Muldoon Lily B, Chan Winnie W, Sabbagh Sarah H, Rodriguez Robert M, Kanzaria Hemal K
Department of Emergency Medicine, University of California, San Francisco, California.
Department of Emergency Medicine, University of California, San Francisco, California; Philip R. Lee Institute for Health Policy Studies, University of California at San Francisco, California.
J Emerg Med. 2019 Jul;57(1):29-35. doi: 10.1016/j.jemermed.2019.02.009. Epub 2019 Apr 25.
Medical supplies and equipment are unevenly distributed throughout the world.
Our aim was to describe, quantify, and monetize unused supplies suitable for recovery produced from two urban emergency departments (EDs).
We trained ED staff to place opened, unused, uncontaminated medical supplies in strategically located bins located in two urban EDs for 30 days. We sorted and quantified collected supplies, then used hospital-specific supply catalogs to determine the total cost of recovered medical supplies during the 30-day study period. We extrapolated the amount of collected medical supplies and associated costs to yearly estimates.
We recovered 39.9 kg ($6,096) from the trauma center and 3.4 kg ($539) from the academic center during the 30-day study period. The most commonly collected supplies included open but unused procedure kits ($1,776), catheter needles ($1,009), and sutures ($698). We estimated that the trauma center produces $73,158 of unused medical supplies per year and the academic center produces $6,467 of unused medical supplies per year.
We present a novel approach to decreasing waste and recovering usable medical supplies, in which we found that substantial, valuable medical supplies can be recovered in two urban EDs.
医疗用品和设备在全球分布不均。
我们的目标是描述、量化并估算两个城市急诊科产生的适合回收利用的未使用用品的价值。
我们培训急诊科工作人员，让他们在30天内将开封的、未使用的、未受污染的医疗用品放置在两个城市急诊科中位置合理的收纳箱内。我们对收集到的用品进行分类和量化，然后使用医院特定的用品目录来确定30天研究期间回收医疗用品的总成本。我们将收集到的医疗用品数量和相关成本推算为年度估算值。
在30天的研究期间，我们从创伤中心回收了39.9千克（价值6,096美元）的用品，从学术中心回收了3.4千克（价值539美元）的用品。最常收集到的用品包括开封但未使用的手术套件（1,776美元）、导管针（1,009美元）和缝线（698美元）。我们估计创伤中心每年产生价值73,158美元的未使用医疗用品，学术中心每年产生价值6,467美元的未使用医疗用品。
我们提出了一种减少浪费和回收可用医疗用品的新方法，发现在两个城市急诊科可以回收大量有价值的医疗用品。
