Mp33-05 Single-Use Cystoscopes Offers Faster Time-to-Scope With Equivalent Perceived Functionality vs Reusable Scopes in the Inpatient Setting

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety II (MP33)1 May 2024MP33-05 SINGLE-USE CYSTOSCOPES OFFERS FASTER TIME-TO-SCOPE WITH EQUIVALENT PERCEIVED FUNCTIONALITY VS REUSABLE SCOPES IN THE INPATIENT SETTING Stephen Hassig, Matthew Steidle, Carl Ceraolo, Jason Fairbourn, Denzel Zhu, Ashley Li, Galen Chen, Kelvin Lim, Christopher Wanderling, Aaron Saxton, Laena Hines, Trevor Hunt, Mark Ninomiya, Austin Lee, Rajat Jain, and Scott O. Quarrier Stephen HassigStephen Hassig , Matthew SteidleMatthew Steidle , Carl CeraoloCarl Ceraolo , Jason FairbournJason Fairbourn , Denzel ZhuDenzel Zhu , Ashley LiAshley Li , Galen ChenGalen Chen , Kelvin LimKelvin Lim , Christopher WanderlingChristopher Wanderling , Aaron SaxtonAaron Saxton , Laena HinesLaena Hines , Trevor HuntTrevor Hunt , Mark NinomiyaMark Ninomiya , Austin LeeAustin Lee , Rajat JainRajat Jain , and Scott O. QuarrierScott O. Quarrier View All Author Informationhttps://doi.org/10.1097/01.JU.0001009520.30626.80.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Single-use (SU) cystoscopes have increased in frequency both in the literature and in urologic practices, but incremental changes in workflow compared to reusable (RU) scopes are understudied. We hypothesized that SU cystoscopes reduce time in supply gathering and scope return for in-hospital consults requiring beside cystoscopy, without decreasing perceived functionality during real cystoscopy. METHODS: Urology residents from a single institution were randomized to a SU or RU cystoscope to complete a sham "difficult catheter placement" in the Emergency Department of the same hospital. Subjects collected equipment, set up and then tore down as if doing a cystoscopy at bedside, and returned equipment. Travel paths were standardized and all sections timed. Residents performing real cystoscopies over a 4-month period were also randomized by month to SU or RU scope, and afterwards filled out a NASA Task Load Index (TLX). T-test was used to compare continuous variables. Linear regression was used to assess difference in overall time. RESULTS: 10 urology residents volunteered and were randomized to SU or RU, with an average of 2.8 years of post-graduate training per group. Neither residency year nor resident height was statistically different between the two groups. At all examined time points aside from "other walking time," the SU times were less compared to RU (Table 1). RU scope acquisition depends on central processing and demonstrated high variability. Overall, SU scope saved 8 min 53 sec (p<0.01). Table 2 shows there were no significant differences across all 6 of the RAW TLX parameters, including "assessment of success." CONCLUSIONS: Single-use cystoscopes reduce time-to-scope for hospital bedside cystoscopy leading to more timely delivery of care and a decrease in non-clinical time burden related to preparing for cystoscopy compared to RU scopes without compromising the actual task, as measured by TLX. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e562 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Stephen Hassig More articles by this author Matthew Steidle More articles by this author Carl Ceraolo More articles by this author Jason Fairbourn More articles by this author Denzel Zhu More articles by this author Ashley Li More articles by this author Galen Chen More articles by this author Kelvin Lim More articles by this author Christopher Wanderling More articles by this author Aaron Saxton More articles by this author Laena Hines More articles by this author Trevor Hunt More articles by this author Mark Ninomiya More articles by this author Austin Lee More articles by this author Rajat Jain More articles by this author Scott O. Quarrier More articles by this author Expand All Advertisement PDF downloadLoading ...