Quality Management ApplicationsCost Savings in Urology Operating Rooms by Editing Surgeon Preference CardsPesigan, Precy RN, CNOR; Chen, Henry BA; Bajaj, Arjun A. MS; Gill, Harcharan S. MDAuthor Information Stanford Health Care, Palo Alto, California (Ms Pesigan); Department of Urology, Stanford University School of Medicine, Palo Alto, California (Mr Chen and Dr Gill); and Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois (Mr Bajaj). Correspondence: Harcharan S. Gill, MD, Department of Urology, Stanford University School of Medicine, 875 Blake Wilbur Dr, Palo Alto, CA 94304 ([email protected]). The authors declare no conflicts of interest. Quality Management in Health Care: April/June 2021 - Volume 30 - Issue 2 - p 135-137 doi: 10.1097/QMH.0000000000000311 Buy Metrics Abstract Background and Objectives: Operating room costs contribute significantly to the overall expenditure for inpatient care. We evaluated a simple way to reduce urology operating room costs by limiting the loss from unused disposable items. Methods: Baseline data were collected on opened and unused disposable items. Surgeons were asked to edit their preference cards and mark optional surgical items that would only be opened if requested. Results: The cost of unused disposable items during the first 4 weeks in 3 operating rooms averaged $410/week. Costs after implementing the intervention declined to an average of $30/week. This yielded $380/week in savings, equating to a 92% reduction in waste, and a potential savings of $19 760 annually in the 2 urology operating rooms alone. Conclusion: Since the urology department represents only 10% of the main operating rooms at our institution, if other operating rooms implemented similar cost saving methods the hospital could potentially accrue significant savings. © 2021 Wolters Kluwer Health, Inc. All rights reserved.