Simon Kathleen L, Frelich Matthew J, Gould Jon C
Medical College of Wisconsin, Department of Surgery, Division of General Surgery, Milwaukee, WI, USA.
Medical College of Wisconsin, Department of Surgery, Division of General Surgery, Milwaukee, WI, USA.
Am J Surg. 2018 Jan;215(1):19-22. doi: 10.1016/j.amjsurg.2017.06.024. Epub 2017 Jun 29.
Average costs associated with common procedures can vary by surgeon without a corresponding variation in outcome or case complexity.
De-identified cost and equipment utilization data were collected from our hospital for elective laparoscopic cholecystectomy performed by 17 different surgeons over a 6-month period. A group of surgeons used this data to design a standardized equipment pick list that became optional (not mandated) for laparoscopic cholecystectomy. Cost and consumable surgical supply utilization data were collected for six months prior to and following the creation of the standardized pick-list.
280 elective laparoscopic cholecystectomies were performed during the study interval. In the 6 months after standardized pick list creation, the cost of disposable supplies utilized per case decreased by 32%.
Surgical cost savings can be achieved with standardized procedure pick lists and attention to the cost of consumable surgical supplies.
常见手术的平均成本可能因外科医生而异，而结果或病例复杂性并无相应变化。
收集了我院17位不同外科医生在6个月内进行择期腹腔镜胆囊切除术的匿名成本和设备使用数据。一组外科医生利用这些数据设计了一份标准化设备挑选清单，该清单在腹腔镜胆囊切除术中成为可选（非强制性）清单。在创建标准化挑选清单之前和之后的六个月收集成本和消耗性手术用品使用数据。
在研究期间共进行了280例择期腹腔镜胆囊切除术。在创建标准化挑选清单后的6个月里，每例手术使用的一次性用品成本下降了32%。
通过标准化手术挑选清单并关注消耗性手术用品的成本，可以实现手术成本节约。
