Stanford Health Care, Palo Alto, California (Ms Pesigan); Department of Urology, Stanford University School of Medicine, Palo Alto, California (Mr Chen and Dr Gill); and Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois (Mr Bajaj).
Qual Manag Health Care. 2021;30(2):135-137. doi: 10.1097/QMH.0000000000000311.
Operating room costs contribute significantly to the overall expenditure for inpatient care. We evaluated a simple way to reduce urology operating room costs by limiting the loss from unused disposable items.
Baseline data were collected on opened and unused disposable items. Surgeons were asked to edit their preference cards and mark optional surgical items that would only be opened if requested.
The cost of unused disposable items during the first 4 weeks in 3 operating rooms averaged $410/week. Costs after implementing the intervention declined to an average of $30/week. This yielded $380/week in savings, equating to a 92% reduction in waste, and a potential savings of $19 760 annually in the 2 urology operating rooms alone.
Since the urology department represents only 10% of the main operating rooms at our institution, if other operating rooms implemented similar cost saving methods the hospital could potentially accrue significant savings.
手术室成本对住院患者总支出有重大影响。我们评估了一种通过限制未使用一次性物品损失来降低泌尿科手术室成本的简单方法。
收集已打开但未使用的一次性物品的基线数据。要求外科医生编辑他们的偏好卡,并标记仅在要求时才会打开的可选手术物品。
在 3 间手术室的前 4 周内,未使用的一次性物品的成本平均为每周 410 美元。实施干预措施后的成本下降至每周 30 美元。这每周节省了 380 美元,相当于浪费减少了 92%,仅在 2 间泌尿科手术室每年就可节省 19760 美元。
由于泌尿科仅占我们医院主要手术室的 10%,如果其他手术室实施类似的节省成本方法,医院可能会节省大量资金。