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对外科医生进行腹腔镜胆囊切除术术中一次性耗材成本的培训:一个区域卫生系统的经验

Educating surgeons on intraoperative disposable supply costs during laparoscopic cholecystectomy: a regional health system's experience.

作者信息

Gitelis Matthew, Vigneswaran Yalini, Ujiki Michael B, Denham Woody, Talamonti Mark, Muldoon Joseph P, Linn John G

机构信息

Department of Surgery, Section of Minimally Invasive Surgery, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL 60201, USA.

Department of Surgery, Section of Minimally Invasive Surgery, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL 60201, USA; Department of Surgery, University of Chicago, Chicago, IL, USA.

出版信息

Am J Surg. 2015 Mar;209(3):488-92. doi: 10.1016/j.amjsurg.2014.09.023. Epub 2014 Dec 17.

Abstract

BACKGROUND

Surgeons play a crucial role in the cost efficiency of the operating room through total operative time, use of supplies, and patient outcomes. This study aimed to examine the effect of surgeon education on disposable supply usage during laparoscopic cholecystectomy.

METHODS

Surgeons were educated about the cost of disposable equipments without incentives for achieved cost reductions. Surgical supply costs for laparoscopic cholecystectomy in fiscal year (FY) 2013 were compared with FY 2014.

RESULTS

The average disposable supply cost per laparoscopic cholecystectomy was reduced from $589 (n = 586) in FY 2013 to $531 (n = 428) in FY 2014, representing a 10% reduction in supply costs (P < .001). Adjustments included reduction in the use of expensive fascial closure devices, clip appliers, suction irrigators, and specimen retrieval bags.

CONCLUSIONS

Disposable equipment cost for laparoscopic cholecystectomy can be reduced by surgeon education. These techniques can likely be used to reduce costs in an array of specialties and procedures.

摘要

背景

外科医生通过总手术时间、耗材使用和患者预后,在手术室成本效益方面发挥着关键作用。本研究旨在探讨外科医生培训对腹腔镜胆囊切除术一次性耗材使用的影响。

方法

对外科医生进行了一次性设备成本的培训,但未对实现的成本降低给予激励。将2013财年腹腔镜胆囊切除术的手术耗材成本与2014财年进行了比较。

结果

每例腹腔镜胆囊切除术的平均一次性耗材成本从2013财年的589美元(n = 586)降至2014财年的531美元(n = 428),耗材成本降低了10%(P <.001)。调整措施包括减少使用昂贵的筋膜闭合装置、钛夹钳、冲洗吸引器和标本取物袋。

结论

通过外科医生培训可降低腹腔镜胆囊切除术的一次性设备成本。这些技术可能可用于降低一系列专科和手术的成本。

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