(Re)utilizar Dispositivos de Uso Único › simposio_2012 › simp_01.pdf · 2014-01-24 · O...

HUCCentro de Cirurgia Cardiotorácica

(Re)utilizar Dispositivos de Uso Único

Manuel J Antunes

Relatório GTRH - 2012

Sustentabilidade do SNS

OGE 2010-2012

7,3% do PIB16% das despesas da ACF Em três anos, a despesa do SNS reduz-se em 1.200

milhões de euros!


2010 2011 2012

8698,7 8251,8 7498,8


O Ministério da Saúde vai ter 8.344,3 milhões de euros, o que corresponde a uma redução de 17% (menos 1.709,7 milhões de euros) face à estimativa de despesa para 2012, segundo a proposta de Orçamento de Estado para 2013.O documento indica que 7.801,10 milhões de euros vão para o Serviço Nacional de Saúde (SNS), que recebe menos 19,5% do que em 2012.

15/10/2012

Reutilizar Dispositivos de Uso Único

35.000 Euros!

IMPACTO

• Económico

• Segurança dos doentes



O bastonário da OM, citado pela Lusa, foi mais longe. José Manuel Silva recordou que a reutilização de pacemakers já tem sido debatida “em algumas reuniões de cardiologistas e deve ser considerada pelas autoridades regulamentares”. “Há pacemakers de preço muito elevado que podem ser perfeitamente reesterilizados e utilizados, embora isso fira as regras europeias (...) Parece-nos que há situações em que essas regras foram condicionadas pelas empresas que produzem esses aparelhos”, afirmou.

O secretário-geral da Associação Portuguesa das Empresas de Dispositivos Médicos (Apormed), Humberto Costa, afirmou esta quarta-feira que, segundo a legislação em vigor, os pacemakers “não poderão ser utilizados uma segunda vez num doente”,

A presidente da Associação de Enfermeiros de Salas de Operações (AESO) alertou hoje para os perigos da reutilização de dispositivos médicos de uso único e mostrou-se preocupada com decisões que possam ser tomadas com base em medidas economicistas."Eu espero, esperamos todos, a bem do doente e dos profissionais, que não se estejam a reprocessar dispositivos médicos de uso único, porque não há garantia de assegurar ao doente que estamos perante um dispositivo novo", disse à Lusa a enfermeira Mercedes Bilbao.

Reuse of disposable medical devices in Canadian hospitalsCampbell BA, Wells GA, Palmer WN, et al.

Division of Hospital Epidemiology, Health and Welfare Canada, Ottawa, Ontario.

Am J Infect Control 1987 Oct; 15(5) :196-200.

Abstract

A survey of all Canadian hospitals was undertaken in 1986 to determine the extent of the reuse of disposable medical devices meant for "single use only." It was found that 41% of hospitals regularly reused disposable medical devices, and reuse was significantly higher in hospitals with more than 200 beds. Only 38% of hospitals that regularly reused had written procedures for reuse, and 32% indicated a mechanism for determining the number of times a device was reused. Cost analysis studies had been undertaken by only 29% of regular reusers.



Economic analysis of reprocessing single-use medical devices: a systematic literature reviewJacobs P, Polisena J, Hailey D, et al.

Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

Infect Control Hosp Epidemiol 2008 Apr; 29(4) :297-301.

Abstract

We conducted a survey of the economic literature to obtain the current evidence available and to assess the costs and benefits of reusing single-use medical devices.. Nine published articles met the selection criteria. The savings were about 49% of the direct cost. These savings would be offset by adverse-event costs, but none were detected. However, quality of the studies was generally poor. There is little available evidence of quality in the published literature to assess the practice of reuse of single-use medical devices. Moreover, data on clinical outcomes are missing and, where available, cannot be attributed specifically to the reuse of single-use medical devices.


Conclusion: Our case series is the longest follow-up of recipients of recycled antemortem CRM devices. Our findings support the feasibility and safety of this alternative acquisition of life-saving technology.

Reprocessing and reuse of single-use medical devices used during hemodynamic procedures in Brazil: a widespread and largely overlooked problem.Amarante JM, Toscano CM, Pearson ML, et al.

Hospital Samaritano de São Paulo, Brazil.

Infect Control Hosp Epidemiol 2008 Sep; 29(9) :854-8.

Abstract

Most of the institutions affiliated with the Brazilian Society of Hemodynamic and Interventional Cardiology were surveyed by use of a questionnaire. The response rate was 50% (119 of 240 institutions). Of the 119 institutions that responded, 116 (97%) reported reuse of single-use devices used during hemodynamic procedures, and only 26 (22%) reported use of a standardized reprocessing protocol. Cleaning, flushing, rinsing, drying, sterilizing and packaging methods varied greatly and were mostly inadequate. Criteria for discarding reused devices varied widely. Of the 119 institutions that responded, 80 (67%) reported having a surveillance system for adverse events associated with the reuse of medical devices, although most of these institutions did not routinely review the data, and only 38 (32%) described a training program for the personnel who reprocessed single-use devices.



Changes in legislation (German Medical Device Act), guidelines of the Robert Koch Institute (and position of the FDA) and the high quality guaranteed by innovative reprocessing technology have now created the basis for expanded but controlled use of reprocessing techniques for medical devices as a contribution to cost containment


250 Euros!


35 Euros!


55.000 Euros/ano!


7,59 Euros!

(Re)utilizar Dispositivos de Uso Único › simposio_2012 › simp_01.pdf · 2014-01-24 · O...

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