RFO Prevention: The Mayo Story

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RFO Prevention The Mayo Story
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How Did We Get Here?

• White Boards
• Red Rules Stop Sign
• Specific Steps in the Count Policy
• Conscientious Count Campaign
• Human Factors Expert Observations
• Financial Effects Analysis
• Speak-Up (tucked items)

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Technology

• RFID
• Data-Matrix Coded Products
• 2 Year investigation and implementation process

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Changes We Made

• Screen shots
• Tags

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Training

• Trained Super-Users
• On-site Support from the company (1 per specialty
  with a pager)

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Financial Implications

• Cost per Case

Unit Price Impact Unit Price Impact
Baby Laps 2.30 more
Laps 2.67 more
Raytec 4.31 more
Consumable Annual Impact Surgical volume for 2008 was 52,000 Consumable Annual Impact Surgical volume for 2008 was 52,000
Total Increased Costs to HSS 729,00 14/surgical patient
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The Sponges

• Unique label
• Data matrix code
• ID number
• Virtually impossible to remove label
• If cannot scan, can manually enter into the
  counter

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Sponge Counter and Software

• Color touch-screen
• 10 hour battery life
• Modifiable user settings
• Audio visual cues
• Hand-held or hands-free modes

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Count In
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Count Out
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