WEBVTT 1 00:00:00.970 --> 00:00:04.750 Today's challenges and solutions for the 2 00:00:04.750 --> 00:00:08.030 sterile goods processing process in hospitals and clinics. 3 00:00:08.510 --> 00:00:10.470 In Germany, around 400,000 to 600,000 4 00:00:10.470 --> 00:00:13.630 patients are infected with multi-resistant germs. 5 00:00:14.210 --> 00:00:16.030 And according to the RKI, this results in between 10,000 6 00:00:16.030 --> 00:00:18.130 and 20,000 deaths. 7 00:00:19.070 --> 00:00:22.070 The causes for this can be, among other things, 8 00:00:22.070 --> 00:00:25.070 rooted in a faulty sterile goods processing process. 9 00:00:25.950 --> 00:00:27.290 What are we talking about? 10 00:00:28.430 --> 00:00:32.030 From inventory analyses in around 200 clinics with four 11 00:00:32.030 --> 00:00:36.370 surgical disciplines, an instrument inventory of approximately 12 00:00:36.590 --> 00:00:39.650 2.5 to 4.2 million euros could be shown. 13 00:00:40.850 --> 00:00:44.310 This presentation shows the annual total management costs of 14 00:00:44.310 --> 00:00:46.650 100,000 inventory instruments. 15 00:00:47.870 --> 00:00:50.470 The resulting costs for a clinic would 16 00:00:50.470 --> 00:00:52.830 be approximately 9.9 million euros. 17 00:00:53.710 --> 00:00:58.270 A massive deviation from budgeted costs indicates 18 00:00:58.270 --> 00:01:01.730 problems in handling the instruments, processing 19 00:01:01.730 --> 00:01:05.350 and the associated media as well as their 20 00:01:05.350 --> 00:01:06.170 generation. 21 00:01:07.430 --> 00:01:10.510 The values shown in the table are an 22 00:01:10.510 --> 00:01:13.330 important first indicator for such process problems. 23 00:01:14.290 --> 00:01:16.710 This leads to central questions. 24 00:01:17.630 --> 00:01:21.470 Which methodology should be used to analyze your sterile goods processing process? 25 00:01:21.470 --> 00:01:25.570 Are the costs for repairs and replacement services still 26 00:01:25.570 --> 00:01:26.590 in good balance? 27 00:01:27.870 --> 00:01:31.370 Can the existing water treatment technology ensure the required qualities 28 00:01:31.370 --> 00:01:33.270 and meet the demand? 29 00:01:34.490 --> 00:01:38.410 For medical devices, guidelines, limits 30 00:01:38.410 --> 00:01:39.080 and standards apply. 31 00:01:39.750 --> 00:01:45.270 For example, the Infection Protection Act, the MDR, the Medical Device Act, 32 00:01:45.670 --> 00:01:50.690 the Medical Device Operator Ordinance, the recommendations of the RKI, the 33 00:01:50.690 --> 00:01:54.690 manufacturer specifications as well as DIN EN 285 34 00:01:54.690 --> 00:01:57.850 for feed water and condensate and much 35 00:01:57.850 --> 00:01:58.230 more. 36 00:01:59.430 --> 00:02:03.170 For the planning of a water treatment system for cleaning, 37 00:02:03.170 --> 00:02:08.190 disinfection as well as for the sterilization of medical devices, 38 00:02:08.190 --> 00:02:10.770 no legally binding standards exist. 39 00:02:10.770 --> 00:02:12.650 Their planning or 40 00:02:12.890 --> 00:02:15.110 design is based on or 41 00:02:15.650 --> 00:02:19.510 applies DIN EN 285 for feed water 42 00:02:19.510 --> 00:02:20.310 and condensate. 43 00:02:21.030 --> 00:02:23.830 However, these sometimes give contradictory information. 44 00:02:24.830 --> 00:02:27.690 The following illustration shows examples of negative 45 00:02:27.690 --> 00:02:32.290 surface changes on instruments, equipment technology and 46 00:02:32.290 --> 00:02:34.270 process water system construction. 47 00:02:35.350 --> 00:02:38.470 These originate from various process analyses and were each 48 00:02:38.470 --> 00:02:40.430 triggers for optimization measures. 49 00:02:41.350 --> 00:02:44.370 Triggers for a process analysis in the area of 50 00:02:44.370 --> 00:02:47.450 equipment technology can be the chambers of steam sterilizers. 51 00:02:48.170 --> 00:02:51.790 The color surface changes inside the chamber are often a 52 00:02:51.790 --> 00:02:56.750 result of poor steam quality from the process water system technology and 53 00:02:56.750 --> 00:02:59.210 also have a negative influence on the 54 00:02:59.210 --> 00:03:00.790 surfaces of the instruments. 55 00:03:01.630 --> 00:03:04.250 Here an instrument with heavy surface contamination from 56 00:03:04.250 --> 00:03:05.430 silicates can be seen. 57 00:03:05.430 --> 00:03:09.610 The silicate coating is initially not yet a patient risk, 58 00:03:10.050 --> 00:03:12.550 but over time becomes a possible 59 00:03:12.550 --> 00:03:14.150 pitting corrosion risk. 60 00:03:14.930 --> 00:03:18.210 This means the consequences would be pitting corrosion at the 61 00:03:18.210 --> 00:03:21.810 cloud edges and thus an uncontrollable hygienic 62 00:03:21.810 --> 00:03:22.910 processing problem. 63 00:03:24.330 --> 00:03:27.290 The instrument shown here is depicted with the previously 64 00:03:27.290 --> 00:03:30.390 outlined cloud formations of silicates. 65 00:03:30.390 --> 00:03:34.150 In the microscopic magnification one can clearly see the 66 00:03:34.150 --> 00:03:36.790 pitting corrosion formation at the cloud edges. 67 00:03:37.550 --> 00:03:40.330 As a result, the instrument would either have to be refurbished 68 00:03:40.330 --> 00:03:41.810 or replaced. 69 00:03:42.730 --> 00:03:46.150 In the following chart in the left tray representation 70 00:03:46.150 --> 00:03:49.850 it is clearly visible that the disposal capacities for 71 00:03:49.850 --> 00:03:52.850 qualitatively good disposal from the OR area 72 00:03:52.850 --> 00:03:54.810 are clearly not guaranteed. 73 00:03:55.690 --> 00:03:58.830 Also in the right representation the disposal quality 74 00:03:58.830 --> 00:04:03.150 allows for some improvement optimizations, such as opening 75 00:04:03.150 --> 00:04:06.790 the instruments and instrument-appropriate storage. 76 00:04:09.060 --> 00:04:12.280 Pitting corrosion is a phenomenon in the area of instruments 77 00:04:12.700 --> 00:04:15.500 that always leads to complaints from health authorities. 78 00:04:16.140 --> 00:04:19.260 And these affected instruments must then be promptly removed from 79 00:04:19.260 --> 00:04:21.060 the sterile goods circuit. 80 00:04:21.060 --> 00:04:25.400 At this point, insufficient cleaning performance of a 81 00:04:25.400 --> 00:04:29.220 washer-disinfector could have been the trigger for such 82 00:04:29.220 --> 00:04:30.780 pitting corrosion. 83 00:04:32.140 --> 00:04:35.580 The residual contamination on this needle holder is associated with 84 00:04:35.580 --> 00:04:39.520 poor or insufficient cleaning performance of a washer 85 00:04:39.520 --> 00:04:41.800 disinfector. 86 00:04:42.480 --> 00:04:45.080 Incorrect or excessive loading could also 87 00:04:45.080 --> 00:04:46.620 lead to such failures. 88 00:04:46.620 --> 00:04:49.660 As a rule, there is a high risk 89 00:04:49.660 --> 00:04:51.900 for pitting corrosion on the instrument. 90 00:04:53.080 --> 00:04:55.860 What insights could be derived from the previously shown 91 00:04:55.860 --> 00:04:57.760 information and hints? 92 00:04:58.260 --> 00:05:01.080 First and foremost is the process water quality and its 93 00:05:01.080 --> 00:05:02.600 production facilities. 94 00:05:03.260 --> 00:05:06.640 They are significantly co-responsible for surface changes on the 95 00:05:06.640 --> 00:05:11.200 equipment technology, piping systems, media and instruments. 96 00:05:11.200 --> 00:05:14.760 Repair or replacement of instruments without 97 00:05:14.760 --> 00:05:18.240 prior optimization of the systems is not effective, 98 00:05:18.440 --> 00:05:21.160 as the next case requiring remediation would arise. 99 00:05:21.820 --> 00:05:24.520 Instruments with pitting corrosion carry a high degree of 100 00:05:24.520 --> 00:05:27.860 infection risk through media such as water and steam. 101 00:05:28.780 --> 00:05:32.460 Also the insight that especially new instruments or investments 102 00:05:32.460 --> 00:05:35.300 in equipment technology pose a high risk for 103 00:05:35.300 --> 00:05:39.040 introducing surface changes into the sterile goods circuit 104 00:05:39.040 --> 00:05:42.260 should be considered at this point. 105 00:05:44.140 --> 00:05:47.200 Our service offerings are always linked with a holistic 106 00:05:47.200 --> 00:05:50.460 view of the entire sterile goods circuit. 107 00:05:50.820 --> 00:05:54.260 Because all functional areas in a clinic are significantly 108 00:05:54.260 --> 00:05:58.300 involved in success and a qualitatively good sterile goods circuit. 109 00:05:58.300 --> 00:05:59.000 110 00:06:00.520 --> 00:06:05.500 Our service portfolio includes the following support tools such as 111 00:06:05.500 --> 00:06:09.820 analyzing and evaluating as well as documenting the current state of 112 00:06:09.820 --> 00:06:14.400 water and steam preparation, analysis of sterile goods processing processes 113 00:06:14.400 --> 00:06:15.840 and the quality of instruments. 114 00:06:16.780 --> 00:06:20.740 We also create individual recommendations for action and accompany 115 00:06:20.740 --> 00:06:23.640 you in implementing the recommendations through our 116 00:06:23.640 --> 00:06:28.440 experts from the areas of water treatment, sterile goods processing and 117 00:06:28.440 --> 00:06:29.820 instrument management. 118 00:06:30.820 --> 00:06:34.580 After handing over a final report on the analysis results 119 00:06:34.580 --> 00:06:36.520 we are able to support you in 120 00:06:36.520 --> 00:06:41.240 implementing the previously outlined and indicated optimization measures as 121 00:06:41.240 --> 00:06:44.760 moderator and consultant between the individual trades helpfully 122 00:06:44.760 --> 00:06:46.180 supporting you. 123 00:06:46.980 --> 00:06:50.940 Finally, we validate the implemented optimization measures and 124 00:06:50.940 --> 00:06:52.740 subsequently release the process. 125 00:06:52.740 --> 00:06:57.380 After a completed process analysis, important questions must be 126 00:06:57.380 --> 00:06:59.500 answered by the clinic management. 127 00:07:00.200 --> 00:07:03.480 First, what planning basis underlies future 128 00:07:03.480 --> 00:07:05.120 sterile goods processing? 129 00:07:06.060 --> 00:07:09.220 To what extent do I want to invest in the following 130 00:07:09.220 --> 00:07:10.420 measures? 131 00:07:10.640 --> 00:07:14.920 Or what degree of goal achievement equals safety do I want to 132 00:07:14.920 --> 00:07:15.660 implement in the end? 133 00:07:16.480 --> 00:07:19.080 Do I want 100% safety or do I reduce 134 00:07:19.080 --> 00:07:22.920 the catalog of measures and thereby increase my process risk? 135 00:07:23.420 --> 00:07:26.600 The clinic management should ask themselves these questions in advance of 136 00:07:26.600 --> 00:07:31.380 optimization measures and find appropriate answers to them. 137 00:07:32.900 --> 00:07:36.440 Use our expertise now for sustainable process safety 138 00:07:36.440 --> 00:07:38.680 in your sterile goods processing process. 139 00:07:38.680 --> 00:07:42.280 Our expert team around Mr. Kurzrock helps you achieve the 140 00:07:42.280 --> 00:07:46.680 required safety in the sterile goods processing process through holistic 141 00:07:46.680 --> 00:07:50.720 analysis, derivation of recommendations for action and support in implementing 142 00:07:50.720 --> 00:07:53.080 measures derived from this. 143 00:07:53.780 --> 00:07:56.860 As part of our seminar program, we illuminate the individual 144 00:07:56.860 --> 00:08:00.940 process elements of sterile goods processing and develop with you 145 00:08:00.940 --> 00:08:05.460 safety concepts, savings potential and action plans for your 146 00:08:05.460 --> 00:08:07.180 sterile goods processing process. 147 00:08:08.000 --> 00:08:09.940 Contact us now and secure 148 00:08:09.940 --> 00:08:11.180 your seminar place. 149 00:08:11.540 --> 00:08:12.600 We look forward to seeing you!