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COVE R S TORY


Ensuring patient safety in endoscopy


Patient safety in endoscopy must be approached from a holistic perspective, through solutions which increase detection rates of abnormalities, increase confidence in the safety of the reprocessing outcome, and control the risk of infection and cross-contamination.


With these important benefits in mind, PENTAX Medical is continuously working to innovate products to establish solutions that directly tackle patient safety in endoscopy – like the DISCOVERYTM


, the


PlasmaTYPHOON and PlasmaBAG system, and the DECTM


Video Duodenoscope ED34-


i10T2 with disposable elements. In this article, Prof. Peter Siersema, Dr. Mira Dreesen, Wouter Meert and Prof. Marco Bruno help us to better understand how these innovative solutions ensure patient safety and provide essential benefits to patients and clinicians alike.


Increased detection rates of lesions with Artificial Intelligence In the fight against colorectal cancer, great strides have been taken to protect patients from undetected abnormalities. However, up to 26% of lesions are still missed in examinations.1


Endoscopists tiredness or


distraction can play a role in complicating the detection. This can lead to fewer lesions detected, with studies showing early-morning cases yielding 27% more polyps per patient, than cases later in the day.2


outcomes of examinations, ultimately compromising patient safety. Colorectal cancer prevention is the


The human factor is responsible for complications leading to missed lesions, thus having negative impacts on the medical


primary goal of screening and diagnostic colonoscopy. By incorporating artificial intelligence (AI) technology in colonoscopies the procedures become more objective and operator independent. No matter how subtle or unremarkable the lesion, the DISCOVERY™ is always a focused observer. This innovative solution works to protect patient safety by ensuring consistent detection rates, by reducing the risk of the human factor. What makes this solution so innovative? The database of the DISCOVERY™ sets it apart from any other solution in the market. The training of the artificial intelligence was based on a vast amount of expertly curated images. During a procedure, the solution highlights suspicious areas according to insights learned from the database. This database contains thousands of dedicated images of each kind of polyp, annotated by five renowned CRC centers worldwide. By learning from this database, the DISCOVERY™ is able to raise the attention to lesions otherwise difficult to detect. With patient safety as the greatest


priority, this solution could have a positive impact on the 26% of lesions still missed in examinations.3


Peter Siersema, Professor


of Endoscopic Gastrointestinal Oncology at the Radboud University Medical Center Nijmegen explains: “Computer-aided detection has been shown to increase the detection of pre-cancerous colorectal lesions. The introduction of the artificial intelligence system opens the door to a new era where endoscopists and DISCOVERY™ jointly reduce healthcare costs by decreasing the prevalence of colorectal cancer.” Prof. Siersema explains that the system not only presents the opportunity to improve the patient’s lives, it can also be implemented in hospitals cost-effectively.


6 l WWW.CLINICALSERVICESJOURNAL.COM THE CLINICAL SERVICES JOURNAL VOLUME 19 l ISSUE 8 l SEPTEMBER 2020


Moving from a blame


culture to a just culture Mobilisation of patients recovering from COVID Identifying deterioration using AI technology


W W W. C L I N I C A LS E R VI C E S JO U R N A L . C O M


Improved confidence in reprocessing outcomes through optimised drying


As patient safety requires a holistic approach, other concerns such as improper reprocessing must be addressed. Flexible endoscopes (FES) are still predominantly reusable devices. During their use, they can become heavily contaminated with the patient’s microbial flora. To ensure patient safety, meticulous cleaning and high-level disinfection is needed to guarantee a clean and safe use on subsequent patients. When FES are not dried properly after reprocessing, microorganisms can proliferate due to residual moisture and represent a source of infection for subsequent examined patients.4,5 As effective drying and storage procedures are crucial to prevent post-endoscopic infection, this is an important aspect of patient safety.6


The PlasmaTYPHOON is the


first solution to guarantee a dry endoscope in one to five minutes (the drying time depends on the endoscope type), and storage up to


SEPTEMBER 2020


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