PBI7 CASE STUDY: ECONOMICAL ANALYSIS OF WASTE IN BIOLOGICAL PRODUCTS IN AN INSTITUTION IN COLOMBIA

Abstract

In healthcare, it is necessary to make adequate use of the resources to guarantee a better coverage for as many people as possible. Healthcare institutions have a crucial role in the correct use of these resources. This is the motivation for this study, which focuses on quantifying and assessing the amount of biological waste currently generated in spine and orthopedics surgeries in a Colombian provider. During 2018, with a team of medical specialist orthopedics and neurosurgery, we gathered information related to spine and trauma procedures, evaluating three variables. The quantity of biologics actually used in the procedures, suggested amounts and price of waste. With this information, the difference between the number of biologics used in the different procedures against the suggested quantity is established to quantify the waste in each procedure. A total of 95 surgeries were evaluated, divided into 28 procedures in which Osteobiological products were used in spine and trauma, with a total of 369cm3 used, with a suggested amount for these procedures of 302cm3, finding a wasted amount of 67cm3. Using two different brands for the product, it was found that the total cost wasted for brand A was COP $39,690,000 and for brand B of COP $79,306,441. The proper use of resources should focus on the efficiency of health spending, that is why this case study of a single health institution in Colombia shows that there is a considerable amount of resources that are not used correctly. The acquisition of the presentations with the appropriate doses of osteobiological products to use in spine and orthopedics surgeries, should focus on reducing the waste of these medical supplies and thus saving resources to the institution and the system. It is proposed to extend this case study to more institutions in the country to verify these results.