Surgical Supply Cost Awareness Is Associated With Lower Costs: A Single-Center Experience
Surgical Supply Cost Awareness Is Associated With Lower Costs: A Single-Center Experience
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手术供应成本意识与降低成本相关：单中心体验
DOI：
10.1177/0003134820964494
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
R. Alban
中科院分区：
文献类型：
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作者：
J. Tseng;H. Sax;B. Gewertz;D. Margulies;R. Alban
外科医生通常不熟悉手术器械和用品的成本。我们假设外科医生的成本反馈与成本降低有关。一个多学科小组评估了一个单中心学术机构的7名外科医生（外科医生A-G）进行腹腔镜阑尾切除术的手术供应成本。在干预中，每位外科医生都被询问了他们每例病例的平均供应成本，他们的合作伙伴每例病例的平均供应成本，每种手术器械/供应的成本以及替代品的成本。此外，腹腔镜阑尾切除术托盘标准化，以去除外来器械。比较了干预前（2017年3月至2018年2月）和干预后（2018年3月至2018年10月）的成本。干预前，外科医生每例的平均供应成本范围为754 - 1189美元;从最贵到最便宜，外科医生A > B > C > D > E > F > G。干预后，外科医生的平均每例供应成本范围为676美元至846美元，并且从外科医生G > D > F > C > E > B > A。总的来说，干预后组的每例平均费用较低（854.35美元对731.11美元，P <0.001）。这导致每个案例节省123.24美元（14.4%），每年节省29 151美元。
Surgeons are often unfamiliar with the costs of surgical instrumentation and supplies. We hypothesized that surgeon cost feedback would be associated with a reduction in cost. A multidisciplinary team evaluated surgical supply costs for laparoscopic appendectomies of 7 surgeons (surgeons A-G) at a single-center academic institution. In the intervention, each surgeon was debriefed with their average supply cost per case, their partner’s average supply cost per case, the cost of each surgical instrument/supply, and the cost of alternatives. In addition, the laparoscopic appendectomy tray was standardized to remove extraneous instruments. Pre-intervention (March 2017-February 2018) and post-intervention (March 2018-October 2018) costs were compared. Pre-intervention, the surgeons’ average supply cost per case ranged from $754-$1189; when ranked from most to least expensive, surgeon A > B > C > D > E > F > G. Post-intervention, the surgeons’ average supply cost per case ranged from $676 to $846, and ranked from surgeon G > D > F > C > E > B > A. Overall, the average cost per case was lower in the post-intervention group ($854.35 vs. $731.11, P < .001). This resulted in savings per case of $123.24 (14.4%), to a total annualized savings of $29 151.