A systematic approach for the rationalization of surgical tray instruments

Authors

  • Daniela Silva dos Santos Schneider Hospital de Clínicas de Porto Alegre
  • Michel José Anzanello Universidade Federal do Rio Grande do Sul
  • Rosane Silva Veiga Pirovano Hospital de Clínicas de Porto Alegre
  • Flávio Sanson Fogliatto Universidade Federal do Rio Grande do Sul

DOI:

https://doi.org/10.5327/Z1414-4425201800010009

Keywords:

Enfermagem, Centro de material e esterilização

Abstract

Objective: To report the experience of developing a systematic approach for the rationalization of instruments in surgical trays. Method: Study
of the development of a systematic approach for the rationalization of instruments, carried out in 2015, using a qualitative method, in the Central Sterile
Supply Department (CSSD) of a federal university hospital in Porto Alegre, Brazil. Results: There was a 10.92% average reduction in the number of instruments
in institutional trays, a reduction in the number of trays owned by medical teams — 84.06% belonged to the otorhinolaryngology team — and
a definitive inactivation of 369 orthopedic surgery instruments, which represented 72.84% of the total number of inactivated instruments. In addition,
improvements were made to the management of instruments, the optimization of preparation time and the reduction of sterilization by expiration date.
Conclusion: The relocation of instruments and the addition of items in specific trays allowed for the reappraisal of requests for purchase of instruments
and the improvement of relationships between the teams. This systematic approach contributed significantly to the management of instruments, the
optimizing processes and the involvement of the surgical teams in the work of the CSSD, thus demonstrating that it can be applied in other institutions.

Author Biographies

Daniela Silva dos Santos Schneider, Hospital de Clínicas de Porto Alegre

Enfermeira, Mestre em Toxicologia, Especialista em Gestão de Operações em SaúdeServiço de Enfermagem em Centro CirúrgicoCentro de Material e EsterilizaçãoHospital de Clínicas de Porto Alegre - BRASIL

Michel José Anzanello, Universidade Federal do Rio Grande do Sul

Doutor em Engenharia Industrial e de SistemasProfessor do Departamento de Engenharia IndustrialUniversidade Federal do Rio Grande do Sul - Brasil

Rosane Silva Veiga Pirovano, Hospital de Clínicas de Porto Alegre

Enfermeira, especialista em Gestão de Oepraçoes em SaúdeServiço de Enfermagem em Centro CirúrgicoUnidade de Bloco CirúrgicoHospital de Clínicas de Porto Alegre - Brasil

Flávio Sanson Fogliatto, Universidade Federal do Rio Grande do Sul

Doutor em Engenharia Industrial e de SistemasProfessor do Departamento de Engenharia IndustrialUniversidade Federal do Rio Grande do Sul - Brasil

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Published

2018-04-01

How to Cite

Schneider, D. S. dos S., Anzanello, M. J., Pirovano, R. S. V., & Fogliatto, F. S. (2018). A systematic approach for the rationalization of surgical tray instruments. Revista SOBECC, 23(1), 52–58. https://doi.org/10.5327/Z1414-4425201800010009

Issue

Vol. 23 No. 1 (2018)

Section

CASE REPORT

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