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Ophthalmic Drug Delivery Systems01:23

Ophthalmic Drug Delivery Systems

Ophthalmic drug delivery faces major limitations due to poor absorption across the corneal membrane. This process is primarily driven by diffusion and is influenced by two main factors: the physicochemical properties of the drug and tear drainage. Most ophthalmic drugs, such as pilocarpine, epinephrine, atropine, and local anesthetics, are weak bases. They are typically formulated at an acidic pH to enhance chemical stability. However, this leads to high ionization, reducing their ability to...

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Management of ophthalmic surgical instruments and processes optimization: mixed method study.

Daniela Silva Dos Santos Schneider1,2, Ana Maria Müller de Magalhães1,2, Cecilia Helena Glanzner1,3

  • 1Hospital de Clínicas de Porto Alegre (HCPA). Porto Alegre, Rio Grande do Sul, Brasil.

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This study optimized ophthalmic instrument management by reorganizing surgical trays, reducing instruments by 13.10% and increasing surgical production by 17.88%. This improved efficiency and sustainability in surgical procedures.

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Area of Science:

  • Surgical Instrument Management
  • Healthcare Operations Research
  • Ophthalmology

Background:

  • Inefficient management of ophthalmic instruments can lead to increased costs and reduced surgical efficiency.
  • Optimizing surgical instrument utilization is crucial for healthcare organizations aiming for sustainability.

Purpose of the Study:

  • To analyze ophthalmic instrument usage during surgical procedures.
  • To propose an optimized material management method for ophthalmic instruments.

Main Methods:

  • A mixed-method study employing a sequential exploratory design.
  • Qualitative phase: brainstorming and field observation to categorize instrument needs.
  • Quantitative phase: matrix arrangement and linear programming for instrument optimization.

Main Results:

  • Reorganization of instruments based on procedure time and specific needs.
  • Average reduction of 13.10% in surgical instruments per tray.
  • Increase of 17.88% in surgical production.

Conclusions:

  • The proposed method rationalized and optimized ophthalmic instrument management.
  • The optimization favored organizational sustainability and improved surgical efficiency.