Literature DB >> 28676153

Picking apart surgical pick lists - Reducing variation to decrease surgical costs.

Kathleen L Simon1, Matthew J Frelich1, Jon C Gould2.   

Abstract

BACKGROUND: Average costs associated with common procedures can vary by surgeon without a corresponding variation in outcome or case complexity.
METHODS: De-identified cost and equipment utilization data were collected from our hospital for elective laparoscopic cholecystectomy performed by 17 different surgeons over a 6-month period. A group of surgeons used this data to design a standardized equipment pick list that became optional (not mandated) for laparoscopic cholecystectomy. Cost and consumable surgical supply utilization data were collected for six months prior to and following the creation of the standardized pick-list.
RESULTS: 280 elective laparoscopic cholecystectomies were performed during the study interval. In the 6 months after standardized pick list creation, the cost of disposable supplies utilized per case decreased by 32%.
CONCLUSIONS: Surgical cost savings can be achieved with standardized procedure pick lists and attention to the cost of consumable surgical supplies.
Copyright © 2017 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Cholecystectomy; Cost; Quality initiatives; Standardized equipment

Mesh:

Year:  2017        PMID: 28676153     DOI: 10.1016/j.amjsurg.2017.06.024

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  4 in total

1.  Enhancing robotic efficiency through the eyes of robotic surgeons: sub-analysis of the expertise in perception during robotic surgery (ExPeRtS) study.

Authors:  Courtney A Green; Joseph A Lin; Emily Huang; Patricia O'Sullivan; Rana M Higgins
Journal:  Surg Endosc       Date:  2022-05-17       Impact factor: 4.584

2.  The design and evaluation of a novel algorithm for automated preference card optimization.

Authors:  David Scheinker; Matt Hollingsworth; Anna Brody; Carey Phelps; William Bryant; Francesca Pei; Kristin Petersen; Alekhya Reddy; James Wall
Journal:  J Am Med Inform Assoc       Date:  2021-06-12       Impact factor: 4.497

3.  Updating the Surgical Preference List.

Authors:  James S Huntley; Jason J Howard; Jason Simpson; David L Sigalet
Journal:  Cureus       Date:  2018-07-18

4.  Evaluating the impact of surgical supply cost variation during partial nephrectomy on patient outcomes.

Authors:  Ashwin S Balakrishnan; Lindsay A Hampson; Alexander M Bell; Arthur H Baghdanian; Armonde A Baghdanian; Maxwell V Meng; Anobel Y Odisho
Journal:  Transl Androl Urol       Date:  2021-02
  4 in total

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