Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
BMC Health Serv Res. 2024 Sep 11;24(1):1048. doi: 10.1186/s12913-024-11497-9.
Operating rooms contribute to over 40% of hospital expenses, with a portion attributed to waste from single-use, sterile surgical supplies (SUSSS). This research aimed to determine the amount of cost wastage due to not using SUSSS during laparotomy procedures.
A descriptive-analytical investigation was conducted in two prominent teaching hospitals in Mashhad, Iran 2018. Seventy-seven laparotomy surgeries were scrutinized, documenting both used and unused disposable devices, with their respective costs being assessed. Data analysis was performed using SPSS version 16 software.
The study revealed that during surgery in the operating rooms, waste of SUSSS averaged 5.9%. Betadine solution and sterile Gauze types were the top two contributors to resource wastage. Sterile Gauze types incurred the highest cost loss. The study found a significant correlation between cost wastage and surgeon experience (r = 0.296, P < 0.001) as well as surgery duration (r = 0.439, P < 0.001).
Inadequate management of available and commonly used disposable supplies leads to increased hospital expenses. Enhancing the surgical team's knowledge of sterile surgical supplies usage and making thoughtful selections can play a vital role in curbing health costs by minimizing waste of SUSSS in the operating rooms.
手术室占医院支出的 40%以上，其中一部分是由于一次性使用的无菌手术用品（SUSSS）造成的浪费。本研究旨在确定由于在剖腹手术过程中未使用 SUSSS 而导致的成本浪费量。
2018 年，在伊朗马什哈德的两家著名教学医院进行了描述性分析研究。对 77 例剖腹手术进行了审查，记录了使用和未使用的一次性器械，并评估了它们各自的成本。使用 SPSS 版本 16 软件进行数据分析。
研究表明，在手术室的手术过程中，SUSSS 的浪费平均为 5.9%。聚维酮碘溶液和无菌纱布类型是造成资源浪费的前两大因素。无菌纱布类型造成的成本损失最高。研究发现，成本浪费与外科医生经验（r=0.296，P<0.001）和手术持续时间（r=0.439，P<0.001）之间存在显著相关性。
对现有和常用一次性用品的管理不善导致医院费用增加。提高手术团队对无菌手术用品使用的知识水平，并进行深思熟虑的选择，可以通过最大限度地减少手术室中 SUSSS 的浪费，在控制卫生保健成本方面发挥重要作用。
