Investigating the sterile surgical supply waste in laparotomy surgery

BMC Health Serv Res. 2024 Sep 11;24(1):1048. doi: 10.1186/s12913-024-11497-9.

Abstract

Background: Operating rooms contribute to over 40% of hospital expenses, with a portion attributed to waste from single-use, sterile surgical supplies (SUSSS). This research aimed to determine the amount of cost wastage due to not using SUSSS during laparotomy procedures.

Methods: A descriptive-analytical investigation was conducted in two prominent teaching hospitals in Mashhad, Iran 2018. Seventy-seven laparotomy surgeries were scrutinized, documenting both used and unused disposable devices, with their respective costs being assessed. Data analysis was performed using SPSS version 16 software.

Results: The study revealed that during surgery in the operating rooms, waste of SUSSS averaged 5.9%. Betadine solution and sterile Gauze types were the top two contributors to resource wastage. Sterile Gauze types incurred the highest cost loss. The study found a significant correlation between cost wastage and surgeon experience (r = 0.296, P < 0.001) as well as surgery duration (r = 0.439, P < 0.001).

Conclusion: Inadequate management of available and commonly used disposable supplies leads to increased hospital expenses. Enhancing the surgical team's knowledge of sterile surgical supplies usage and making thoughtful selections can play a vital role in curbing health costs by minimizing waste of SUSSS in the operating rooms.

Keywords: Cost saving; Hospital Supply; Laparotomy; Operating room.

MeSH terms

  • Disposable Equipment / economics
  • Disposable Equipment / statistics & numerical data
  • Disposable Equipment / supply & distribution
  • Hospitals, Teaching
  • Humans
  • Iran
  • Laparotomy* / economics
  • Medical Waste / economics
  • Medical Waste / statistics & numerical data
  • Operating Rooms* / economics
  • Operating Rooms* / organization & administration
  • Sterilization / economics

Substances

  • Medical Waste