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Picking apart surgical pick lists - Reducing variation to decrease surgical costs.

Kathleen L Simon¹, Matthew J Frelich¹, Jon C Gould¹

¹Medical College of Wisconsin, Department of Surgery, Division of General Surgery, Milwaukee, WI, USA.

American Journal of Surgery

|July 6, 2017

Summary

This summary is machine-generated.

Standardized surgical pick lists can significantly reduce costs for procedures like laparoscopic cholecystectomy. This study found a 32% decrease in disposable supply costs after implementing an optional pick list.

Keywords:

Cholecystectomy Cost Quality initiatives Standardized equipment

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Area of Science:

Health Economics
Surgical Management
Medical Device Utilization

Background:

Procedure costs can vary significantly between surgeons.
This variation often occurs without differences in patient outcomes or case complexity.

Purpose of the Study:

To evaluate the impact of a standardized equipment pick list on surgical supply costs.
To determine if standardization can lead to cost savings in elective laparoscopic cholecystectomy.

Main Methods:

Collected cost and equipment data for 280 laparoscopic cholecystectomies over a 12-month period.
A standardized pick list was developed and made optional for surgeons.
Data was analyzed for the six months before and after the pick list's introduction.

Main Results:

The cost of disposable surgical supplies per case decreased by 32% after the standardized pick list was created.
This reduction was observed in the six months following the pick list's implementation.

Conclusions:

Standardized procedure pick lists are effective in achieving surgical cost savings.
Focusing on the cost of consumable surgical supplies can lead to significant financial benefits.