Case Study for ScopeControl® – Automated Rigid Endoscope Testing Unit

Case Study for ScopeControl® – Automated Rigid Endoscope Testing Unit

Case Study for ScopeControl® – Automated Rigid Endoscope Testing Unit

IN PARTNERSHIP WITH COUNTY DURHAM AND DARLINGTON NHS

This post is an extract from a PDF.
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ScopeControl endoscope tester

Introduction

ScopeControl is an automated testing unit that checks and records 6 key optical parameters that are critical to the fitness for use and functionality of rigid endoscopes.

Bolton Surgical were invited to perform a trial of ScopeControl at County Durham and Darlington NHS Foundation Trust, to determine whether it could assist in resolving and/or improving key problems and issues associated with the use, processing and inventory management of rigid endoscopes.

Decontamination Services Manager, James Brown highlighted the key problem areas as;

  • Lack of traceability for individual rigid scopes
  • Limited testing log maintained
  • Absence of a consistent means of identifying faulty rigid scopes
  • No accurate data available on the condition of rigid scopes in circulation
  • No single source of data available, such as inventory types, serial numbers etc.
  • Theatre time wasted when a scope is opened and found to be unfit for use
  • Last minute scope and/or procedure changes resulting in additional costs
  • Risk that an open procedure may present difficulties for the patient

This case study uses the live data gained during the trial to examine how ScopeControl performed in a live environment, and to demonstrate how using ScopeControl successfully helped to address the key problems identified by the Trust.

 

Executive Summary

The successful completion of the ScopeControl trial enabled the Trust to fulfill its initial objectives and answer the key problems identified.

As a result of the trial, the Trust were able to take a ‘snap-shot in time’ of their current inventory, which gave access to valuable information that they could now use in various ways to make significant improvements to the overall quality and cost effectiveness of their rigid endoscope inventory.

In addition, the trial provided a more detailed understanding of the costs and potential savings the Trust could make by using ScopeControl within their workflow every day.

It was concluded that using ScopeControl could save an average Trust over £100,000 per year on saved Theatre time alone. In addition to this, the intangible benefits include patient safety benefits, provision of information to procurement, enabling them to make purchasing decisions based on real time performance data and much improved traceability throughout the lifecycle of the device.

“The ScopeControls ability to provide technical staff responsible for processing these devices with the assurance that they are processing a rigid telescope which will be fit for purpose when next required in an operational setting is unquestionable. This is the most significant step forward in Sterile Services field of the processing of rigid telescopes since the introduction of Minimal Invasive Surgery. Never before has there been a tangible method of monitoring scopes through each process cycle, information and data which is retained for auditing, analysis and reporting.

The ScopeControl provides a tool for those people responsible for the management and maintenance of these high value assets, ensuring that not only are they maintained in service within an optimal condition but when they are returned form repair or maintenance that that work has been undertaken in line with the specification.

 

Although money is tight within the NHS, equipment of this nature can help to ensure a consistency of service, improve productivity and enhance patient safety I feel that these are core elements of the NHS and I intend to submit a business case to secure a ScopeControl for our Trust.”

 

Jim Brown
Decontamination Services Manger
County Durham and Darlington NHS Foundation Trust

 

 

Bolton Surgical

 Outcomes and Recommendations resulting from the trials

The data produced from the 50 day trial has allowed the Trust to take a ‘snapshot’ view of current inventory, which has given access to valuable information that provides the means to plan improvements to the overall quality and cost effectiveness of their rigid endoscope inventory.

The trial assisted in addressing the key problems initially identified;

  • Lack of traceability for individual rigid scopes
    ScopeControl has enabled the Trust to map its rigid endoscope inventory (providing all inventory was tested during the trial period) after each test, a record is kept for each scope, so a detailed ‘picture’ will start to be created of the lifecycle of the scope, should the Trust continue to use ScopeControl.
  • Limited testing log maintained
    A full log now exists of all tests against each of the 6 testing parameters, for each individual scope, after each use, during the period of time the Trust trialled ScopeControl.
  • Absence of a consistent method or process for identifying faulty rigid scopes
    ScopeControl provided a consistent, clinically validated testing method for all scopes, with adjustable threshold levels if preferred, across 6 different parameters, including internal snapshots along of the optical path on each individual test.
  • No accurate data available on the condition of rigid endoscopes in circulation
    All test results stored against each individual endoscope, results can also be analysed together across the whole inventory for ‘Pass’,’ Advisory’ and ‘Fail’ test results, enabling fully informed decisions to be taken when procuring new endoscopes or having them repaired.
  • No single source of data available, such as inventory types, serial numbers etc.
    With ScopeControl, all data is available in one place, which can be exported, and formulated into reports for other stakeholders. Extra fields allow customers to add information such as ‘sent for repair’ or ‘repaired DATE’ etc.
  • Theatre time wasted when a scope is opened and unfit for use
    Only scopes achieving a ‘Pass’ and those with an ‘Advisory’ notice are allowed back into circulation, effectively reducing instances of broken/damaged scopes entering the operating environment.
  • Quality assurance of scopes which have been returned from repair
    Not only does the ScopeControl ensure that expensive scope repairs are undertaken to the highest possible standard but it also enables the hospital to dispatch a scope in need of repair with a detailed report, enabling the repairer to focus their attention on the areas needing repair and not adding additional unrequired repairs.

Special thanks go to James Brown, Decontamination Service Manager, County Durham and Darlington NHS Foundation Trust and his team.

*DISCLAIMER – The selection of scopes referred to in the ‘Technical Test Data’ document was on the basis of best factual example only, and that the test results do not give any indication of the quality of the individual scopes when new or provide any comparison between brands.

Menno is the CTO of DOVIDEQ medical and responsible for all hardware and software developments.