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Decontamination of Surgical Instruments.

Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.

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June 8, 2022

Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.

Surgical equipment sterilization can be hampered by equipment design, production pressures, process complexity and policy misalignment. This report examines a case of unclean surgical instrument use. It recommends external sterile service assessment and competency review as steps toward improving the reliability of instrument decontamination processes in the National Health Service.

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Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.

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