title: Assessment of the economic impact of an overage reduction program in the operating room.
abstract: OBJECTIVE
  To delineate excessive supply preparation in the operating rooms (ORs) of Yale-New Haven Hospital, and to measure the reduction in such overage as a result of nursing and administration cost-containment efforts.
  
  
  METHODS
  Before and after trial.
  
  
  METHODS
  Inpatient ORs of Yale-New Haven Hospital.
  
  
  METHODS
  After the initial documentation of overage, several cost-containment measures were instituted, including nursing education, review of overage data, and updating of surgical request lists.
  
  
  RESULTS
  The hospital cost of case-specific overage generated by all surgical procedures performed during two 2.5-month periods in 1992 and 1994 (before and after the interventions) were compared. One-thousand three hundred eighteen cases in 1992 were compared with 1,367 cases in 1994. A 45% reduction in mean per case overage occurred between the two assessment periods. Extrapolation of the data to the incidence of similar cases throughout the United States projected a comparable savings.
  
  
  CONCLUSIONS
  Efforts to increase the efficiency of OR supply management can be measured, in part, by overage evaluation, which can serve as a resource for focusing efforts at cost-containment.
authors.affiliation: Department of Anesthesiology, Yale University School of Medicine, New Haven, CT 06520-8051, USA.
authors.forename: W H
authors.initials: WH
authors.lastname: Rosenblatt
authors.forename: A
authors.initials: A
authors.lastname: Chavez
authors.forename: D
authors.initials: D
authors.lastname: Tenney
authors.forename: D G
authors.initials: DG
authors.lastname: Silverman
mesh_terms: D003363:Cost Control; D004865:Equipment and Supplies, Hospital / Q000191:economics* / Q000706:statistics & numerical data; D005069:Evaluation Studies as Topic; D009873:Operating Rooms / Q000191:economics*