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A Modified Lean and Release Technique to Emphasize Response Inhibition and Action Selection in Reactive Balance
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Lean and Green Hand Surgery.

Robert E Van Demark1, Vanessa J S Smith1, Anthony Fiegen2

  • 1Department of Orthopedics and Sports Medicine, Sanford Health, Sioux Falls.

The Journal of Hand Surgery
|February 9, 2018
PubMed
Summary
This summary is machine-generated.

Healthcare in the U.S. is costly and wasteful, with operating rooms generating significant waste. Implementing "Lean and Green" surgical practices, like Wide Awake Local Anesthesia No Tourniquet (WALANT), can reduce costs and environmental impact.

Keywords:
Healthcare expenseLean and Green hand surgerylidocaine and epinephrineminor field sterilitywide awake surgery

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Area of Science:

  • Healthcare Management
  • Environmental Science
  • Surgical Innovation

Background:

  • US healthcare spending is high ($3.35 trillion in 2016) and per capita costs are double other developed nations.
  • The US healthcare industry is a major waste producer, second only to food, with hospitals generating 4 billion pounds annually.
  • Operating rooms contribute significantly to hospital waste (70%), increasing disposal costs and environmental hazards.

Purpose of the Study:

  • To evaluate the effectiveness of

Main Methods:

  • Implementation of a "Lean and Green" surgical project within an institution.
  • Application of "minor field sterility" principles.
  • Utilization of Wide Awake Local Anesthesia No Tourniquet (WALANT) technique.

Main Results:

  • Demonstrated reduction in surgical costs.
  • Achieved a decrease in surgical waste generation.
  • Maintained high levels of patient safety and satisfaction.

Conclusions:

  • "Lean and Green" surgical initiatives can effectively decrease healthcare costs and environmental waste.
  • The WALANT technique and "minor field sterility" are key components in reducing operating room waste.
  • Sustainable surgical practices are crucial for the future of healthcare, aligning with quality-based reimbursement models.