AAMI News November 2017

Popular Accreditation Survey Resource Undergoes Major Update

What is the secret to acing an accreditation survey? According to consultant Rose Seavey, it is an in-depth understanding of the standards and requirements.

“The foundation for any department’s survey preparation is keeping up with the standards from the relevant accreditation organization, as well as guidelines from professional organizations,” Seavey said. “You can’t have defensible policies and procedures without a reference.”

Seavey, a former director of sterile processing at The Children’s Hospital of Denver and a member of several AAMI standards committees focused on sterilization, just completed the third edition of her popular resource Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys.

Since the previous edition was published in 2014,  there have been a number of changes in national  standards, including updates to ANSI/AAMI ST79, Comprehensive guide to steam sterilization and sterility assurance in health care facilities, and ANSI/AAMI ST91, Comprehensive guide to flexible and semi-rigid endoscope processing in health care facilities, as well as the publication of ANSI/AAMI ST90, Processing of health care products—Quality management systems for processing in health care facilities (see related story). In addition, The Joint Commission (TJC) has implemented a new approach to surveying, one that uses what the organization calls the SAFER matrix.

“The third edition of the book covers the SAFER matrix and explains how conducting a multidisciplinary risk assessment can help fix any issues instead of relying on a Band-Aid approach,” Seavey said. In addition to outlining the requirements for various accreditation agencies and relevant guidelines, the book also provides a step-by-step guide to survey preparation, best practice audit tools for immediate-use steam sterilization and high-level disinfection, and an instrument integrity checklist.

“I hope this book gives those who sterilize devices or perform high-level disinfection a better understanding of how to prepare for an accreditation survey using a multidisciplinary team approach so that it is a positive experience,” Seavey said.

Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys should be published later this month and will be available for purchase from the AAMI Store, www.aami.org/store.