期刊
AMERICAN JOURNAL OF MEDICAL QUALITY
卷 34, 期 1, 页码 67-73出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1062860618783261
关键词
surgical instruments; health care value; operating room optimization; operating room efficiency
资金
- UCSF Center for Healthcare Value
A multidisciplinary team of nurses, sterile processing technicians, and surgeons reviewed 609 otolaryngology-head and neck surgery (OHNS) surgical instrument sets at the study institution's 3 hospitals. Implementation of the 4-phase instrument review resulted in decreased OHNS surgical instrument set types from 261 to 234 sets, and a decreased number of instruments in these sets from 18 952 to 17 084. The instrument set review resulted in an estimated savings of $35 665 in sterile processing costs for the OHNS department. Instrument review applied to all 10 surgical specialties at the institution would result in an estimated annual savings of $425 378. Through effective leadership, multidisciplinary participation of all key stakeholders, and a systematic approach, this study demonstrates that a hospital-wide quality improvement intervention for instrument set optimization can be successfully performed in a large, multisite tertiary care academic hospital.
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