Effects of Efforts to Reduce Bronchoscope Damage and Repair Costs

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Objectives. At our hospital, the number of the incidents of bronchoscope damage and the associated repair costs tended to increase with the number of bronchoscopy procedures performed. We implemented an educational training program for the purpose of promoting proper use and safety management of bronchoscopes, and examined the program's effectiveness. Methods. The study targeted a period from 2005-2007, during which no educational training was provided, and a period from 2008-2010, during which educational training was provided. We compared the two periods in terms of the number of bronchoscopy procedures performed, the number of damage incidents, the repair costs, and the details of damage. Materials. The educational training program consisted of the following: 1) lectures and hands-on training regarding important points to note when handling a bronchoscope; 2) investigations, involving user interviews, upon the occurrence of damage to a bronchoscope, and delivery of the investigation results to doctors who perform endoscopy, in order to promote their awareness; and 3) posting of information on our hospital intranet homepage regarding endoscope construction, how to clean/disinfect/handle endoscopes, etc. This educational training was also performed for all nurses and technicians who are involved in bronchoscopy. In addition, it was made mandatory for all doctors using a bronchoscope for the first time to master bronchoscope operation using a simulator. Results. In the period when training was not implemented, the number of bronchoscopy procedures performed per year was 449.3 (373-522), the number of damage incidents per year was 10.7 (9-14), and annual repair costs were \3,503,616 (\2,995,000-\4,031,000). When the program was implemented, these data were 481.3 (386-572), 3.3 (1-5) and \609,055 (\138,000-\938,000), respectively. Thus, the number of damage incidents and repair costs were significantly reduced by our efforts. Conclusion. By implementing educational training that targeted all doctors who use bronchoscopes, consistency can be achieved in the use of these instruments. Doctors' awareness regarding the proper handling of bronchoscopes was enhanced, contributing to a reduction in the number of damage incidents and associated repair costs. Furthermore, by taking rapid action when damage occurred, it was possible to prevent further damage and also to reduce repair costs.
日本呼吸器内視鏡学会の論文
2014-03-25

Effects of Efforts to Reduce Bronchoscope Damage and Repair Costs

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