2018 Volume 92 Issue 1 Pages 59-63
We investigated the safety of digestive endoscopic examinations based on 59 incident reports between January 2015 and January 2017 in our hospital. Drugs were the most common cause, in particular sedatives and antithrombotic drugs. In addition, there were adverse events and the management of specimens.
As for antithrombotic drugs, performing the examination without first confirming their use or not represents an incident itself. We now perform 3 checks for these drugs in order to avoid such incidents.
Adverse events happen with a certain probability, and they often require vigorous treatment. It is necessary to sufficiently explain to the patients about the possibility of the occurrence of adverse events and regularly confirm the safety of the laboratory and equipment.
Regarding the incident of specimen management, the elimination of local rules and compliance with hospital rules proved to be effective.
Pretreatment drug selection for colonoscopy is based on renal and cardiac function. Multiple checkpoints are required for this.
It is vital that the physicians, nurses and medical staffs cooperate for the prevention of incidents related to endoscopic examinations.
