TY - JOUR
T1 - Implementation and Impact of a Hospital-Wide Instrument Set Review
T2 - Early Experiences at a Multisite Tertiary Care Academic Institution
AU - Yoon, Seungwon
AU - Zygourakis, Corinna C.
AU - Seaman, Joshua
AU - Zhu, Min
AU - Ahmed, A. Karim
AU - Kliot, Tamara
AU - Antrum, Sheila
AU - Goldberg, Andrew N.
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Dr Zygourakis was supported by a research fellowship from the UCSF Center for Healthcare Value when this study was performed.
Publisher Copyright:
© The Author(s) 2018.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - health care value
KW - operating room efficiency
KW - operating room optimization
KW - surgical instruments
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U2 - 10.1177/1062860618783261
DO - 10.1177/1062860618783261
M3 - Article
C2 - 29936862
AN - SCOPUS:85049696732
SN - 1062-8606
VL - 34
SP - 67
EP - 73
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 1
ER -