Practice Management and Professionalism
Intraoperative Waste in Spine Surgery: Incidence, Cost, and Effectiveness of an Educational Program
Soroceanu A, Canacari E, Brown E, et al (Dalhousie Univ, Halifax, Nova Scotia, Canada; Beth Israel Deaconess Med Ctr, Boston, MA) Spine 36:E1270-E1273, 2011§
This study aims to quantify the incidence of intraoperative waste in spine surgery and to examine the efficacy of an educational program directed at surgeons to induce a reduction in the intraoperative waste.
Summary of Background Data
Spine procedures are associated with high costs. Implants are a main contributor of these costs. Intraoperative waste further exacerbates the high cost of surgery.
Data were collected during a 25-month period from one academic medical center (15-month observational period, 10-month post–awareness program). The total number of spine procedures and the incidence of intraoperative waste were recorded prospectively. Other variables recorded included the type of product wasted, cost associated with the product or implant wasted, and reason for the waste.