English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background Children’s hospitals deal with young patients, who have greater variability than adults, therefore size of the medical devices ranges from the newborn to the adult-like patient. This complexity is associated with higher costs to ensure safety and logistics. In June 2014 Bambino Gesù Children’s Hospital (OPBG) adopted an outsourced service for medical device acquisition and stock records for the execution of cath-lab and heart surgery interventions. Goal To evaluate the services effectiveness multi-dimensionally in terms of cost saving, safety, outcomes and operator satisfaction. We measured costs and indicators in pre and post intervention. Materials and methods. We compared the years from 2013 to 2017 in terms of cost-related device and prosthesis consumption, including mean costs per intervention using ANOVA with Tukey’s Post-hoc test. To evaluate the clinical proxy outcome we calculated the pediatric index of mortality for each year. Results In 2013-2017 we performed a mean of 1985 (ds 140) procedures per year with devices, the sample is homogeneous in size and clinical complexity. The trend shows a solid decrease of expenses after the service introduction: we observed a reduction of 20% of the mean consumption per intervention between year 2013 and year 2017 (1707€ vs 1391€) P &amp;lt; 0.001. For what concerns outcomes we noticed a reduction of Standardized Mortality Ratio index from 0.51 to 0.27 (CI 0.18-0.42) in 2014-2017. Discussion Outcome indicators excludes any increase of risk following the adoption of the service. The hospital pharmacy did not receive any reports regarding incidents attributable to the service. The nurses evaluated the service positively regarding the availability, traceability of the devices and decrease of the warehouse work. Conclusions Outsourced service has been cost saving, safe and well accepted by operators and in our opinion is replicable also in other highly complex pediatric hospital settings. Key messages Children hospitals are associated with higher costs to ensure safety and logistics in surgery and cath-lab with medical devices. Outsourced management service can promote cost saving and safety.

Outsourced management service to guarantee safety and cost-effectiveness in pediatric cardiac surgery