Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents
Table 2
Changes in parameters related to fibreoptic bronchoscope (FOB) use, repair, cost, and unavailability before and after the implementation of the quality improvement campaign (QIC).
Variables
Pre-QIC (2012)
Year of QIC (2013)
Follow-up
Post-QIC Year 1 (2014)
Post-QIC Year 2 (2015)
Post-QIC Year 3 (2016)
Number of tracheal intubations
23,451
24,093
24,067
28,468
26,327
Number of FOB
5
5
5
5
5
Number of FOI
1800
1598
1662
1596
1661
Number of repairs
18
3
0
3
3
Repair rate
1%
0.19%‡
0‡
0.19%‡
0.18%‡
Mean FOI per FOB
360
320
332
319
332
Total repair costs (USD)
18,758
12,820
0
8470
8137
Drop in total repair costs compared with the baseline
—
32%
100%
55%
57%
Cost of repairs per procedure (USD)
10.42
8.02
0
5.31
4.90
Average cost per instance of repair (USD)
1042
4273
0
2823
2712
Frequency of FOB unavailability
1.4%
0.4%‡
0.3%‡
0.3%‡
0.3%‡
FOB: fibreoptic bronchoscope; FOI: fibreoptic intubation; USD: US dollars. . compared with the pre-QIC period.