Reduction and standardization of surgical instruments in pediatric inguinal hernia repair

Koyle, Martin A.; Alqarni, Naif; Odeh, Rakan I.; Butt, Hissan; Alkahtani, Mohammed M.; Konstant, Louis; Pendergast, Lisa; Koyle, Leah C.C.; Baker, G. Ross

doi:10.1016/j.jpurol.2017.08.002

Cited by 34 publications

(42 citation statements)

References 11 publications

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“…For example, most surgeons at our institution perform laparoscopic appendectomies similarly and use the same items. Studies have shown that standardization of preference cards can lead to decreased costs across multiple procedures and specialties [20][21][22] , so perhaps cost utilization in such procedures are already maximized. Another consideration in the analysis of our data is the effect of time.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Surgical Receipt Program on the Supply Costs of Five General Surgery Procedures

Zhao

Tyree

Lin

et al. 2019

Journal of Surgical Research

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BACKGROUND-Surgical supplies occupy a large portion of healthcare expenditures but is often under the surgeon's control. We sought to assess whether an automated, surgeon-directed, cost feedback system can decrease supply expenditures for five common general surgery procedures. MATERIALS AND METHODS-An automated "surgical receipt" detailing intraoperative supply costs was generated and emailed to surgeons after each case. We compared the median cost per case for 18 months before and after implementation of the surgical receipt. We controlled for price fluctuations by applying common per-unit prices in both time periods. We also compared the incision time, case length booking accuracy, length of stay, and postoperative occurrences.

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Section: Discussionmentioning

confidence: 99%

Effects of a Surgical Receipt Program on the Supply Costs of Five General Surgery Procedures

Zhao

Tyree

Lin

et al. 2019

Journal of Surgical Research

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“…Lean thinking (LT) has provided good results in manufacturing industries for many decades and has been adopted in healthcare to reduce cost and waste while increasing quality and safety [7][8][9][10][11][12][13][14][15]. Some researchers argue that LT in healthcare has not proven to be as effective as expected [16].…”

Section: Introductionmentioning

confidence: 99%

An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study

Nino

Chipperfield

Valladares

et al. 2020

IJERPH

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Operating Rooms (ORs) generate the largest revenues and losses in a hospital. Without the prompt supply of sterile surgical trays from the Sterile Processing Department (SPD), the OR would not be able to perform surgeries to its busy schedule. Nevertheless, little emphasis has been brought in the medical literature to research on surgical instrument processing in the medical literature. The present study was done applies an Enhanced Kaizen Event (EKE) in the SPD of a rural hospital to identify sources of waste and minimize non-value-added steps in the SPD processes. The EKE consisted of three successive Plan-Do-Check-Act (PDCA) cycles, which focused on improvements at the departmental level first, then at an area level, and finally at the station level. The EKE yielded an improved streamlined workflow and a new design for the SPD layout, one of its areas, and a workstation. This paper aims at building a methodology, including identified steps. Results exhibited a 35% reduction in travel distance by the staff, eliminating non-value-added processes, reducing errors in the sterilization process, and eliminating cross-contamination for sterilized materials.

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“…The literature on re-assessment of instruments in trays is mostly exclusively based on the observation of their use in a surgery sample and field observation (10,(18)(19)(20) , however, in one study (18) more similar to the present one, where a multidisciplinary group of specialists was formed to analyze pediatric surgery trays, average reduction of 27.8% was reported. This study corroborates our findins and the relevance of this multiprofessional discussion.…”

Section: Discussionmentioning

confidence: 62%

“…Most studies found make instrument analysis considering the need of one single type of procedure, which favors reduction in the number of pieces in trays, particularly when they are shared across procedures, which justifies the high numbers of reductions reported by these authors (10,(17)(18) .…”

Section: Discussionmentioning

confidence: 99%

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

Schneider

Magalhães

Glanzner

et al. 2020

Rev. Gaúcha Enferm.

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Aim: Analysis of the use of ophthalmic instruments during surgical procedures in order to propose a material management method. Method: Mixed method study, sequential exploratory design, performed from January to June 2015, at a university hospital in southern Brazil. First, a qualitative approach was held from brainstorming and field observation. Themes were grouped into thematic categories. By connection, the quantitative stage happened through matrix arrangement and linear programming, culminating in the instrument management proposal. Results:Given categories -instruments reorganization according to the time of the surgical procedure and the need surgical instruments for in each procedure -guided the definition of existing restrictions and application of mathematical models. There was an average reduction of 13.10% in the number of surgical instruments per tray and an increase of 17.88% in surgical production. Final considerations:This proposal allowed the rationalization and optimization of ophthalmic instruments, favoring sustainability of the organization.Objetivo: Analisar o uso de instrumentais oftalmológicos durante os procedimentos cirúrgicos e propor um método de gerenciamento de materiais.Método: Estudo de método misto, exploratório sequencial, realizado entre janeiro e junho de 2015, em hospital universitário no sul do Brasil. Primeiramente, fez-se uma abordagem qualitativa a partir de brainstorming e observação de campo. Os temas foram agrupados em categorias temáticas. Por conexão, a etapa quantitativa aconteceu por arranjos de matrizes e programação linear, culminando à proposta de gerenciamento de instrumentais. Resultados:As categorias -reorganização do instrumental conforme tempo do procedimento cirúrgico e necessidade de peças para cada procedimento -orientaram a definição das restrições existentes e aplicação dos modelos matemáticos. Verificou-se uma redução média de 13,10% no número de peças por bandejas e aumento de 17,88% da produção cirúrgica. Considerações finais:Esta proposta permitiu a racionalização e otimização de instrumentais oftalmológicos, favorecendo a sustentabilidade da organização. Palavras-chave:Esterilização. Gestão da qualidade. Administração de materiais no hospital. RESUMEN Objetivo: Analizar el uso de instrumentos oftalmológicos durante los procedimientos quirúrgicos y proponer un método de gestión de materiales.Método: Estudio de método mixto, exploratorio secuencial, realizado entre enero y junio de 2015, en un hospital universitario en el sur de Brasil. Primero, se realizó un enfoque cualitativo a partir de la reflexión y la observación de campo. Los temas se agruparon en categorías temáticas. Por conexión, la etapa cuantitativa ocurrió por arreglos de matrices y programación linear, culminando con la propuesta de gestión de instrumentales.Resultados: Las categorías -reorganización del instrumental conforme tiempo del procedimiento quirúrgico y necesidad de piezas para cada procedimiento -orientaron la definición de las restricciones existentes y aplicación de los m...

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Reduction and standardization of surgical instruments in pediatric inguinal hernia repair

Cited by 34 publications

References 11 publications

Effects of a Surgical Receipt Program on the Supply Costs of Five General Surgery Procedures

Effects of a Surgical Receipt Program on the Supply Costs of Five General Surgery Procedures

An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study

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

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