一次性套套的使用与在耳鼻喉科诊所进行鼻喉科视镜再处理的仪器相比:成本最小化分析
Mario Cesare Nurchis1,2, Maria Michela Gianino3, Marcello Di Pumpo2
1Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Annali di igiene : medicina preventiva e di comunita
|April 17, 2025
概括
使用一次性外套用于鼻喉镜是一种节省成本的策略,与再加工相比,成本降低了2600欧元. 这种方法有助于最大限度地减少内镜污染,并为医疗机构提供更经济的替代方案.
科学领域:
- 医疗器械 医疗器械
- 医疗保健经济学 医疗保健经济学
- 感染控制 感染控制
背景情况:
- 鼻喉镜再加工往往没有达到最佳标准,常常违反协议.
- 一次性使用罩被认为具有降低内镜污染的潜力.
- 低于最佳的再加工存在风险,强调需要有效的污染控制策略.
研究的目的:
- 为了比较与再加工鼻喉镜相比使用一次性使用的外套相关的成本.
- 评估一次性护套的经济可行性,作为传统清洁和灭菌的替代方案.
- 确定一次性外套是否在临床实践中代表了节省成本的策略.
主要方法:
- 使用微成本计算方法进行了成本最小化分析.
- 数据是从一家教学医院收集的,报道的费用为2022年的欧元.
- 这项研究遵循了综合健康经济评估报告标准 (CHEERS) 的指导方针.
主要成果:
- 使用一次性盖子在基准情景中节省了2600欧元的成本,而不是清洁和杀菌.
- 直接的医疗费用,包括人员,设备和消耗品,在清洁和灭菌替代方案中更高,主要是由于人员开支.
- 灵敏度分析证实了节省成本的好处,显示了一次性外套成本和灭菌套件价格变化的重大影响.
结论:
- 鼻喉镜的一次性外套为医疗保健机构提供了可行的和具有成本效益的策略.
- 研究结果表明,采用一次性外套可以大幅降低成本.
- 建议进行进一步的大规模研究,以验证这些节约成本的结果及其更广泛的适用性.
相关概念视频
Suctioning the Nasopharyngeal Airway
204
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
204
Suctioning the Oropharyngeal Airway
136
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
136
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
31
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
31
Cleaning, Sterilization, and Disinfection
6.5K
Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
6.5K
Tracheostomy Care I: Pre-procedural Steps
62
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
62


