Using huddles to improve communication and teamwork in an instrument-processing department

2020 ◽  
Vol 27 (6) ◽  
pp. 34-42
Author(s):  
Amy Hans Loesche
2004 ◽  
Vol 32 (3) ◽  
pp. E23
Author(s):  
K. Hartless∗ ◽  
B. Gray ◽  
D. Kenebrew ◽  
P. Batiste ◽  
J. Landrith ◽  
...  

Author(s):  
Jose F. Moreno Alvarez ◽  
Antonio Pena Godino ◽  
Francisco Torrero Merino ◽  
Jose A. Rodriguez Manfredi ◽  
Christina Diaz

2016 ◽  
Vol 4 (1) ◽  
pp. 64
Author(s):  
Juliana Ladeira Garbaccio ◽  
Adriana Cristina Oliveira ◽  
Amanda Laís Gonçalves Gama

Author(s):  
Valentina Nino ◽  
David Claudio ◽  
Leonardo Valladares ◽  
Sean Harris

Operating Rooms (ORs) generate the largest revenues and losses in a hospital. Without the prompt supply of sterile surgical trays from the Sterile Processing Department (SPD), the OR would not be able to perform surgeries to its busy schedule. Nevertheless, little emphasis has been brought in the medical literature to research on surgical instrument processing in the medical literature. The present study was done applies an Enhanced Kaizen Event (EKE) in the SPD of a rural hospital to identify sources of waste and minimize non-value-added steps in the SPD processes. The EKE consisted of three successive Plan-Do-Check-Act (PDCA) cycles, which focused on improvements at the departmental level first, then at an area level, and finally at the station level. The EKE yielded an improved streamlined workflow and a new design for the SPD layout, one of its areas, and a workstation. This paper aims at building a methodology, including identified steps. Results exhibited a 35% reduction in travel distance by the staff, eliminating non-value-added processes, reducing errors in the sterilization process, and eliminating cross-contamination for sterilized materials.


2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 33-33
Author(s):  
Abigail Suzanne Caudle ◽  
Jason B. Fleming ◽  
Brian M Garcia ◽  
Marina Lozano ◽  
Darryl Rigby ◽  
...  

33 Background: Processing operative instrumemt sets is a major cost for surgical cancer care. Optimizing standard sets requires availability of instruments reflecting varied surgeon preferences while minimizing unnecessary instruments. Additionally, increasing utilization of oncoplastic reconstruction after mastectomy and lumpectomy requiring breast and plastic surgery sets further expands the number of instruments required. The goal of our study was to optimize standard sets used for cases combining breast and plastic surgeons and to determine cost savings Methods: Baseline data was recorded over a 2 week period (13 cases) including number of instruments available and number unused for non- flap breast-plastics combo (BPC) cases. An independent observer timed instrument set-up times. 22 breast and 14 plastic surgeons were polled for their requested instruments for designated cases. A BPC set was designed based on this data and reviewed with surgeons to update preference cards. After a 6 week implamentation/education period, repeat data was recorded (18 cases). Cost of instrument processing was based on labor and supply cost of $0.22/instrument. Results: Two breast surgery sets (65 and 97 instruments) and one plastics set ( 93 instruments) were used at baseline. The median number of available instrumeets was 172.5/case, with median 126.5 instruments unused. A mean of 3.8 separately packaged instruments were required per case with mean set-up time of 4m46s. The new BPC set contains 103 instruments. A median of 106.5 instruments were available after implementation. The median number of unused was reduced by 53% to 59.5, with a drop in number of separately processed instruments to 2.5. Mean set-up time was reduced to 2m16s. Reducing the size of of standard sets reduced processing costs by $12.10 or $19.14/case (depending on the breast set used for comparison). Combining sets resulted in an additional cost savings of $6.56/case by reducing extra packaging costs. Conclusions: combining breast and plastic sets and eliminating unnecessary instruments resulted in cost savings of $18.66-$25.70/case. It also reduced OR instrument set-up time by 2.5 minutes/case which has significant impact at high volume centers.


1996 ◽  
Author(s):  
John H. Hatfield ◽  
James J. Kane ◽  
Richard H. Blankman

2013 ◽  
Vol 41 (6) ◽  
pp. S71-S72
Author(s):  
Lisa M. Rhodes ◽  
Rose Busby ◽  
Martha Dorroh ◽  
Kim Denty ◽  
Johnetta James ◽  
...  

Author(s):  
C. Craig Blackmore ◽  
Robbi Bishop ◽  
Samuel Luker ◽  
Barbara L. Williams

Sign in / Sign up

Export Citation Format

Share Document