connecting the device to the automated washer (40%) are the most difficult steps. The lack of internal visibility of the channels (20%), lack of knowledge (40%), excessive use of memory by professionals (40%) and pressure to complete processing (60%) make it difficult to execute the steps. Conclusion: The omitted steps, the factors contributing to the omission and the perception of professionals can be valuable indicators for reviewing services and processes, aiming to ensure their effectiveness.
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