Objectives: To assess surgical instrument usage in cleft lip (CL) and cleft palate (CP) surgery and create an optimized surgical tray with an associated cost-savings analysis.
Design: Prospective, observational study.
Setting: Single institution, 6-month prospective review.
Patients/participants: A total of 10 primary CL surgeries and 10 primary CP surgeries were included in this study.
Intervention: Complete lists of surgical instruments utilized in CL and CP surgeries were collected.
Unlabelled: Utilization fractions (UFs) were calculated as the percentages of average used instruments to averaged opened instruments per case. New optimized CL and CP surgical trays were idealized by removing instruments not used in at least 20% of cases, and a cost analysis was performed to identify potential savings. Calculation of annual potential savings was also conducted based on institutional caseload.
Results: The average instrument UFs were 26.0% for CL and 22.6% for CP. The estimated costs were $33.15 to $290.29 for the original CL surgical tray and $10.20 to $63.80 for the optimized tray. For CP, the original tray's cost was estimated at $38.25 to $319.00, and the optimized tray at $9.18 to $57.42. This demonstrates a cost reduction of $22.95 to $226.49 for CL and $29.07 to 261.58 for CP.
Conclusions: The idealized surgical instrument tray could contribute to reducing healthcare expenditures and promoting operating room efficiency, patient safety, and environmentally friendlier operating theaters.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/10556656241293705 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Metal-backed versus all-poly tibia in the original cartier unicompartmental knee arthroplasty: outcomes and survivorship at long-term follow-up.
Arch Orthop Trauma Surg
December 2024
Sezione di Chirurgia Protesica ad Indirizzo Robotico Unità di Traumatologia dello Sport, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
Purpose: Unicompartmental knee arthroplasty (UKA) is a viable option for localized osteoarthritis (OA) or avascular osteonecrosis with several advantages over total knee arthroplasty (TKA). UKA implants may feature a tibial component either all-polyethylene (AP) or metal-backed (MB). This study aims to retrospectively compare the clinical outcomes and survivorship of 74 UKAs over 16 years, focusing on comparing the results and survivorship of MB versus AP tibial tray.
View Article and Find Full Text PDFBackground: Many hospitals and surgery centers have focused improvement efforts on operating room inefficiencies. A common inefficiency is missing and unusable surgical instrumentation, which can result in case delays and decreased effectiveness. Lean Six Sigma methodology, a set of process improvement tools focused on the reduction of waste and variation, has been used to identify and correct root causes of missing and unusable instrumentation.
View Article and Find Full Text PDF[Packaging waste in the operating room].
Unfallchirurgie (Heidelb)
December 2024
Klinik für Unfall- und Handchirurgie, Schön Klinik Hamburg, Hamburg, Deutschland.
Background: Climate change is a central issue for our future. The increase in the amount of greenhouse gases in the atmosphere promotes the so-called greenhouse effect, resulting in climate change. Worldwide, the amount of plastic waste amounts to approximately 8 billion tons.
View Article and Find Full Text PDFRandomized controlled trial evaluating the efficacy of the "water on tray" anesthesia technique compared to the Halsted technique.
Clin Oral Investig
December 2024
Department of Oral and Maxillofacial Surgery, School of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.
Objective: With respect to the high failure rate of conventional IANB technique and other associated disadvantages, in this study we focused on an alternative called Water on Tray technique and assessed the efficiency of this method compared to the conventional technique.
Materials And Methods: This single-blind, single center randomized controlled trial was carried out among 90 individuals referred to the dental clinic of the International Branch of Guilan University of Medical Sciences (IB-GUMS) from November to December of 2017. The patients were randomly assigned into two groups.
Acromial and scapular fractures after reverse shoulder arthroplasty: comparison of 3018 reverse total shoulders by inlay and onlay humeral component design.
J Shoulder Elbow Surg
November 2024
Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, Germantown, TN, USA.
Background: Periscapular fractures, specifically acromial and scapular spine fractures, have been identified as one of the leading complications of reverse total shoulder arthroplasty (rTSA). However, very little is known of the etiology of these postoperative fractures, or how variations in humeral designs correlates with the risk of postoperative fracture development. Therefore, the purpose of this study was to analyze the prevalence, timing, and relationship of humeral component design to acromial or scapular spine fractures.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!