iLearning Recorded Webinar

Decreasing Human Error in Endoscope Processing



Flexible endoscope reprocessing has been identified by the ECRI Institute as the number one patient safety issue.   Researchers involved in flexible endoscope reprocessing have identified human error as a leading contributor to mistakes made in endoscope reprocessing.  This one-hour continuing education program will provide information concerning human errors that have been observed or documented by researchers throughout each critical touch point in endoscope reprocessing.  Criteria for endoscope reprocessing validations, competency development and work processes will be discussed.  The participant will leave the course understanding the multiple steps required for traceability; recognizing where human error can occur in flexible endoscope reprocessing and identifying the technologies that can improve patient safety through effective traceability. Further, the participant will leave with the tools to advocate for improved patient safety, handling medical devices and flexible endoscopes.

Target Audience

This CNE activity is intended primarily for RNs with a responsibility for or an interest in endoscope processing and ensuring safe patient care in the endoscopy suite. The presentation will also be of interest to allied healthcare personnel and MDs involved in endoscopy.

Learner Objectives

Upon completion of this presentation, participants will be able to:

  1. Review patient safety issues related to GI and other flexible endoscope processing.
  2. Discuss most frequently identified human errors at each critical touch point in processing GI and other flexible endoscopes
  3. Explain methods for determining measurement criteria for competency and validation of work processes in flexible endoscope processing.
Teaching Methodology

Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation and take the post-test on the website. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.

Contact Hours

Upon successful completion of the entire online program, achieving a score of 80% on the post-test and submission of required documentation, participants will be granted 1 contact hour. No partial credit will be granted.


Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574 and the Georgia Board of Nursing, Provider Number 50-574.

According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), contact hours earned in this activity are considered GI Specific for the purpose of recertification through the ABCGN.

This program has been pre-approved by the Certification Board for Sterile Processing and Distribution (CBSPD).

This program has been approved by the International Association of Healthcare Central Service Material Management (IAHCSMM).

This program is acceptable for surgical technologist recertification by the National Center for Competency Testing.

  1. Successful completion: Participants must register, attend the entire program, including resulting Q & A, and submit required documentation.
  2. Conflict of interest: Planners disclose no conflict of interest. The speaker, as an employee of the commercial support entity, hereby discloses a conflict of interest. The speaker has signed a statement agreeing to present information fairly and without bias.
  3. Commercial company support: Fees are underwritten by education funding provided by CANTEL MEDICAL.
  4. Non-commercial company support: None.
  5. Alternative/Complementary therapy: None.
Certificate Issue / Replacement

Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.

Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.

Guide to Study

Detailed instructions for completing this eLearning activity

The following steps will assist you in your successful completion of this eLearning Activity.

  1. Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
  2. First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
  3. Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
  4. Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
  5. Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
  6. Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
  7. Browser recommendations: We require using an up-to-date browser with JavaScript enabled. You must enable cookies from this site in order to access the secure areas.
  8. If you encounter any technical problems during this eLearning activity, please contact us.

Recorded Webinar Video

Suggested Readings

AORN. 2017 Guidelines for Perioperative Practice: Introduction to the AORN Guidelines for Perioperative Practice, 1-4. 

CDC   Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings – Recommendations of the Healthcare Infection Control Practices Advisory Committee.  Last updated: March 15, 2017 Page 1 of 15  Downloaded from: 

CDC Healthcare-associated infections Data Portal.  Retrieved 1/13/2021.

 CDC Winnable Battles Final Report – Healthcare Associated Infections.   Last reviewed December 14, 2017

“Excellence in Scope Reprocessing” session at 2016 SGNA Conference by Laura H. Schneider, RN CGRN CASC of AMSURG Corporation 

“Is That Scope Really Clean?” session at 2016 SGNA Conference by Barbara Zuccala, MSN RN CGRN of The Valley Hospital

Ofstead, C.L., et al. (2010)  Endoscope reprocessing methods: a prospective study on the impact of human factors and automation.  Gastroenterology Nursing, (33)4, 304-311. 

Ofstead et al. (2018). Residual moisture & waterborne pathogens inside flexible endoscopes. American Journal of Infection Control, 46(6), 689-696.

"Preventing Cross-Contamination in Endoscope Processing:  FDA Safety Communication"  FDA 2009.

Wang et al. (2018) Rates of infection after colonoscopy &  oesophagascopy in ambulatory surgery centres in the USA. Gut  67; 1626-16



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