Semi-Automatic Electronic Stent Register

a novel approach to preventing ureteric stents lost to follow up

James W. H. Macneil*, Peter Michail, Manish I. Patel, Julie Ashbourne, Simon V. Bariol, David A. Ende, Tania A. Hossack, Howard Lau, Audrey C. Wang, Andrew J. Brooks

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background: Ureteric stents are indispensable tools in modern urology; however, the risk of them not being followed-up once inserted poses medical and medico-legal risks. Stent registers are a common solution to mitigate this risk; however, manual registers are logistically challenging, especially for busy units. Methods: Western Sydney Local Health District developed a novel Semi-Automatic Electronic Stent Register (SAESR) utilizing billing information to track stent insertions. To determine the utility of this system, an audit was conducted comparing the 6 months before the introduction of the register to the first 6 months of the register. Results: In the first 6 months of the register, 457 stents were inserted. At the time of writing, two of these are severely delayed for removal, representing a rate of 0.4%. In the 6 months immediately preceding the introduction of the register, 497 stents were inserted, and six were either missed completely or severely delayed in their removal, representing a rate of 1.2%. A non-inferiority analysis found this to be no worse than the results achieved before the introduction of the register. Conclusion: The SAESR allowed us to improve upon our better than expected rate of stents lost to follow up or severely delayed. We demonstrated non-inferiority in the rate of lost or severely delayed stents, and a number of other advantages including savings in personnel costs. The semi-automatic register represents an effective way of reducing the risk associated with a common urological procedure. We believe that this methodology could be implemented elsewhere.

Original languageEnglish
Pages (from-to)837-841
Number of pages5
JournalANZ Journal of Surgery
Volume87
Issue number10
DOIs
Publication statusPublished - 1 Oct 2017

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Keywords

  • equipment safety
  • registries
  • risk management
  • ureteric stent

Cite this

Macneil, J. W. H., Michail, P., Patel, M. I., Ashbourne, J., Bariol, S. V., Ende, D. A., ... Brooks, A. J. (2017). Semi-Automatic Electronic Stent Register: a novel approach to preventing ureteric stents lost to follow up. ANZ Journal of Surgery, 87(10), 837-841. https://doi.org/10.1111/ans.14126