Lean approach reduces OR instrument use by 70% for MIS surgery: 4 insights from a new study

A study, published in the Journal for Healthcare Quality, examined the effect of the Lean 5S approach on surgical instrument availability in the operating room.

Here are four insights:

1. The approach consists of:

•    Sort — determining instrument usage and waste
•    Simplify — removing unnecessary instruments
•    Sweep — confirm availability of needed instruments
•    Standardize — all trays the same for a given procedure
•    Self-discipline — monitor success

2. The primary outcome was reduction in unnecessary instruments delivered to the operating room.

3. Researchers also saw a reduction in the number of instruments for minimally invasive spine surgery by 70 percent. Setup time decreased 37 percent.

4. The study also notes that there was a potential institutional annual cost savings of $2.8 million with the Lean 5S approach.

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