手术托盘优化:对环境和经济结果的前性和基于调查的评估
M M M Eussen1,2, R M Brandwijk3, R C Reising4
1Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Surgical endoscopy
|January 23, 2026
概括
通过移除未使用的仪器来优化手术托盘,大大降低了成本,并减少了对环境的影响. 临床观察比员工调查更有效地识别了需要移除的仪器,提高了手术室的可持续性.
科学领域:
- 操作室的效率 操作室的效率
- 可持续的医疗保健实践
- 手术仪器管理手术仪器管理
背景情况:
- 手术室资源密集;再处理未使用的仪器会产生环境和财务成本.
- 手术托盘的优化,通过去除很少使用的仪器,可以减轻这些负担.
- 目前用于识别未使用的仪器和整合环境/成本分析的方法是分散的.
研究的目的:
- 评估手术托盘优化对环境和财务负担的影响.
- 为了将前性临床观察与后性工作人员调查进行比较,以识别可移除的仪器.
- 通过托盘优化量化节省成本和减少碳足迹.
主要方法:
- 未来的仪器使用记录一个主要的整体外科托盘在162个程序.
- 在<20%的病例中使用的仪器通过临床观察和工作人员调查被确定用于移除.
- 使用生命周期评估 (LCA) 和基于活动的成本计算来量化环境和财务影响.
主要成果:
- 平均每例仪器使用量为19个仪器,10个仪器从未使用过.
- 基于观察的优化将托盘尺寸/重量减少了54%,成本降低了55%.
- 基于调查的优化产生了较小的减少;临床观察发现了更大的仪器移除潜力.
结论:
- 手术托盘优化在多种专业环境中提供了显著的成本节约和环境效益.
- 与工作人员审查相比,临床观察是识别用于移除仪器的更有效方法.
- 整合LCA和成本分析为可持续的外科手术提供了一个透明的框架.
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