Management of ophthalmic surgical instruments and processes optimization: mixed method study

Schneider, Daniela Silva dos Santos; Magalhães, Ana María Müller de; Glanzner, Cecília Helena; Thomé, Elisabeth Gomes da Rocha; Oliveira, João Lucas Campos de; Anzanello, Michel J.

doi:10.1590/1983-1447.2020.20190111

Cited by 3 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ahmadi et al The most frequently used technique in studies classi ed in the MP category is HEU; all other MP techniques were used at least once. Instrument utilization rate along with availability of personnel, OR, individual instruments and STs were information used in all MP studies [1,34,[61][62][63]. When HEU was combined with techniques from other approaches (e.g.…”

Section: Charting the Datamentioning

confidence: 99%

“…[1] used Mixed Integer Linear Programming (MILP), preference cards (PC) and HEU to con gure STs considering ergonomic risks. In opposition to other authors, they reviewed lists of instruments in PCs to identify those obsolete for removal.Schneider et al[63] combined techniques belonging to the EA and LP categories (e.g. FG, OBS and BRT) with linear programming (LP) and CAN to review instruments used in 20 ophthalmology procedures and identify infeasibilities in their scheduling in the surgical center.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

Santos

Fogliatto

Zani

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Surgical Tray Rationalization (STR) consists of a systematic reduction in the quantity of surgical instruments to perform specific procedures without compromising patient safety, while reducing losses in the sterilization and assembly of trays. STR is one example of initiatives to improve process performance that have been widely reported in industrial settings, but only recently have gained popularity in healthcare organizations. Methods We conduct a scoping review of the literature aiming at identifying and mapping available evidence on the topic of surgical tray management. Five methodological stages are implemented and reported; they are: identifying research questions, identifying relevant studies, study selection, charting the data, and collating, summarizing and reporting the results. Results We reviewed forty-eight articles on STR, which were grouped according to their main proposed approaches: expert analysis, lean practices, and mathematical programming. We identify the most frequently used techniques within each approach and point to their potential contributions to operational and economic dimensions of STR. We also consolidate our findings proposing a roadmap to STR, with four generic steps (prepare, rationalize, implement, and consolidate) and recommended associated techniques. Conclusions To the best of our knowledge, ours is the first study that reviews and systematizes the existing literature on the subject of STR. Our study closes with the proposition of directions for future research, which are presented as nine research questions associated with the four generic steps proposed in the STR roadmap.

show abstract

Section: Charting the Datamentioning

confidence: 99%

mentioning

confidence: 99%

Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

Santos

Fogliatto

Zani

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

Approaches to the rationalization of surgical instrument trays: scoping review and research agenda

Santos

Fogliatto

Zani

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Surgical Tray Rationalization (STR) consists of a systematic reduction in the number of surgical instruments to perform specific procedures without compromising patient safety while reducing losses in the sterilization and assembly of trays. STR is one example of initiatives to improve process performance that have been widely reported in industrial settings but only recently have gained popularity in healthcare organizations. Methods We conduct a scoping review of the literature to identify and map available evidence on surgical tray management. Five methodological stages are implemented and reported; they are: identifying research questions, identifying relevant studies, study selection, charting the data, and collating, summarizing and reporting the results. Results We reviewed forty-eight articles on STR, which were grouped according to their main proposed approaches: expert analysis, lean practices, and mathematical programming. We identify the most frequently used techniques within each approach and point to their potential contributions to operational and economic dimensions of STR. We also consolidate our findings, proposing a roadmap to STR with four generic steps (prepare, rationalize, implement, and consolidate) and recommended associated techniques. Conclusions To the best of our knowledge, ours is the first study that reviews and systematizes the existing literature on the subject of STR. Our study closes with the proposition of future research directions, which are presented as nine research questions associated with the four generic steps proposed in the STR roadmap.

show abstract

Integridade e funcionalidade dos instrumentais cirúrgicos de um hospital público universitário: estudo prospectivo

Gomes,

Dos Santos,

Lopes

et al. 2024

Rev SOBECC

View full text Add to dashboard Cite

Objetivo: Caracterizar a integridade e a funcionalidade dos instrumentais cirúrgicos de um hospital público universitário. Método: Trata-se de uma pesquisa exploratória, transversal, realizada num hospital universitário de grande porte do Nordeste do Brasil, de maio a julho de 2022. Foram avaliados 384 instrumentais quanto à sua integridade e funcionalidade, divididos em doze classes, cada uma contendo 32 itens. Os mecanismos de inspeção utilizados seguiram normas nacionais e internacionais. Resultados: Aproximadamente metade dos equipamentos avaliados apresentaram não conformidade em pelo menos um teste de integridade e um de funcionalidade. Conclusão: Houve alto índice de não conformidade dos instrumentais representativos do enxoval do hospital. Os dados refletem a necessidade premente de a instituição investir em rastreio, avaliação periódica e manutenção de instrumentais.

show abstract

Management of ophthalmic surgical instruments and processes optimization: mixed method study

Cited by 3 publications

References 13 publications

Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

Approaches to the rationalization of surgical instrument trays: scoping review and research agenda

Integridade e funcionalidade dos instrumentais cirúrgicos de um hospital público universitário: estudo prospectivo

Contact Info

Product

Resources

About