%0 Journal Article
%T Implementation and Impact of a Hospital
%A A. Karim Ahmed
%A Andrew N. Goldberg
%A Corinna C. Zygourakis
%A Joshua Seaman
%A Min Zhu
%A Seungwon Yoon
%A Sheila Antrum
%A Tamara Kliot
%J American Journal of Medical Quality
%@ 1555-824X
%D 2019
%R 10.1177/1062860618783261
%X A multidisciplinary team of nurses, sterile processing technicians, and surgeons reviewed 609 otolaryngology¨Chead and neck surgery (OHNS) surgical instrument sets at the study institutionĄ¯s 3 hospitals. Implementation of the 4-phase instrument review resulted in decreased OHNS surgical instrument set types from 261 to 234 sets, and a decreased number of instruments in these sets from 18 952 to 17 084. The instrument set review resulted in an estimated savings of $35 665 in sterile processing costs for the OHNS department. Instrument review applied to all 10 surgical specialties at the institution would result in an estimated annual savings of $425 378. Through effective leadership, multidisciplinary participation of all key stakeholders, and a systematic approach, this study demonstrates that a hospital-wide quality improvement intervention for instrument set optimization can be successfully performed in a large, multisite tertiary care academic hospital
%K surgical instruments
%K health care value
%K operating room optimization
%K operating room efficiency
%U https://journals.sagepub.com/doi/full/10.1177/1062860618783261