Scottish Government

ISBN 0 7559 1334 5 (Web only publication)
This document is also available in pdf format (1mb)

Contents

Executive Summary

Section 1 : Introduction and Background
Introduction
Health risk associated with endoscopy
Endoscopes and their use
Endoscope decontamination
Decontamination standards and guidance

Section 2: Review of Current Endoscope Decontamination Practice in Scotland
2.1 Aim
2.2 Objectives
2.3 Methodology
Study population
Funding
Development of the question set
Development of the assessment tool
Data collection
Data quality
Data processing
Data analysis

Section 3: Results
Data analysis
Range of clinical units that undertake endoscopy
Range of clinical units that undertake reprocessing of endoscopes
Range of endoscopes
Information recorded for endoscopes
Recognition of endoscope channels
Decontamination processes for endoscopes channels
Manual pre-cleaning procedures
Endoscope reprocessing equipment
Decontamination process stage
Reprocessing equipment - maintenance and testing

Section 4: Discussion
Scope
Methodology
Results
Identification of units that undertake endoscopy
Identification of sites that undertake endoscopy reprocessing
Identification of endoscopes
Identification of channels in endoscopes
Availability of information about the device and its reprocessing
Availability of endoscope reprocessing equipment
Process stages
Manual cleaning procedure and facilities
Endoscope reprocessing equipment
Remedial actions

Section 5: Conclusions and Recommendations

Section 6: Acknowledgements

Section 7: References

Appendix 1: HAZ(SC)04/0 Flexible and Rigid Endoscopes: Risks from Inadequate Decontamination
Appendix 2: Scottish Executive Chief Medical Officer Letter [SEHD-CMO(2004)16
Appendix 3: Topics Covered by the Endoscope Decontamination Assessment Tool ( EDAT)
Appendix 4: Copy of letter from Scottish Executive Health Department
Appendix 5: Extracts from the 'Instructions for Use' in Help Files included with the tool
Appendix 6: Summary of NHSScotland personnel who carried out the review
Appendix 7: Copy of letter from KeyMed to medical facilities in the UK following the issue of MDA (2004)028
Appendix 8: Glossary and Abbreviation
Appendix 9: Review Team
Appendix 10: Members of the HPS Decontamination Team
Appendix 11: Members of the Scottish Action Group