遵守新的内镜再加工指南所涉及的成本
David Hoffman1, Christina Cool1
1Health Economics Outcomes Research and Market Access, Ambu USA, Columbia, MD, USA.
Clinical endoscopy
|January 25, 2024
概括
更新的医学仪器进步协会 (AAMI) 对内镜再处理的标准增加了成本和时间. 设施应该评估这些费用,并考虑替代方案,如一次性内镜.
科学领域:
- 医疗器械再加工 医疗器械再加工
- 医疗保健标准 医疗保健标准
- 感染控制的方法是感染控制.
背景情况:
- 医学仪器进步协会 (AAMI) 在2022年3月发布了更新的指南:美国国家标准研究所 (ANSI) / AAMI ST91:2021.
- 这些标准涵盖了灵活和半刚性内镜的全面再加工.
- 关键的更新包括对高风险内镜的灭菌的建议,以及预清洗,泄漏检测,手动清洗,检查,自动再加工,干燥,储存和运输的详细程序.
研究的目的:
- 将最新的ANSI/AAMI ST91:2021标准与之前的2015版本进行比较.
- 识别可能增加时间和/或成本的重大再加工差异.
- 估计实施新的AAMI内镜再处理标准的财务和时间影响.
主要方法:
- 对ANSI/AAMI ST91:2021和ANSI/AAMI ST91:2015进行比较分析.
- 根据明确的建议和文献审查,估计再处理时间.
- 使用公开可用的资源计算成本.
主要成果:
- 更新的AAMI标准可能会使再处理时间在每次手术中大约增加24.3分钟.
- 估计的成本增加范围为每次手术52.35美元至67.57美元,不包括资本投资.
- 每个程序的资本成本都受到设施程序量的显著影响.
结论:
- 新的AAMI标准要求对内镜再加工进行重大改变,包括杀菌.
- 这些更新标准的实施会给设施带来额外的成本和时间延迟.
- 医疗机构应该评估合规的真正成本,并探索替代解决方案,如一次性内镜.
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