This work aims at providing a decision support tool for the choice among the in-house and the outsourced reprocessing process of surgical instruments. The decision parameters is the total cost of a surgical instruments kit. The surgical instruments reprocessing service is a time consuming process. Operating Theatre (OT) usually manages this process in-house inside its own Central Sterilization Service Department (CSSD). This duty is often performed by nurses who usually are diverted from their welfare task. Actually few enterprises offer the rental of surgical instruments and the outsourcing reconditioning service. Among the advantages related to this outsourced service, there is the possibility to achieve savings on the total expenditure related to the OT. Indeed, to make a choice the hospital facility should be able to calculate the costs involved in the process performed in-house, and to compare it with outsourcing offers. The costs involved in this process are numerous and are affected by a great number of variables. Parameters, variables and unknown quantity are analysed. Input data are the number of surgeries per year and the index percentages related to the type of surgeries on which depends the container and the surgical instruments to be used. These data, entered in the model, allows deriving an average cost per kit of surgical instrument or a cost per kit depending on the type of surgeries that can be used as a basis for comparison with the price proposed by the outsourcer in order to make a choice.

A decision-support tool for outsourcing the reprocessing service of surgical instruments: a preliminary model

PALTRICCIA, CHIARA;TIACCI, Lorenzo;BRILLI, MASSIMILIANO
2014

Abstract

This work aims at providing a decision support tool for the choice among the in-house and the outsourced reprocessing process of surgical instruments. The decision parameters is the total cost of a surgical instruments kit. The surgical instruments reprocessing service is a time consuming process. Operating Theatre (OT) usually manages this process in-house inside its own Central Sterilization Service Department (CSSD). This duty is often performed by nurses who usually are diverted from their welfare task. Actually few enterprises offer the rental of surgical instruments and the outsourcing reconditioning service. Among the advantages related to this outsourced service, there is the possibility to achieve savings on the total expenditure related to the OT. Indeed, to make a choice the hospital facility should be able to calculate the costs involved in the process performed in-house, and to compare it with outsourcing offers. The costs involved in this process are numerous and are affected by a great number of variables. Parameters, variables and unknown quantity are analysed. Input data are the number of surgeries per year and the index percentages related to the type of surgeries on which depends the container and the surgical instruments to be used. These data, entered in the model, allows deriving an average cost per kit of surgical instrument or a cost per kit depending on the type of surgeries that can be used as a basis for comparison with the price proposed by the outsourcer in order to make a choice.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11391/1330505
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