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BACKGROUND: In June 2006, the post operative plaster immobilisation protocol for patients undergoing hindfoot and ankle surgery, at our institution, changed from multiple plaster changes to the immediate application of a definitive removable and reusable split synthetic cast. This study aims to assess the savings to the hospital and patient, following this change in practice. METHODS: A retrospective analysis of plaster room records from June 2005 to June 2007 was performed. The difference in cost to the hospital of the two different post operative journeys was then calculated. RESULTS: Two-hundred and twenty-two patients from 2005 to 2006 were managed at a total cost of 97,125 euro. From 2006 to 2007, 203 patients were managed with the new technique at a total cost of 37,860 euro. The net saving to the hospital of this change in practice was 251 euro per patient and 50,953 euro in total, while 203 patient visits and costs associated therewith were also saved. CONCLUSIONS: This study demonstrates how small changes in local practice can result in significant financial and temporal savings for hospitals and patients.

Original publication

DOI

10.1016/j.fas.2008.07.001

Type

Journal article

Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

Publication Date

01/2009

Volume

15

Pages

62 - 64

Addresses

Nuffield Orthopaedic Centre, Oxford, Oxon, United Kingdom. bendean@doctors.net.uk

Keywords

Foot, Ankle, Humans, Treatment Outcome, Retrospective Studies, Casts, Surgical, Costs and Cost Analysis, Cost Savings, Physician's Practice Patterns