Ofstead Cori L, Smart Abigail G, Lamb Larry A, Daniels Frank E
Biomed Instrum Technol. 2024;58(4):88-98. doi: 10.2345/0899-8205-58.4.88. Epub 2024 Nov 22.
Infections and injuries have been linked to endoscopes with visible damage or residue. Guidelines recommend visual inspection to identify endoscopes requiring repair or further cleaning. This study sought to evaluate the impact of routine borescope inspections on repair frequency and costs. Retrospective analysis was performed on a database of endoscope repairs compiled for a three-year period by a large academic medical center that began performing borescope inspections for every endoscope after manual cleaning. Endpoints included total number of repairs, total repair cost, mean cost per repair, mean turnaround time per repair, and procedural usage between repairs. Subgroup analysis was performed to identify repair patterns by endoscope type. The total cost of repairs decreased from $1,212,702 in 2022 to $724,419 in 2024. The number of repairs required annually was similar over time, but reductions occurred in the proportion of repairs classified as major (12.1% to 3.2%) and the mean cost per repair ($4,426 to $2,337; < 0.001). Mean turnaround time for repairs decreased (from 24.1 to 15.5 days; < 0.001). Mean number of uses between repairs increased over time (from 52.1 to 87.2; < 0.001), and the facility decreased the size of the endoscope fleet from 593 to 508. Significant reductions in endoscope repair frequency and cost occurred over time in a large, centralized endoscope processing department that performed borescope inspections of every endoscope after manual cleaning.
感染和损伤与有可见损坏或残留的内窥镜有关。指南建议进行目视检查，以识别需要维修或进一步清洁的内窥镜。本研究旨在评估常规管道镜检查对维修频率和成本的影响。对一家大型学术医疗中心在三年期间编制的内窥镜维修数据库进行了回顾性分析，该中心在手动清洁后开始对每台内窥镜进行管道镜检查。观察指标包括维修总数、总维修成本、每次维修的平均成本、每次维修的平均周转时间以及两次维修之间的程序使用情况。进行亚组分析以确定不同类型内窥镜的维修模式。维修总成本从2022年的1,212,702美元降至2024年的724,419美元。每年所需的维修数量随时间推移相似，但分类为重大维修的比例有所下降（从12.1%降至3.2%），每次维修的平均成本也有所下降（从4,426美元降至2,337美元；P<0.001）。维修的平均周转时间缩短（从24.1天降至15.5天；P<0.001）。两次维修之间的平均使用次数随时间增加（从52.1次增至87.2次；P<0.001），并且该机构将内窥镜数量从593台减少至508台。在一个大型集中式内窥镜处理部门，在手动清洁后对每台内窥镜进行管道镜检查，随着时间的推移，内窥镜维修频率和成本显著降低。
