Rosenblatt W H, Silverman D G
Department of Anesthesiology, Yale University School of Medicine, New Haven, CT 06510.
J Clin Anesth. 1994 Sep-Oct;6(5):400-4. doi: 10.1016/s0952-8180(05)80010-8.
It is estimated that $200 million worth of prepared materials are discarded unused in operating rooms in the United States each year. Although some of these materials have been successfully recovered for overseas donation, they nevertheless constitute an undesirable burden on health care efficiency. This situation has prompted a reevaluation of the procedures that result in the overpreparation of surgical supplies, in the hope of reducing hospital, patient, and third-party payer expenditures. A database, which was initially developed to track the overseas donation of recovered supplies from Yale-New Haven Hospital, is now being applied to measure approaches to waste reduction. This report summarizes the application of this database to an integrated program designed to modify nursing procedures and physician prespecified supply lists.
据估计，美国每年有价值2亿美元的准备好的材料在手术室中未被使用就被丢弃。尽管其中一些材料已成功回收用于海外捐赠，但它们仍然给医疗保健效率带来了不良负担。这种情况促使人们重新评估导致手术用品过度准备的程序，以期减少医院、患者和第三方付款人的支出。一个最初用于跟踪耶鲁-纽黑文医院回收用品海外捐赠情况的数据库，现在正被用于衡量减少浪费的方法。本报告总结了该数据库在一个旨在修改护理程序和医生预先指定的用品清单的综合项目中的应用情况。
