Background The Satellite Pharmacy aims to create a control management model in the use of necessary medical devices (MD) during surgical procedures and allestiment of procedural-kit containing the devices for each intervention. The planning of kit ensures the appropriateness, to monitor consumption and expenditure of the devices used, and provides useful support for the definition of requirements, budget management and risk management activities.
Purpose Our goal is the standardisation of materials, in view of the appropriateness of use of MD to improve the best clinical practice and a subsequent reduction in costs.
Material and methods The Pharmacy has collaborated in the setting of the material to be included in kits, together with the Structural Units, the Departments of Health Professions and the Directorate of Presidium. The kits, codified and associated with a usual intervention name and an ICD9CM, are used according to an established schedule. We selected the most frequent surgical procedures for each specialised branch. All the data have been collected in a single database: the surgical branch; the type of intervention; and the material used.
Results In 2016 we set up 280 types of kits for 26 781 interventions; in 2017, 281 types of kits for 26 272 interventions; and in 2018, 262 types of kits for 12 309 interventions. The new management of MD, using radiofrequency identification (RFID) technology, consists of applying a radiofrequency label on each material, allowing the tracing of each article with important information such as the lot and the deadline. This process reduces clinical risk and provides data on consumed devices from kits and those that are taken extra-kit. We analysed the consumption of extra-kit material in different surgical procedures. Specifically for tiroidectomy surgery, we found consumption of 50% extra-kit material in 2016, while in 2018 the figure was only 20%. A 30% reduction in the use of extra-kit material translates into the optimisation of kit-setting by RFID and an improvement in clinical practice.
Conclusion The optimisation of the material contained in the kits, which are constantly evolving due to obsolescence or new surgical practices, permit a standardisation of materials, increasing the appropriateness of MD and a general reduction in costs.
References and/or acknowledgements No conflict of interest.
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