Implementation and Impact of a Hospital-Wide Instrument Set Review: Early Experiences at a Multisite Tertiary Care Academic Institution. (January 2019)

• Record Type: Journal Article
• Authors: Yoon, Seungwon; Zygourakis, Corinna C.; Seaman, Joshua; Zhu, Min; Ahmed, A. Karim; Kliot, Tamara; Antrum, Sheila; Goldberg, Andrew N.
• Is Part Of: American journal of medical quality. Volume 34:Number 1(2019)
• Page Start: 67
• Page End: 73
• Publication Date: 2019-01
• Subjects: surgical instruments -- health care value -- operating room optimization -- operating room efficiency; Medical care -- Quality control -- Periodicals; Medical care -- Evaluation -- Periodicals; Medical care -- Utilization review -- Periodicals; Medical care -- United States -- Periodicals; 362.1
• DOI: 10.1177/1062860618783261
• Languages: English
• ISSNs: 1062-8606

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.