Optimisation of Processes by Recommending Cost Reduction Strategies in Central Sterile Supply Department (CSSD) in a Tertiary Care Hospital

Abstract

Background Cost analysis in central sterile supply department (CSSD) helps to achieve financial sustainability and improved efficiency for optimal field operations. This research intends to propose strategies to reduce re-sterilization of CSSD items and formulate alternatives for direct purchase of consumable items by suggesting in-house manufacture of these items. Methods An observational prospective study using cost analysis tools such as activity-based costing and cost–benefit analysis was conducted in a tertiary care corporate hospital. Primary data collection was done with the help of semi-structured interview questions and checklist. Results The analysed data indicated that on an average 150 sets per month were sent back for steam re-sterilisation which incurred the cost for re-packing, re-sterilisation and re-storage. Additionally, crucial study findings indicate that gauze swabs and dressing pads (consumable items) have been consumed in large quantities per month (20,000 Qty) leading to profligacy. Conclusion In-house preparation of dressing pads and gauze swabs has amassed sufficient amount of savings of about ₹70,377 and ₹24,104 per month on an average with the available resources. Moreover, techniques to avoid re-sterilization will help decrease resource consumption that includes electricity and exhaustive use of manpower.