2011 State of the Industry Report: Operating Room

Two new studies reveal troubling contamination in both new endoscopes and cleaned lumened surgical instruments, challenging the reliability of current reprocessing practices and manufacturer guidelines.

Elizabeth (Betty) Casey, MSN, RN, CNOR, CRCST, CHL, is the SVP of Operations and Chief Nursing Officer at Surgical Solutions in Overland, Kansas. This SPD leader reframes preparation, unpredictability, and teamwork by comparing surgical services to the Kentucky Derby to reenergize sterile processing professionals and inspire systemic change.

Sterile processing departments face high-stakes challenges daily. At AORN 2025, Marjorie Wall outlined transformative strategies to improve safety, efficiency, and cross-departmental collaboration, and also discussed HSPA 2025.

Health care-associated infections are driving a shift toward disposable microfiber cloths, mop pads, and curtains—offering infection prevention, regulatory compliance, and operational efficiency in one-time-use solutions.

Reducing surgical site infections goes beyond sterile technique—factors like OR traffic, PPE, and workflow interruptions significantly impact infection risk and patient outcomes.

Without market reform, antimicrobial innovation will collapse. Henry Skinner, PhD, MBE, MJur, CEO of AMR Action Fund, urges global economic action to prevent an antibiotic-free future.