Operating room waste reduction in plastic and hand surgery
Operating room waste reduction in plastic and hand surgery
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DOI：
10.1177/229255031502300409
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发表时间：
2015-12-01
期刊：
影响因子：
0.7
通讯作者：
Rothkopf, Douglas M.
中科院分区：
文献类型：
--
作者：
Albert, Mark G.;Rothkopf, Douglas M.
背景：手术室（OR），结合劳动和分娩套房，约占70%的医院废物。以前的研究报告说，回收可以有相当大的财务影响，在医院范围内的基础上，然而，它的重要性在OR还没有得到证明.OBJECTIVE：提出一种方法，降低成本，通过明智的选择仪器和用品，并开始回收在整形和手外科。作者确定了在普通整形和手外科手术中经常打开和浪费的一次性用品和器械，并计算了消除无关物品可能带来的节省。进行了成本分析，比较费用或废物与单流回收和回收的好处HIPAA文件和蓝色wrap.RESULTS：15个总项目从一次性塑料包装和7个总项目从手包。仅这些变化每年就可节省17，381.05美元。自启动单流回收以来，提交人所在的机构在三个校区平均每月节省3，487美元。按目前的储蓄率推算，预计每年至少可节省41，844美元。结论：减少手术室废物是降低手术费用的有效方法。通过修改当前指定用于整形和手部手术的一次性包和仪器套件的内容物，医院可以减少打开和未使用的材料数量。结论：这种明智的供应和仪器选择以及实施可以节省大量的财务费用和环境效益回收。
BACKGROUND: Operating rooms (ORs), combined with labour and delivery suites, account for approximately 70% of hospital waste. Previous studies have reported that recycling can have a considerable financial impact on a hospital-wide basis; however, its importance in the OR has not been demonstrated.OBJECTIVE: To propose a method of decreasing cost through judicious selection of instruments and supplies, and initiation of recycling in plastic and hand surgery.METHODS: The authors identified disposable supplies and instruments that are routinely opened and wasted in common plastic and hand surgery procedures, and calculated the savings that can result from eliminating extraneous items. A cost analysis was performed, which compared the expense of OR waste versus single-stream recycling and the benefit of recycling HIPAA documents and blue wrap.RESULTS: Fifteen total items were removed from disposable plastic packs and seven total items from hand packs. A total of US$17,381.05 could be saved per year from these changes alone. Since initiating single-stream recycling, the authors' institution has saved, on average, US$3,487 per month at the three campuses. After extrapolating at the current savings rate, one would expect to save a minimum of US$41,844 per year. Discusion: OR waste reduction is an effective method of decreasing cost in the surgical setting. By revising the contents of current disposable packs and instrument sets designated for plastic and hand surgery, hospitals can reduce the amount of opened and unused material.CONCLUSIONS: Significant financial savings and environmental benefit can result from this judicious supply and instrument selection, as well as implementation of recycling.