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Published on: February 17, 2018
Saving Money and Reducing Waste With a Tailored Hand Surgery Kit
Katherine Velicki1, Michelle Schultz, Christopher J Dy
1Department of Orthopaedic Surgery, Washington University in St Louis, Saint Louis, Missouri (Drs Velicki and Dy); and Center for Advanced Medicine-South County, Barnes-Jewish Hospital, St Louis, Missouri (Ms Schultz).
Redesigning surgical kits for carpal tunnel release and trigger finger release significantly cut costs by 53% and reduced waste by 41%. This quality improvement initiative demonstrates a successful strategy for operating room efficiency.
Area of Science:
- Health Sciences
- Surgical Innovation
- Quality Improvement
Background:
- Growing emphasis on cost containment and waste reduction in operating rooms.
- Need for optimized surgical supply kits for common procedures.
Purpose of the Study:
- To redesign the disposable supply kit for carpal tunnel release and trigger finger release.
- To quantify cost savings and waste reduction achieved through kit redesign.
Main Methods:
- Multidisciplinary team (surgeon, student, nurse) reviewed and recommended items for a new kit.
- Implemented a streamlined kit over a 7-month period.
- Calculated cost savings and waste avoidance by comparing new and standard kits.
Main Results:
- Streamlined kit achieved 53% cost savings ($43.40 vs $92.83 per case).
- Reduced pack weight by 41% (2.896 kg vs 4.938 kg), indicating significant waste avoidance.
- Total savings of $2246.78 and 94 kg of waste avoided over 46 cases.
Conclusions:
- Redesign of the local hand pack resulted in substantial cost savings and waste reduction.
- Highlights potential for similar strategies to decrease operating room costs and environmental impact.
- No interruptions in surgical care delivery were observed.
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