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Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents
BACKGROUND: This study was aimed at investigating the effectiveness of the implementation of a comprehensive quality improvement programme (QIP) for reducing the repair rate of the fibreoptic bronchoscope (FOB). METHODS: A three-stage improvement strategy was implemented between January 2013 and Dec...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115174/ https://www.ncbi.nlm.nih.gov/pubmed/32337218 http://dx.doi.org/10.1155/2020/1091239 |
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author | Lu, Hsiao-Feng Hung, Kuo-Chuan Chiang, Min-Hsien Yang, Johnson Chia-Shen Luo, Sheng-Dean Chin, Jo-Chi Wang, Chih-Hsien Sun, Cheuk-Kwan Wu, Shao-Chun |
author_facet | Lu, Hsiao-Feng Hung, Kuo-Chuan Chiang, Min-Hsien Yang, Johnson Chia-Shen Luo, Sheng-Dean Chin, Jo-Chi Wang, Chih-Hsien Sun, Cheuk-Kwan Wu, Shao-Chun |
author_sort | Lu, Hsiao-Feng |
collection | PubMed |
description | BACKGROUND: This study was aimed at investigating the effectiveness of the implementation of a comprehensive quality improvement programme (QIP) for reducing the repair rate of the fibreoptic bronchoscope (FOB). METHODS: A three-stage improvement strategy was implemented between January 2013 and December 2016. Stage one is the acquisition of information on violations of practice guidelines, repair rate, cost of repair, and incidence of unavailability of FOB during anaesthesia induction of the previous year through auditing. Stage two is the implementation of a quality improvement campaign (QIC) based on the results of stage one. Stage three is the programme perpetuation through monitoring compliance with policy on FOB use by regular internal audits. The effectiveness was retrospectively analyzed on a yearly basis. RESULTS: The annual repair rate, repair cost, and incidence of FOB unavailability before the QIP implementation were 1%, 18,757 USD, and 1.4%, respectively. After QIC, the repair rate in 2013 dropped by 81% (from 1% in 2012 to 0.19% in 2013, p < 0.05). The annual repair cost fell by 32% from 18,758 USD (2012) to 12,820 USD (2013). Besides, the incidence of FOB unavailability plummeted by 71% from 1.4% to 0.4% during the same period. The annual repair rates and incidence of FOB unavailability remained lower in subsequent three years than those before QIP implementation. CONCLUSION: Implementation of a quality improvement programme was effective for reducing the rate and cost of FOB repair as well as unavailability rate, highlighting its beneficial impact on cost-effectiveness and patient safety in a tertiary referral center setting. |
format | Online Article Text |
id | pubmed-7115174 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-71151742020-04-24 Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents Lu, Hsiao-Feng Hung, Kuo-Chuan Chiang, Min-Hsien Yang, Johnson Chia-Shen Luo, Sheng-Dean Chin, Jo-Chi Wang, Chih-Hsien Sun, Cheuk-Kwan Wu, Shao-Chun Biomed Res Int Research Article BACKGROUND: This study was aimed at investigating the effectiveness of the implementation of a comprehensive quality improvement programme (QIP) for reducing the repair rate of the fibreoptic bronchoscope (FOB). METHODS: A three-stage improvement strategy was implemented between January 2013 and December 2016. Stage one is the acquisition of information on violations of practice guidelines, repair rate, cost of repair, and incidence of unavailability of FOB during anaesthesia induction of the previous year through auditing. Stage two is the implementation of a quality improvement campaign (QIC) based on the results of stage one. Stage three is the programme perpetuation through monitoring compliance with policy on FOB use by regular internal audits. The effectiveness was retrospectively analyzed on a yearly basis. RESULTS: The annual repair rate, repair cost, and incidence of FOB unavailability before the QIP implementation were 1%, 18,757 USD, and 1.4%, respectively. After QIC, the repair rate in 2013 dropped by 81% (from 1% in 2012 to 0.19% in 2013, p < 0.05). The annual repair cost fell by 32% from 18,758 USD (2012) to 12,820 USD (2013). Besides, the incidence of FOB unavailability plummeted by 71% from 1.4% to 0.4% during the same period. The annual repair rates and incidence of FOB unavailability remained lower in subsequent three years than those before QIP implementation. CONCLUSION: Implementation of a quality improvement programme was effective for reducing the rate and cost of FOB repair as well as unavailability rate, highlighting its beneficial impact on cost-effectiveness and patient safety in a tertiary referral center setting. Hindawi 2020-04-12 /pmc/articles/PMC7115174/ /pubmed/32337218 http://dx.doi.org/10.1155/2020/1091239 Text en Copyright © 2020 Hsiao-Feng Lu et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Lu, Hsiao-Feng Hung, Kuo-Chuan Chiang, Min-Hsien Yang, Johnson Chia-Shen Luo, Sheng-Dean Chin, Jo-Chi Wang, Chih-Hsien Sun, Cheuk-Kwan Wu, Shao-Chun Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents |
title | Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents |
title_full | Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents |
title_fullStr | Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents |
title_full_unstemmed | Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents |
title_short | Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents |
title_sort | implementation of an anaesthesia quality improvement programme to reduce fibreoptic bronchoscope repair incidents |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115174/ https://www.ncbi.nlm.nih.gov/pubmed/32337218 http://dx.doi.org/10.1155/2020/1091239 |
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