Porter Adventist Hospital has admitted the infection breach at the Denver hospital was caused by human error, according to an article on the Fox31 Denver website.
Orthopedic and spine surgery tools go through a multistep cleaning process, including a mechanical cleaning and heat sterilization.
But before those processes, the surgical tools undergo a pre-cleaning. This is where hospital staff soak and scrub the tools.
The breach comes from the tools not being cleaned properly and potentially containing bioburden, the article said.
Where Workforce Strategy Meets Facility Design
OCAD Student Research Inspires Dementia Friendly Shower Redesign at UHN Hospital
Atrium Health Navicent Ensnared in Oracle Health Data Breach
Two Steps to Controlling the Hot Zone
RiverSpring Living Breaks Ground on River's Edge Senior Living Community