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A hepatitis C outbreak stemming from unsafe injection practices at an ambulatory surgical center (ASC) in Nevada highlighted the potential for healthcare-associated infections in such facilities. Subsequent inspections of all 51 Nevada ASCs identified lapses in infection-control practices in 53%. To determine the magnitude of the problem nationally, the Centers for Medicare & Medicaid Services (CMS) conducted assessments in a random sample of ASCs in three other states.
In 2008, trained surveyors performed full, unannounced inspections of 68 ASCs (including endoscopy, dental, and pain centers). They assessed adherence to five general categories of infection control practices: hand hygiene and use of personal protective equipment; injection s…