دورية أكاديمية
Understanding and Managing Direct Operating Room Supply Costs in Cardiac Surgery.
| العنوان: | Understanding and Managing Direct Operating Room Supply Costs in Cardiac Surgery. |
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| المؤلفون: | Nellis JR; Department of Surgery, Duke University Hospitals, Durham, North Carolina. Electronic address: joseph.nellis@duke.edu., Prabhu NK; Duke University School of Medicine, Durham, North Carolina., Hoover AC; Duke University School of Medicine, Durham, North Carolina., Muller MJ; Department of Surgery, Duke University Hospitals, Durham, North Carolina., Overbey DM; Department of Surgery, Duke University Hospitals, Durham, North Carolina; Division of Cardiothoracic Surgery, Duke University Hospitals, Durham, North Carolina., Chen EP; Department of Surgery, Duke University Hospitals, Durham, North Carolina; Division of Cardiothoracic Surgery, Duke University Hospitals, Durham, North Carolina., Andersen ND; Department of Surgery, Duke University Hospitals, Durham, North Carolina; Division of Cardiothoracic Surgery, Duke University Hospitals, Durham, North Carolina; Pediatric & Congenital Heart Center, Duke Children's Hospital, Durham, North Carolina., Turek JW; Department of Surgery, Duke University Hospitals, Durham, North Carolina; Division of Cardiothoracic Surgery, Duke University Hospitals, Durham, North Carolina; Pediatric & Congenital Heart Center, Duke Children's Hospital, Durham, North Carolina. |
| المصدر: | The Annals of thoracic surgery [Ann Thorac Surg] 2023 Jun; Vol. 115 (6), pp. 1520-1525. Date of Electronic Publication: 2022 May 25. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Amsterdam : Elsevier Original Publication: Boston. |
| مواضيع طبية MeSH: | Surgeons* , Cardiac Surgical Procedures*, Adult ; Humans ; Operating Rooms ; Neurosurgical Procedures ; Cost Savings |
| مستخلص: | Background: Value-based bundles require surgeons to understand their costs. Current approaches to cost reporting are confusing and difficult to reproduce. Using the Epic surgical receipt function, we describe an intuitive and systematic approach for evaluating financial data within the operating room. Methods: We conducted a retrospective review of all congenital cardiac procedures performed at a single academic medical center between January 1, 2020, and January 1, 2021. Direct operating room supply costs were obtained using the Epic surgical receipt function. Costs were analyzed on the basis of contribution to total annual cost and variability in case cost. Implications for strategies identified within congenital cardiac surgery were then evaluated in adult cardiac surgery. Results: Five procedures representing 71 patients accounted for more than 50% of the total direct operating room supply costs (left ventricular assist device, Norwood procedure, pulmonary valve replacement, right ventricle-to-pulmonary artery shunt, and aortic arch augmentation). Disposable vascular clips, suture brand preference, and surgical patch materials accounted for 3.7%, 6.6%, and 26.5% of annual direct operating room supply costs, respectively. Improvements to these categories would represent 12% to 14% ($250 000) in annual savings without an anticipated effect on outcomes. Across adult and congenital cardiac surgery, 95% of all name-brand suture use was tied to preference cards. An opt-in vs default approach to name-brand polypropylene suture could save more than $250 000 annually. Conclusions: The surgical receipt represents a reliable and intuitive way for reporting surgical costs. Systematically analyzing costs and their impact on outcomes will help surgeons improve the value of care they provide. (Copyright © 2023 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20220601 Date Completed: 20230526 Latest Revision: 20230531 |
| رمز التحديث: | 20230601 |
| DOI: | 10.1016/j.athoracsur.2022.05.016 |
| PMID: | 35643332 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1552-6259 |
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| DOI: | 10.1016/j.athoracsur.2022.05.016 |