Implementation and Impact of a Hospital-Wide Instrument Set Review: Early Experiences at a Multisite Tertiary Care Academic Institution

Seungwon Yoon, Corinna C. Zygourakis, Joshua Seaman, Min Zhu, A. Karim Ahmed, Tamara Kliot, Sheila Antrum, Andrew N. Goldberg

Research output: Contribution to journalArticlepeer-review

Abstract

A multidisciplinary team of nurses, sterile processing technicians, and surgeons reviewed 609 otolaryngology–head and neck surgery (OHNS) surgical instrument sets at the study institution’s 3 hospitals. Implementation of the 4-phase instrument review resulted in decreased OHNS surgical instrument set types from 261 to 234 sets, and a decreased number of instruments in these sets from 18 952 to 17 084. The instrument set review resulted in an estimated savings of $35 665 in sterile processing costs for the OHNS department. Instrument review applied to all 10 surgical specialties at the institution would result in an estimated annual savings of $425 378. Through effective leadership, multidisciplinary participation of all key stakeholders, and a systematic approach, this study demonstrates that a hospital-wide quality improvement intervention for instrument set optimization can be successfully performed in a large, multisite tertiary care academic hospital.

Original languageEnglish (US)
Pages (from-to)67-73
Number of pages7
JournalAmerican Journal of Medical Quality
Volume34
Issue number1
DOIs
StatePublished - Jan 1 2019

Keywords

  • health care value
  • operating room efficiency
  • operating room optimization
  • surgical instruments

ASJC Scopus subject areas

  • Health Policy

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