Organizational Assessment of Duodenoscopes in US Hospitals
Author(s)
Oldin C1, Hollænder F2, Larsen N3, Adamsen S4
1Copenhagen Business School, Ballerup, 84, Denmark, 2Copenhagen Business School, Copenhagen, Denmark, 3Aalborg University, Frederiksberg, Denmark, 4Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark
Presentation Documents
OBJECTIVES The U.S. Food and Drug Administration has recommended the use of duodenoscope designs with single-use components to improve patient safety. This may affect the organizational workflow in the relevant healthcare facility. This research aims to explore whether the prevalence of procedural delays due to equipment availability is likely to be affected by the change from reusable to single-use or semi-disposable duodenoscopes. The research further aims to explore whether the respective breakage rates are perceived as different, as well as how this affects the procedure being undertaken. METHODS A questionnaire focusing on procedural delays due to equipment availability and duodenoscope breakage rates was distributed to 670 U.S. gastroenterologists in February 2021. Equipment availability was assumed equivalent between reusable and semi-disposable. For single-use, availability issues were assumed to be zero. The breakage rate questions distinguished between reusable, semi-disposable, and single-use duodenoscopes. T-tests comparing the parameter means to a mean of zero were performed for each type of duodenoscope. All analyses were conducted in STATA. RESULTS 271 U.S. ERCP physicians completed the questionnaire. They indicated that for reusable and semi-disposable duodenoscopes, 3.42% of procedures were relocated, 4.20% were rescheduled, and 6.72% were delayed (p<0.01). Breakage occurred in 32.04%, 39.32% and 24,52% of the time when using reusable, semi-disposable, and single-use duodenoscopes respectively (p<0.01). CONCLUSIONS ERCP procedures to be performed with a single-use duodenoscope will likely observe fewer delays and cancellations and lower breakage rates than those to be performed with semi-disposable and reusable duodenoscopes. Further research is needed to confirm the extent of the issues and the effects of implementing single-use and semi-disposable duodenoscopes.
Conference/Value in Health Info
2021-11, ISPOR Europe 2021, Copenhagen, Denmark
Value in Health, Volume 24, Issue 12, S2 (December 2021)
Code
POSB229
Topic
Health Service Delivery & Process of Care, Medical Technologies
Topic Subcategory
Hospital and Clinical Practices, Medical Devices
Disease
Gastrointestinal Disorders, Medical Devices