Beth Kaylor, RN, RPIAC Director of Clinical Innovation DeRoyal - - PowerPoint PPT Presentation

Beth Kaylor, RN, RPIAC Director of Clinical Innovation DeRoyal Industries

Guide what supplies are pulled into a surgical case Often used as the foundation for patient charge sheet Used for resource forecasting

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• Single user’s experience
• User’s recollection after the fact
• Increased touch points to transfer updates
• Updates based on a single event
• An analysis of multiple users’ experiences
• Real time documented data
• Contained process
• Driven by trends
• Identification of outliers

> 50% of items pulled for a case are returned to stock On average > 250K of items expire on the shelf

012105467478 Lap 18x18 5pk $1.60

Received

012105467478 Lap 18x18 5pk $2.10

Stocked

012105467478 Lap 18x18 5pk $2.60

Case Pick 76347

012105467478 Lap 18x18 5pk $3.35

Returned

012105467478 Lap 18x18 5pk $3.85

Case Pick 76521

012105467478 Lap 18x18 5pk $4.60

Returned

012105467478 Lap 18x18 5pk $5.10

Case Pick 76542

012105467478 Lap 18x18 5pk $5.85

Returned

012105467478 Lap 18x18 5pk $6.35

Case Pick 77254

012105467478 Lap 18x18 5pk $7.10

Returned

012105467478 Lap 18x18 5pk $7.60

Case Pick 77310

012105467478 Lap 18x18 5pk $8.35

Returned

012105467478 Lap 18x18 5pk $8.85

Case Pick 77422 Clerical Clinical

Title Here

Door Openings: 1 every 1.5 minutes Total open door time during case in minutes: 10.75 Percentage of supply related

• penings: 30%

Issues

Increased risk of Surgical Site Infection Contributing factor to surgical mistakes

14985 Total Hip Repair 16482 Lap Choley 14531 Appendectomy 15211 Exploratory Lap 14531 Appendectomy 15216 Tympanoplasty 14776 Arthroscopy 15007 ORIF Femur 16482 Lap Choley 15211 Exploratory Lap 14787 I & D Hip 14776 Arthroscopy 15007 ORIF Femur 15197 Splenectomy 18421 Bowel Resection 14315 Debridement 15007 ORIF Femur 16482 Lap Choley 15007 ORIF Femur 16482 Lap Choley 15216 Tympanoplasty 14776 Arthroscopy 12287 Splenectomy 16482 Lap Choley 16711 Exploratory Lap 14115 Cholecystecomy 15211 Exploratory Lap 14531 Appendectomy 14985 Hysterectomy 14531 Appendectomy 15216 Tympanoplasty 14776 Arthroscopy 15765 Colectomy 14187 Splenectomy 14531 Appendectomy 15216 Tympanoplasty 14776 Arthroscopy 12461 Abd Trauma 14521 Exploratory Lap 14776 Arthroscopy 15007 ORIF Femur 14776 Arthroscopy

Ann K – Total Hip Repair

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Advocate Protector Voice Guardian Support Clinical Cashier

• Confirming the safety of products
• Increasing visibility to inventory
• Improving inventory accuracy
• Quick access to resources in emergencies
• Improving staff effectiveness
• Protecting employees
• Decrease item shrinkage

• 99.8% accurate usage and charge

capture, > 30% increase

• Association of supplies and

implants to specific patients

• Doctor Performance Cards
• Accurate case cost
• Item expiration alert
• Automated UDI documentation
• Wasted item documentation

Quantity on Hand Exposure Location Approaching Expiration Item Custody Unaccounted for Items

What Items to Tag

01

Does someone count it?

02

Does someone reorder it?

03

Does someone pick in?

04

Does someone return it to stock?

05

Does someone charge for it?

05

Does it ever go missing?

• Class III (including Class III Life Supporting or Life Sustaining)

September 24, 2014

• Implantable (Class II)
• Life Supporting or Life Sustaining (Class II)

September 24, 2015

• Class II (other than Implantable, Life Supporting or Life

Sustaining)

September 24, 2016

• Class I or unclassified (other than Implantable, Life

Supporting, or Life Sustaining)

September 24, 2018

UDI

UDI Labeling

• Reduction in excess inventory
• Reduction in time spend on manual inventory

practices

• Decrease of expired products
• Enhanced accuracy of charge capture
• Reduction in time and money spent on rush orders
• Standardization of supplies used by procedure
• Focuses circulating nurses on patient care
• Reduces costs of biohazard waste
• Voice of the Item – Digital Custody

Live on 03/07/16 – 9 Weeks - 471 Cases

• 11,279 Items Captured in Safe
• 9,232 (would require RN manual entry)
• Cost of these Items - $818,213*
• Items on Cards - Picked Not Used or Opened
• 1,273
• Cost of items processed through Safe -

$865,920