| Autor: |
Yoon S; 1 St. Joseph's Hospital and Medical Center, Phoenix, AZ., Zygourakis CC; 2 University of California, San Francisco, CA.; 3 Johns Hopkins Hospital, Baltimore, MD., Seaman J; 2 University of California, San Francisco, CA., Zhu M; 4 UCSF Medical Center Administration, San Francisco, CA., Ahmed AK; 3 Johns Hopkins Hospital, Baltimore, MD., Kliot T; 5 Medical School for International Health, Beer-Sheva, Israel., Antrum S; 4 UCSF Medical Center Administration, San Francisco, CA., Goldberg AN; 2 University of California, San Francisco, CA. |
| Abstrakt: |
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. |
