Healthcare Inspection: Potential Exposure to Creutzfeldt-Jakob Disease VA Connecticut Healthcare System, West Haven, Connecticut

摘要

The VA Office of Inspector General Office of Healthcare Inspections conducted an oversight review regarding potential exposure of two patients to Creutzfeldt-Jakob Disease (CJD) at the VA Connecticut Healthcare System (facility), West Haven, CT. We reviewed the facilitys procedures for reprocessing of neurosurgical instruments, handling and tracking of loaner instrument trays, and responding to the potential exposure and the follow-up actions taken post-exposure. In addition, we reviewed Veterans Health Administration (VHA) reprocessing requirements for neurosurgical instruments.