CONF-8-Mads-Granlie.pdf

1、Surgical Instrument Tray Optimization and Standardization at AUHName:Mads GranlieAffiliation:Danish DefenseAgendaIntroduction The authors Aarhus University Hospital(AUH)The problem Existing literatureMethod Design approach Data collectionResultsDiscussionConclusionIntroductionThe authorsKarin Bundga

2、ardAssociate professor Ph.D,MScN,RN at Aalborg University Hospital in the Clinical Nursing Research UnitPeter RubakPost Doc,Ph.D.M.Sc.Bioanalyst at Aalborg University Hospital in the ClinicalNursing Research UnitMads GranlieM.Sc.Eng.in operations and supply chain managementIntroductionAarhus Univers

3、ity HospitalThe hospital60.000 surgeries yearly10.000 staff100.000 daily contactsLargest hospital in DenmarkThe CSSD141.000 instruments in circulation90-100.000 trays processed yearly150 staffIntroductionThe problemQuality Unequal sizes Rust Wear and tearCapacity Physical space ProductivityComplexit

4、y Simplicity RecognitionIntroductionThe Literature Design only Specialty centric Potential confirmed several times Focus on reduction rather thancapabilityMethodDesign Approach Holistic view Reduction Consolidation or separation Modularization StandardizationMethodData collection Instrument tray com

5、position and instrument quantities Before and after design workshopResultsTray typesTotal no.of traysTotal no.of instrumentsTray typesTotal no.of traysTotal no.of instrumentsTray typesTotal no.of traysTotal no.of instrumentsUrology16732.58916832.1950%-14%15%Odonto-maxillar11551.9529481.50718%13%23%G

6、ynecology11561.6218381.19227%32%26%Otolaryngology271354.776221353.94319%0%17%Cardio/Vascular/Pulmonary181125.020161104.43611%2%12%Neuro surgery18852.72314882.57022%-4%6%Gastroenterology181294.158151223.15617%5%24%Plastic surgery221273.717171622.88723%-28%22%Orthopedics642698.164482787.44925%-3%9%Obs

7、tetrics/Pediatics15822.33815832.0800%1%11%Same day surgery382176.300352245.4928%-3%13%Total2581.34043.3582151.37136.90718%0%15%Median15%0%16%MeanSpecialtyBefore optimizationAfter optimizationReductionDiscussion Multiple methods and multidisciplinaryexpert groups Total reductions rather than reductio

8、nsper tray Preliminary data shows it positivelyimpacts CSSD efficiency What is the impact on actual OR efficiency improvement?Conclusion Reduction in instruments overall is possible Indications that reductions in instruments in circulation also impactsCSSD efficiency Requires excecutive management support Buy in of several professions and specialties in the hospital are paramount