Table 1 Summary of the changes to the current practice following introduction of the 4S program
From: Improving perioperative management of surgical sets for trauma surgeries: the 4S approach
Management domain | Current practice | Title and details of the 4S program component |
|---|---|---|
Inventory management | Surgical sets included plates and screws Six different surgical sets were utilized in ORIF surgeries (Small Fragments 1 and 2, Elbow, Ankle, PHILOS™ and Tibia [DePuy Synthes, a Johnson and Johnson company]) | Standardized Inventory: One standardized surgical set (DePuy Synthes, a Johnson and Johnson company) to be used in ORIF surgeries was established with the number of instruments reduced to create a streamlined set All implants (screws and plates) were removed from sets |
Implant management | A non-sterile surgical set model was utilized in which all implants were non-sterile upon delivery to the hospital and sterilized prior to surgery Unused implants would undergo reprocessing and re-sterilization | Sterile Portfolio: All implants were provided in an individual pre-packaged and sterilized format |
Safety management | Traceability of individual implants relied on manual processing at the hospital | Safety Certification: All implants were sterilized by the manufacturer and labeled to allow traceability |
Stock management | Stock management involved manual processing of data | Service and Advanced Planning: Digital management of stock control was done by in situ barcode reading and the use of an advanced inventory management system to digitalize processes (eSIMS Advanced Inventory Management Solution) |