A state health inspector cited Crozer-Chester Medical Center for allowing an improperly cleaned endoscope to be used in a surgical procedure, exposing the elderly patient to possible infection, according to an article on the Philly.com website.
The Crozer investigation noted that the Chester, Pa., hospital's endoscopy suite was closed for the weekend when the incident occurred.
A Pennsylvania Health Department inspector's interview determined that an employee involved with the surgery did not know that a high-level disinfection was needed before reuse.
The hospital subsequently ordered staff reeducation and competency testing.