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Related Concept Videos

Hand hygiene01:23

Hand hygiene

3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Handwashing I: Introduction and Types of Equipment01:18

Handwashing I: Introduction and Types of Equipment

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Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
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Standard Precaution01:26

Standard Precaution

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

898
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail...
898
Handwashing III: During the Procedure and Post-Procedure Steps01:15

Handwashing III: During the Procedure and Post-Procedure Steps

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To wash hands properly, follow these steps:
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Related Experiment Video

Updated: Jun 7, 2025

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

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Utilization Fraction of Ambulatory Hand Procedures: Cost-Reduction Through Surgical Instrument Tray Optimization.

Ogechukwu C Onuh1, Michael F Cassidy1, David L Tran1

  • 1New York University Langone Health, New York City, USA.

Hand (New York, N.Y.)
|November 16, 2024
PubMed
Summary

Optimizing surgical instrument sets can significantly reduce costs and improve operating room efficiency. This study found that a streamlined hand surgery tray reduced annual reprocessing costs by over 80%.

Keywords:
cost analysishand surgeryinstrumentationoptimizationquality improvementutilization fraction

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Area of Science:

  • Surgical Innovation
  • Healthcare Management
  • Cost-Effectiveness Analysis

Background:

  • Surgical instrument utilization is a key factor in healthcare costs.
  • Optimizing instrument sets can improve operating room efficiency.
  • Reducing waste in sterile processing is crucial for cost reduction.

Purpose of the Study:

  • To evaluate the utilization fraction (UF) of surgical instruments in ambulatory hand surgery.
  • To identify opportunities for cost reduction and efficiency improvement.
  • To assess the impact of instrument optimization on reprocessing costs.

Main Methods:

  • Tracking instruments opened versus used during 19 hand surgery cases.
  • Calculating the utilization fraction (UF) of surgical instruments.
  • Estimating sterile processing costs based on institutional data and literature.

Main Results:

  • Average UF was 10.7% ± 4.8%, with 120.1 instruments opened and 12.6 used per case.
  • Current hand tray reprocessing costs were estimated at $16,863 annually.
  • An optimized tray reduced annual reprocessing costs by $13,603 (80.7%) to $3,260.

Conclusions:

  • Evaluating pre- and peri-operative processes is vital for cost mitigation.
  • Optimizing surgical instrument sets offers significant cost savings.
  • This approach has broad applicability across surgical subspecialties.