Reducing surgical instrument usage: systematic review of approaches for tray optimization and its advantages on environmental impact, costs and efficiency

Myrthe M.M. Eussen, Esmee Logghe, Stijn Bluiminck, Daan J. Comes, Merel Kimman, Brigitte A.B. Essers, Lianne M. Wellens, Schelto Kruijff, Philip R. de Reuver, Nicole D. Bouvy

Tray optimization strategies effectively reduce resource use, resulting in environmental and economic benefits. Although no standard method exists, effective strategies such as procedure observation and clinician feedback may eliminate over half of the instruments, offering a significant opportunity to minimize resource consumption in the operating room.