Assessment of the economic impact of an overage reduction program in the operating room

J Clin Anesth. 1997 Sep;9(6):478-81. doi: 10.1016/s0952-8180(97)00104-9.


Study objectives: To delineate excessive supply preparation in the operating rooms (ORs) of Yale-New Haven Hospital, and to measure the reduction in such overage as a result of nursing and administration cost-containment efforts.

Design: Before and after trial.

Setting: Inpatient ORs of Yale-New Haven Hospital.

Interventions: After the initial documentation of overage, several cost-containment measures were instituted, including nursing education, review of overage data, and updating of surgical request lists.

Measurements and main results: The hospital cost of case-specific overage generated by all surgical procedures performed during two 2.5-month periods in 1992 and 1994 (before and after the interventions) were compared. One-thousand three hundred eighteen cases in 1992 were compared with 1,367 cases in 1994. A 45% reduction in mean per case overage occurred between the two assessment periods. Extrapolation of the data to the incidence of similar cases throughout the United States projected a comparable savings.

Conclusions: Efforts to increase the efficiency of OR supply management can be measured, in part, by overage evaluation, which can serve as a resource for focusing efforts at cost-containment.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cost Control
  • Equipment and Supplies, Hospital / economics*
  • Equipment and Supplies, Hospital / statistics & numerical data
  • Evaluation Studies as Topic
  • Operating Rooms / economics*