Greening Hand Surgery: Targeted Measures to Reduce Waste in Ambulatory Trigger Finger and Carpal Tunnel Decompression.

IF 1.8 Q2 ORTHOPEDICS
HAND Pub Date : 2025-06-01 Epub Date: 2023-12-30 DOI:10.1177/15589447231220412
Ruth Tevlin, Jasmine A Panton, Paige M Fox
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引用次数: 0

Abstract

Background: Operating rooms (ORs) produce approximately 70% of hospital waste. Greening strategies in the OR aim to reduce the environmental impact of surgery while maintaining patient safety and outcomes. The aim of this study was to strategically reduce waste and cost associated with common ambulatory hand procedures by implementing a 3-stage "green case" plan over a 1-year period in a high-volume tertiary referral hand surgery division.

Methods: A 3-stage greening initiative for hand surgery was designed and implemented in ambulatory open carpal tunnel release (CTR) and trigger finger release (TFR) cases, including: (1) introduction of minor field sterility; (2) implementation of a lean and green minor hand surgery pack and reduced instrument set; and (3) elimination of gown use by surgeons and OR staff. Surgical supply usage and costs were tracked during the study period and compared with control.

Results: Each "green case" resulted in savings of $105 compared with the control cases from the preceding year, excluding cost savings associated with reduced waste processing. There was a 64% and 75% reduction in waste and costs after greening, respectively. This equates to a minimum institutional annual savings of $51 000 when used for CTR and TFR. There was no observed increase in surgical site infections or complications after the introduction of greening.

Conclusion: Greening initiatives can be successfully implemented by surgeons to reduce waste and costs. With targeted greening of CTR and TFR procedures, we significantly reduced waste and decreased costs while maintaining patient safety and outcomes.

绿色手部手术:减少非住院扳机指和腕管减压术浪费的针对性措施。
背景:手术室(OR)产生的废物约占医院废物总量的 70%。手术室的绿色战略旨在减少手术对环境的影响,同时保证患者的安全和治疗效果。本研究的目的是通过在一个高产量的三级转诊手外科实施为期一年的三阶段 "绿色病例 "计划,战略性地减少常见非住院手外科手术的相关浪费和成本:在门诊开放式腕管松解术(CTR)和扳机指松解术(TFR)病例中设计并实施了手外科三阶段绿色计划,包括:(1) 引入小手术现场无菌;(2) 实施精益绿色小手手术包和减少器械组合;(3) 取消外科医生和手术室工作人员使用手术服。研究期间对手术用品的使用情况和成本进行了跟踪,并与对照组进行了比较:与前一年的对照病例相比,每个 "绿色病例 "可节省 105 美元,这还不包括因减少废物处理而节省的成本。绿化后,废物和成本分别减少了 64% 和 75%。当用于 CTR 和 TFR 时,这相当于机构每年至少节省 51 000 美元。绿化措施实施后,手术部位感染或并发症没有增加:结论:外科医生可以成功实施绿化措施,以减少浪费和降低成本。通过对 CTR 和 TFR 手术进行有针对性的绿化,我们大大减少了浪费,降低了成本,同时保证了患者的安全和治疗效果。
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来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
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