{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:52:48Z","timestamp":1772232768202,"version":"3.50.1"},"reference-count":35,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>Objetivo: evaluar el desperdicio generado por el procesamiento de instrumental quir\u00fargico consignado en cirug\u00edas ortop\u00e9dicas electivas y proponer un modelo para el c\u00e1lculo del desperdicio asociado al procesamiento de instrumental quir\u00fargico consignado.  M\u00e9todo: estudio de caso, cuantitativo, descriptivo-exploratorio, realizado en un hospital universitario grande, en dos fases: (1) retrospectiva, mediante la consulta de registros administrativos de cirug\u00edas ortop\u00e9dicas electivas canceladas, con previsi\u00f3n de uso de materiales consignados, para identificar las subespecialidades con mayor demanda; y (2) prospectiva, por medio de observaciones directas, no participantes, del procesamiento de instrumental quir\u00fargico consignado preparado para las cirug\u00edas identificadas, y de la propuesta de un modelo para el c\u00e1lculo del desperdicio asociado al procesamiento de estos materiales.  Resultados: se identificaron las cirug\u00edas de artroplastia de cadera, artrodesis de columna y artroplastia de rodilla con mayor demanda, resultando en 854 cajas de instrumental quir\u00fargico consignado procesado y sin uso. El desperdicio del procesamiento se estim\u00f3 en R$ 34.340,18 (US$ 6,359.30).  Conclusi\u00f3n: la ecuaci\u00f3n propuesta permiti\u00f3 calcular el desperdicio relacionado con la producci\u00f3n y la no utilizaci\u00f3n de cajas de instrumental quir\u00fargico consignado para procedimientos ortop\u00e9dicos, y puede equipar a los enfermeros para la planificaci\u00f3n basada en datos institucionales, asistenciales y financieros, con el objetivo de aprovechar mejor los recursos por medio de la identificaci\u00f3n del desperdicio.<\/jats:p>","DOI":"10.1590\/1518-8345.6716.4061","type":"journal-article","created":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T06:10:38Z","timestamp":1701670238000},"source":"Crossref","is-referenced-by-count":0,"title":["Propuesta de modelo para el c\u00e1lculo de desperdicio asociado al procesamiento de instrumental quir\u00fargico consignado"],"prefix":"10.1590","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6091-3133","authenticated-orcid":false,"given":"Simone Garcia","family":"Lopes","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil; Centro Universit\u00e1rio Faculdade de Medicina do ABC,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5839-7253","authenticated-orcid":false,"given":"Vanessa de Brito","family":"Poveda","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2023,12]]},"reference":[{"issue":"1","key":"ref1","article-title":"The Burden of Surgical Cancellations: A Quality Improvement Study on the Importance of Preoperative Assessment","volume":"14","author":"Pattnaik S","year":"2022","journal-title":"Cureus"},{"issue":"11","key":"ref2","first-page":"320","article-title":"Reasons for day of surgery cancellation of orthopaedic cases following a major earthquake in Trinidad and Tobago","volume":"32","author":"Bidaisee S","year":"2022","journal-title":"J Perioper Pract"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"2","DOI":"10.4103\/ajps.ajps_111_21","article-title":"An audit of cancellation of elective surgery in paediatric patients at Chris Hani Baragwanath Academic Hospital","volume":"20","author":"Gamede N","year":"2023","journal-title":"Afr J Paediatr Surg"},{"issue":"4","key":"ref4","first-page":"230","article-title":"Cancellation of surgeries: an integrative literature review","volume":"22","author":"Botazini NO","year":"2017","journal-title":"Rev SOBECC"},{"key":"ref5","series-title":"Resolu\u00e7\u00e3o n\u00ba 15, de 15 de mar\u00e7o de 2012. Disp\u00f5e sobre requisitos de boas pr\u00e1ticas para o processamento de produtos para sa\u00fade e d\u00e1 outras provid\u00eancias [Internet]","year":"2012"},{"key":"ref6","series-title":"Decontamination and reprocessing of medical devices for health-care facilities [Internet]","year":"2016"},{"issue":"6","key":"ref7","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1002\/aorn.12668","article-title":"Guideline implementation: sterilization","volume":"109","author":"Link T","year":"2019","journal-title":"AORN J"},{"key":"ref8","series-title":"ASHCSP\/IAHCSMM position paper on loaner instrumentation [Internet]","year":"2016"},{"key":"ref9","series-title":"Manual de boas pr\u00e1ticas de gest\u00e3o das \u00d3rteses, Pr\u00f3teses e Materiais Especiais (OPME) [Internet]","year":"2016"},{"key":"ref10","article-title":"Staff sizing in the material and sterilization center of a university hospital","volume":"53","author":"Martins JF","year":"2019","journal-title":"Rev Esc Enferm 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