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Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot

BACKGROUND: The operating room (OR) is a major cost and revenue center for a hospital. One of the few modifiable costs in the OR is single-use, sterile surgical supplies (SUSSS). If SUSSS are opened on the scrub table and not used, then they are wasted. High-fidelity SUSSS usage data is important to...

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Autores principales: Goldfield, Natalie M., Malapati, Pumoli, Chafitz, Tyler, Saravanapavan, Yadaven, Alamgir, Nafisa, Gander, Jeffrey, Meyer, Matthew J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440549/
https://www.ncbi.nlm.nih.gov/pubmed/37609369
http://dx.doi.org/10.1016/j.sopen.2023.07.025
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author Goldfield, Natalie M.
Malapati, Pumoli
Chafitz, Tyler
Saravanapavan, Yadaven
Alamgir, Nafisa
Gander, Jeffrey
Meyer, Matthew J.
author_facet Goldfield, Natalie M.
Malapati, Pumoli
Chafitz, Tyler
Saravanapavan, Yadaven
Alamgir, Nafisa
Gander, Jeffrey
Meyer, Matthew J.
author_sort Goldfield, Natalie M.
collection PubMed
description BACKGROUND: The operating room (OR) is a major cost and revenue center for a hospital. One of the few modifiable costs in the OR is single-use, sterile surgical supplies (SUSSS). If SUSSS are opened on the scrub table and not used, then they are wasted. High-fidelity SUSSS usage data is important to strategically implement solutions to reduce waste of SUSSS in the OR. OR waste reduction may decrease health systems' carbon footprints and reduce spending. METHODS: A convenience sample of general pediatric surgical cases was observed in summer 2021. HIPAA-free images of the surgical scrub table were acquired every 2 s with minimal impact on pediatric OR workflow. These images were asynchronously analyzed to obtain SUSSS usage data for each case. RESULTS: Image data from three pediatric surgeons performing 41 pediatric surgeries was reviewed. The median cost of unused SUSSS was $13.10 (IQR = $2.73–$47.97) with a range of $0.07 to $489.08 wasted in a single surgery. The mean number of items wasted was 9.3 ± 6.4. The most frequently wasted items were sutures, syringes, towels, paper rulers, and specimen cups. The most expensive sources of waste were laparoscopic trocars, sutures, insufflation needles, drapes, and guidewires. CONCLUSIONS: SUSSS that were discarded without being used were successfully identified through the asynchronous analysis of HIPAA-free OR scrub table image data. This may be an opportunity to identify SUSSS waste efficiently without an observer in the OR.
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spelling pubmed-104405492023-08-22 Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot Goldfield, Natalie M. Malapati, Pumoli Chafitz, Tyler Saravanapavan, Yadaven Alamgir, Nafisa Gander, Jeffrey Meyer, Matthew J. Surg Open Sci Research Paper BACKGROUND: The operating room (OR) is a major cost and revenue center for a hospital. One of the few modifiable costs in the OR is single-use, sterile surgical supplies (SUSSS). If SUSSS are opened on the scrub table and not used, then they are wasted. High-fidelity SUSSS usage data is important to strategically implement solutions to reduce waste of SUSSS in the OR. OR waste reduction may decrease health systems' carbon footprints and reduce spending. METHODS: A convenience sample of general pediatric surgical cases was observed in summer 2021. HIPAA-free images of the surgical scrub table were acquired every 2 s with minimal impact on pediatric OR workflow. These images were asynchronously analyzed to obtain SUSSS usage data for each case. RESULTS: Image data from three pediatric surgeons performing 41 pediatric surgeries was reviewed. The median cost of unused SUSSS was $13.10 (IQR = $2.73–$47.97) with a range of $0.07 to $489.08 wasted in a single surgery. The mean number of items wasted was 9.3 ± 6.4. The most frequently wasted items were sutures, syringes, towels, paper rulers, and specimen cups. The most expensive sources of waste were laparoscopic trocars, sutures, insufflation needles, drapes, and guidewires. CONCLUSIONS: SUSSS that were discarded without being used were successfully identified through the asynchronous analysis of HIPAA-free OR scrub table image data. This may be an opportunity to identify SUSSS waste efficiently without an observer in the OR. Elsevier 2023-08-09 /pmc/articles/PMC10440549/ /pubmed/37609369 http://dx.doi.org/10.1016/j.sopen.2023.07.025 Text en © 2023 The Authors. Published by Elsevier Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Research Paper
Goldfield, Natalie M.
Malapati, Pumoli
Chafitz, Tyler
Saravanapavan, Yadaven
Alamgir, Nafisa
Gander, Jeffrey
Meyer, Matthew J.
Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot
title Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot
title_full Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot
title_fullStr Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot
title_full_unstemmed Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot
title_short Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot
title_sort sterile surgical supply waste identification using asynchronous analysis: pediatric surgery qi pilot
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440549/
https://www.ncbi.nlm.nih.gov/pubmed/37609369
http://dx.doi.org/10.1016/j.sopen.2023.07.025
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