Surgical Tray Optimization: a Quality Improvement Initiative that Reduces Operating Room Costs

Optimisation of perioperative procedural factors to reduce the risk of surgical site infection in patients undergoing surgery: a systematic review

“…One study reported a comparison between the utilisation rate before and after the optimisation of two sets, showing an increase in use of between 27 and 30% [13]. Byrnes et al 2017 [18] Estimated savings in processing costs: $9.69/set Estimated total savings: 5.7% Cichos et al 2017 [15] Estimated savings: thoracotomy, $96; robotic procedure, $84; mediastinoscopy, $77; VATS, $55 Estimated total savings: $69 412/year Cichos et al 2019 [21] Estimated average annual cost savings per set: $24 634 Dobson et al 2015 [23] Estimated savings: + 1.9% over the minimum theoretical cost Dyas et al 2018 [16] Cost savings per intervention: $31.62 ($18.36-$49.98, reprocessing) + $100-$310 (reduced turnover time); Estimated annual savings: $28 458 (reprocessing) + $90 000-$2 790 000 (turnover time reduction) Farrelly et al 2017 [24] Cost reduction: From labour: $3 523.28($-27.88; $2 014.26) (for 6 extensively used sets) by cost avoidance: $106 386 per turnover 5 years estimated savings of indirect costs: $34 693/year Farrokhi et al 2013 [25] Estimated savings: -$2 800 000/year Fu et al 2021 [26] Estimated savings: $9 010/year Grodsky et al 2020 [27] estimated total annual savings per sterilisation: $9 588 John-Baptiste et al 2016 [29] $29 088/year Knowles et al 2021 [30] Estimated annual savings: $97 781 (purchases), $97 444 (processing) Estimated savings of labour time: 316.2 h/year Lonner et al 2021 [32] Estimated annual savings: $281 298.05 Malone et al 2018 [33] Reprocessing costs: -48% (-$23.97) Marchand et al 2020 [34] Annual savings on OT and sterilisation centre processes: $249 245 Nast et al 2019 [35] estimated savings per set: $11.28-70.18 estimated annual savings: $1 525.92-$11 531 Schwartz et al 2021 [36] Lower direct and indirect costs in post compared with that in pre: $93-$539 (p < .0001) Shim et al 2021 [37] Estimated savings from replacement and processing costs: $6 597 Stockert and Langerman 2014 [14] Estimated processing costs: $0.28-0.5/instrument Thiel et al 2019 [17] Direct cost per case: -$125.44 Toor et al 2022 [13] Savings on depreciation costs: $61 395 (considering 8-12 years of use, depending on recommendations) Labour cost savings: $39 995/year Tseng et al 2020 [38] Cost per case: -$123.24 (14.4%, p < .001) Total annual savings: $29 151 Average cost difference between different surgeons: -61% Van Meter et al 2016 [39] Total cost per instrument processing: annual $3.19 per instrument/year Estimation of excess cost from processing of unused instruments: $290 928/year …”