Implementation of remote video auditing with feedback and compliance for manual-cleaning protocols of endoscopic retrograde cholangiopancreatography endoscopes

Perioperative services leaders seeking to improve safety and efficiency without sacrificing quality may want to turn to remote video auditing, which is being successfully used in hospital ORs and ambulatory surgery centers.

One method being investigated to increase compliance to cleaning protocols is remote video auditing with near real-time feedback. We evaluated technician compliance with endoscope cleaning and sterilization protocol with the use of remote video auditing with and without feedback.

Recently I was talking to a person who works on livestock handling at packing plants. Plant management had installed a lamp on their restrainer entrance to facilitate animal entry. Adding the lamp made it possible to greatly reduce electric prod use. Using lamps to illuminate dark places is a subject I have talked about many times. Unfortunately, there is still a need to keep refreshing everybody’s memory.

Remote Video Auditing in the Surgical Setting

Remote video auditing, a method first adopted by the food preparation industry, was later introduced to the health care industry as a novel approach to improving hand hygiene practices. This strategy yielded tremendous and sustained improvement, causing leaders to consider the potential effects of such technology on the complex surgical environment…

Transparency can be a powerful driver of better healthcare quality. In 2013, it was proposed that recording video data in healthcare begin with the several medical procedures that are already video based (cardiac stent placement, arthroscopic surgery, colonoscopy, etc). Different from the past era when recording required new hardware, most of the procedures performed in medicine today are now mediated by video, enabling a new opportunity for learning health systems. Some hospitals, like Johns Hopkins, have even built operating rooms equipped with cameras—some of these are used to monitor room turnover times for scheduling efficiency, while others have been installed in anticipation of a future of increased transparency.

The operating room (OR) is a complex system that requires a carefully coordinated workflow to ensure both safe and efficient operation. Video monitoring of ORs has been described on a small scale by Hu who recorded 10 operations and used the video offline to identify and analyse safety and efficiency deficits. Makary discussed the potential of video recording in driving surgical quality improvements and eliminating surgical ‘never events’ as well as the importance of effective teamwork in driving patient safety. The use of a surgical safety checklist has been shown to reduce mortality and complication rates in a large multicentre trial and improve outcomes during simulated events

In Medicine, the problems of wide variations in quality and poor compliance with evidence-based care are well known. More education is not the solution for these problems. Knowledge is abundant, but implementation of knowledge often lags. This Viewpoint explores whether use of an existing technology, video recording

Hand hygiene is a key measure in preventing infections. We evaluated healthcare worker (HCW) hand hygiene with the use of remote video auditing with and without feedback.

Company leads with industry’s most extensive video monitoring program, animal well-being specialists, and controlled atmosphere stunning

One method being investigated to increase compliance to cleaning protocols is remote video auditing (RVA) with near real-time feedback. We evaluated technician compliance with endoscope cleaning and sterilization protocol with the use of remote video auditing with and without feedback.

Replicating changes in hand hygiene in a surgical intensive care unit with remote video auditing and feedback

Using remote video auditing (RVA) and real-time feedback, we replicated health care workers hand hygiene in a second intensive care unit. During the first 4 weeks using RVA without feedback, the compliance rate was 30.42%. The rate during the 64-week postfeedback period (initial 16 and 48 weeks maintenance) with RVA and feedback exceeded 80% on average. These data demonstrate that improved hand hygiene was achieved and sustained with the use of RVA and feedback

Faced with an Ebola-related mandate to regularly train front-line hospital staff with the donning and doffing of personal protective equipment, a community hospital’s emergency department implemented remote video auditing (RVA) to assist in the training and remediation of its nursing staff. RVA was found to be useful in assessing performance and facilitating remediation.

Objective performance data for processes essential to patient safety and OR efficiency, such as surgical time out (STO), OR cleaning, and OR throughput, are challenging to obtain. When collected by OR stakeholders, these metrics are often biased and time consuming to collect. Video auditing has been described in the OR and beyond to improve the quality of care by influencing behavior, analyzing adverse events, and encouraging best practice.

Remote video auditing (RVA) with feedback is a promising new technology shown to dramatically improve compliance among healthcare workers (HCWs). Emerging research suggests that the proven efficacy of these systems is associated with the real-time performance evaluation and reminders they provide to HCWs, which encourages staff to improve or modify aspects of their behavior

UPMC Hamot reports significant reduction in SSIs, OR turnover times with remote video auditing. To conquer the hospital’s challenges they turned to an innovative third-party service called remote video auditing provided by the web services company Arrowsight, Inc.

The Society of Gastroenterology Nurses and Associates (SGNA) outlines practice standards for manual cleaning of endoscopic retrograde cholangiopancreatography endoscopes before being placed into a automated endoscope reprocessors (AER) between patients to prevent the transmission of pathogens. Even though there are detailed guidelines for reprocessing endoscopes there have been multiple reports of patients acquiring CarbapenemResistant Enterobacteriaceae (CRE) following an endoscopic retrograde cholangiopancreatography (ERCP). Since pathogen transmission can be related to improper cleaning of the endoscope between patients this initiative was designed to assess adherence to the multi-step process for manual cleaning of ERCP endoscopes with the use of remote video auditing (RVA).

Remote video auditing: 5 applications to improve patient safety, efficiency.

Just as sports teams watch game film to analyze performance and identify opportunities for improvement, remote video auditing in the healthcare setting gives clinicians the opportunity to receive near real-time performance feedback to help them improve care and reduce the possibility of adverse events.

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The Supplier or the Year Award is given to the supplier member of AMI that truly partners with meat and poultry processors to help achieve industry goals.

Hand hygiene is an important factor in protecting patients from healthcare-associated infections, yet reported compliance with hand hygiene averages about 38.7% with mean baseline rates ranging from 5% to 89%. Intensive care units report lower rates of hand hygiene compliance (30%–40%) compared with other healthcare settings (50%–60%). The majority of studies on hand hygiene are based on direct measurements, such as intermittent human observation, healthcare worker self-reporting, and indirect measurement of hand hygiene product usage .

NAMA is committed to the proper handling of livestock and works proactively with the meat industry as well as technology and service providers to support compliance with all animal handling requirements. The Arrowsight RVA system for animal handling applications has been successfully utilized in many slaughter facilities throughout the US and Canada over the last several years. Arrowsight works within the AMI Guidelines and under PAACO training and certification, to implement custom programs for improved coaching through sampled remote video auditing and performance reporting feedback

The use of video monitoring — covert or disclosed, of patients or providers — has proliferated as high quality, inexpensive technology has become increasingly accessible. The possibilities range from watching elderly patients at risk of falling in their rooms to recording doctors and nurses at sinks to make sure they’re washing their hands.