ZHOU Wenbo 1 , LI Tianqing 1 , YAN Dan 1 , WU Xiaomin 2 , SONG Ping 3
  • 1. Department of Medical Engineering, China-Japan Friendship Hospital, Beijing 100029, P. R. China;
  • 2. Department of Gastroenterology, China-Japan Friendship Hospital, Beijing 100029, P. R. China;
  • 3. Beijing Huize Zhixin Technology Co., Ltd., Beijing 100000, P. R. China;
LI Tianqing, Email: 1975399466@qq.com
Flexible endoscope faults; Evidence-based management; Leak detection of endoscope; Fault tracing;  Reliability maintenance
10.7507/1002-0179.201905174
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Objective  Using the evidence-based management to manage the flexible endoscope based on the data collected by information means, to reduce the rate of serious faults and control maintenance costs. Methods  From January 2017 to December 2018, we collected and analyzed the flexible endoscope data of the use, leak detection, washing and disinfection, and maintenance between 2015 and 2018 from the Gastroenterology Department of our hospital. Three main causes of flexible endoscope faults were found: delayed leak detection, irregular operation, and physical/chemical wastage. Management schemes (i.e., leak detection supervision, fault tracing, and reliability maintenance) were enacted according to these reasons. These schemes were improved continuously in the implementation. Finally, we calculated the changes of the fault rate of each grade and the maintenance cost. Results  By two years management practice, compared with those from 2015 to 2016, the annual rates of grade A and grade C faults of flexible endoscope from 2017 to 2018 decreased by 10.3% and 16.7% respectively, and the annual average maintenance cost fell by 53.2%. Conclusions  The maintenance costs of flexible endoscope could be effectively controlled by enacting and implementing a series of targeted management schemes based on the data from the root causes of faults applying the evidence-based management. Evidence-based management based on data has a broad application prospect in the management of medical equipment faults.

Citation： ZHOU Wenbo, LI Tianqing, YAN Dan, WU Xiaomin, SONG Ping. The practice of evidence-based flexible endoscope faults management based on data. West China Medical Journal, 2019, 34(6): 618-624. doi: 10.7507/1002-0179.201905174 Copy

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