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CSSD Siriraj Hospital CSSD. Siriraj Hospital CSSD. Siriraj Hospital Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok Thailand. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok Thailand. CSSD Siriraj Hospital :: Engagement of surgical excision sets :: :: Engagement of surgical excision sets :: Faculty of Medicine Siriraj Hospital, Background Mahidol University, Bangkok Thailand. Siriraj hospital, Mahidol university, Bangkok Thailand Objective is the biggest hospital in south-east-asia.Siriraj hospital has 10 Nursing department, 200 wards, 2500 beds, 20 To be standardize and centralize of surgical ICUs and 75 operating theaters. excision sets in Siriraj hospital There were varieties type of surgical excision sets Reduce type of surgical excision sets use in the IPD. wards, specialty one by one for mini- Reduce risks of surgical excision sets surgery e.g. venesection set, tracheotomy set, ICD.Set, Improve circulating turn around time thoracotomy set etc. Moreover, all of those sets were One of the surgical excision set can be use for varieties in numbers of instruments difference by the many mini operation procedures. wards and Nursing department . Decrease CSSD. reprocessing times and costs By Ratchadaporn Sutisean The use of these multiple sets per day lead to Increase surgical excision sets shelf life Kattika Sukabal thousands of instrument sets being reprocessing after Easy to do used. Typical sets and differences of number made error Improve the accuracy, timeliness and efficiency problems to the CSSD. Staffs ,in the processing of sterile of the instrument instruments. These may lead to increase reprocessing Decrease waiting time during process order and times and costs, as well as potentially contributing to dispatch circulating turnaround time and risks of surgical infection. Staff satisfactions & Patient safety Sterile surgical excision sets handling in storage shelves , sterile storage room varieties depends on the CSSD. Staffs may lead to increase time during process order and dispatch. CSSD. Siriraj Hospital CSSD. Siriraj Hospital CSSD. Siriraj Hospital Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok Thailand. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok Thailand. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok Thailand. Method :: Engagement of surgical excision sets :: :: Engagement of surgical excision sets :: :: Engagement of surgical excision sets :: Before 1. Collect data all of the sets & zone of the IPD. Ward and nursing department: Before After Storage Area 1. Cut down / Venesection set 2. Pnuemothorax set 3. General Tapping 4. Tracheotomy set Soil Area 5. Tracheotomy set 6. Suture set 7. Dialysis set 8. Micro set 1ST Time 2nd time 3 rd time 9. Knee tapping 10. Lumbar Puncure set 11. Irrigate set 12. Lavage set 13 type of sets 7 type of sets 6 type of sets & T-doc system 13. Others : Blood exchange set, Open chest set ,Port set 14. Lung tapping, Liver tapping and Abdominal tapping 1st time 2. Grouping all of the sets and setting zone color of the IPD. Ward & present to the CSSD. committee: NUMBER COLOUR IPD. Ward 1 Traumatic Bld. 1. Surgical excision sets 2. Pnuemothorax set 3. General Tapping 4. Lumbar Puncture set 2 72 years anniversaries Bld. 5. Irrigate set 6. Lavage set 7. Port set Packing Area 3 Assadang Bld. 4 84 years anniversaries Bld. Soil area receive instrument and put the tag 5 Pava Bld., Prakan Bld., Haemodialyse Bld. 3. Rearrangement all of the sets and zone color of the IPD .Ward & present to the CSSD. Committee : of zone color in the basket 6 Chalermprakert Bld. 7 Pra-Sri Bld. 1. Adult Surgical excision sets 2. Pediatric Surgical excision sets 3. General Tapping Packing area separate the instrument by the 8 Chaopha Bld., Anan Bld.,Ped.Bld. 4. Lumbar Puncture set 5. Irrigate / Lavage set 6. Port set tag of zone color 9 OPD Bld. Storage Area handling in storage shelves by 10 Adul bld., Juthatud Bld., Adul Bld., Srisakvan Bld. The total cost of each set for The CSSD. Reprocessing = 50.92 bath the tag of zone color 11 Siaminthra Bld. After 2nd time NUMBER COLOUR IPD. Ward 1 Traumatic Bld. 2 72 years anniversaries Bld. 3 Assadang Bld. 4 84 years anniversaries Bld. 5 Siaminthra Bld. 6 Chalermprakert Bld. 7 Pra-Sri Bld. 8 Chaopha Bld., Anan Bld.,Ped.Bld. Adult Surgical Pediatric Surgical Irrigate/ Lumbar General 9 OPD Bld. Port set excision sets excision sets Lavage set Puncture set Tapping 10 Pava Bld., Prakan Bld., Haemodialyse Bld., Adul bld., Lean- visual management Juthatud Bld., Adul Bld., Srisakvan Bld. CSSD. Siriraj Hospital CSSD. Siriraj Hospital CSSD. Siriraj Hospital Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok Thailand. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok Thailand. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok Thailand. :: Engagement of surgical excision sets :: :: Engagement of surgical excision sets :: :: Engagement of surgical excision sets :: KPI KPI 100% Conclusion 6. Increase surgical excision set shelf life 14 days to 180 days 0 target 100% 100% 100% 3. Reduce risks of surgical excision set target 2 < times / month 1 There are standardize & centralize of surgical excision sets use in the IPD. Wards. 20% 1 5.Decrease CSSD. Costs target 20% 20% One of the surgical excision set can be use for many 0 1 2 3 4 5 6 7 8 9 10 20% mini operation procedures. 100% 3 rd time (Feb. 2013) 2 nd time (Oct. 2012) 1st time (Jul. 2011) 4.Decrease CSSD. reprocessing times target 100% 100% Siriraj Hospital save cost for buying new instruments 100% more than 500,000.00 baths/year. KPI 100% Visual management by using tag of zone color 3.Improve circulating turn around time target 100% 85% decrease error and waiting time during process order 70% 95% and dispatch. 2. Easy to do target 80% 90% 95% 2. Reduce type of surgical excision set 13 types to 6 types 80% target 90% 90% All of the engagement of surgical excision sets by lean 80% system increase the CSSD. staffs satisfaction ,easy to 87% do and lead to patient safety. 95% 1. Staff satisfactions &one set can be use for many 85% 1. To be standardize of surgical excision set in Siriraj hospital procedures target 80% target 90% 85% 80% 70% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 0% 20% 40% 60% 80% 100% 3 rd time (Oct.2013 - Now) 2nd time (Oct.2012) 1st time (Oct.2011) 3 rd time (Feb. 2013) 2 nd time (Oct. 2012) 1st time (Jul. 2011).
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