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Reducing Unnecessary Instruments in Tonsil Hemorrhage Trays at a Canadian Tertiary Care Center: A Quality Improvement Project

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Názov: Reducing Unnecessary Instruments in Tonsil Hemorrhage Trays at a Canadian Tertiary Care Center: A Quality Improvement Project
Autori: Kylen Van Osch, Edward Madou, Sheena Belisle, Julie E. Strychowsky
Zdroj: J Otolaryngol Head Neck Surg
Informácie o vydavateľovi: SAGE Publications, 2024.
Rok vydania: 2024
Predmety: Tertiary Care Centers, Canada, 03 medical and health sciences, 0302 clinical medicine, Humans [MeSH], Tertiary Care Centers [MeSH], instrument optimization, Postoperative Hemorrhage/therapy [MeSH], laryngology, planetary health, Canada [MeSH], Emergency Service, Hospital [MeSH], Quality Improvement [MeSH], Tonsillectomy [MeSH], tonsil hemorrhage trays, instrument trays, quality improvement, Peritonsillar Abscess/therapy [MeSH], Surgical Instruments/economics [MeSH], Patient Safety/Quality Improvement, Humans, Peritonsillar Abscess, Postoperative Hemorrhage, Surgical Instruments, Emergency Service, Hospital, Quality Improvement, Tonsillectomy
Popis: Background In the emergency department (ED), there are pre-assembled tonsillar hemorrhage trays for management of post-tonsillectomy hemorrhage and peritonsillar abscess. After use, the tray is sent to the medical device reprocessing (MDR) department for decontamination, sterilization, and re-organization, all at a significant cost to the hospital and environment. Objective The goal of this project was to reduce unnecessary instruments on the tonsil hemorrhage tray by 30% by 1 year and report on the associated cost and carbon dioxide (CO2) emissions savings. Methods This quality improvement project was framed according to the Institute for Healthcare Improvement’s Model for Improvement. ED and Otolaryngology–Head & Neck Surgery staff and residents were surveyed to determine which instruments on the tonsil hemorrhage trays were used regularly. Based on results, a new tray was developed and compared to the old tray using MDR data and existing CO2 emissions calculations. Results Tray optimization resulted in a total cost reduction from $1092.63 to $330.21 per tray per year, decreased processing time from 12 to 6-8 minutes per tray, and decreased CO2 emissions from 6.11 to 2.85 kg per year for the old versus new tray, respectively. Overall, the new tray contains half the number of instruments, takes half the time to assemble, produces 50% less CO2 emissions, and will save the hospital approximately $100,000 over 10 years. Conclusion Healthcare costs and environmental sustainability are collective responsibilities. Surgical and procedure tray optimization is a simple, effective, and scalable form of eco-action.
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1916-0216
DOI: 10.1177/19160216241267719
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39109798
https://repository.publisso.de/resource/frl:6484821
Rights: CC BY NC ND
URL: http://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://us.sagepub.com/en-us/nam/open-access-at-sage).
Prístupové číslo: edsair.doi.dedup.....fce3f05a459aea3d2a48c0a095046935
Databáza: OpenAIRE
Popis
Abstrakt:Background In the emergency department (ED), there are pre-assembled tonsillar hemorrhage trays for management of post-tonsillectomy hemorrhage and peritonsillar abscess. After use, the tray is sent to the medical device reprocessing (MDR) department for decontamination, sterilization, and re-organization, all at a significant cost to the hospital and environment. Objective The goal of this project was to reduce unnecessary instruments on the tonsil hemorrhage tray by 30% by 1 year and report on the associated cost and carbon dioxide (CO2) emissions savings. Methods This quality improvement project was framed according to the Institute for Healthcare Improvement’s Model for Improvement. ED and Otolaryngology–Head & Neck Surgery staff and residents were surveyed to determine which instruments on the tonsil hemorrhage trays were used regularly. Based on results, a new tray was developed and compared to the old tray using MDR data and existing CO2 emissions calculations. Results Tray optimization resulted in a total cost reduction from $1092.63 to $330.21 per tray per year, decreased processing time from 12 to 6-8 minutes per tray, and decreased CO2 emissions from 6.11 to 2.85 kg per year for the old versus new tray, respectively. Overall, the new tray contains half the number of instruments, takes half the time to assemble, produces 50% less CO2 emissions, and will save the hospital approximately $100,000 over 10 years. Conclusion Healthcare costs and environmental sustainability are collective responsibilities. Surgical and procedure tray optimization is a simple, effective, and scalable form of eco-action.
ISSN:19160216
DOI:10.1177/19160216241267719