Buyers who review documentation and calculations to determine the long-term total economy of a procurement.

Total Cost of Ownership – Stop chasing pennies, start saving millions

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Explore what current clinical evidence reveals and examine how evidence-based mattress engineering and design can contribute to a safer care environment.

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Procurement is often reduced to a chase for the lowest price tag, which ultimately means turning a blind eye to reality. If a mattress causes a pressure ulcer, requires daily laundering, or must be discarded prematurely, the "cheap" choice quickly becomes a major financial loss. Total Cost of Ownership (TCO) is about focusing on the bottom line, not the initial price tag.

In the 1970s, centralized bedding facilities required staff to struggle with washing, making, and transporting mattresses in endless cycles. While healthcare has come a long way since then, significant hidden costs still lurk in daily operations today.

By shifting the focus from purchase price to Life Cycle Cost (LCC), we can free up the resources that are genuinely needed in frontline healthcare.

What is the real cost of hygiene?

Many choose mattresses with removable covers out of habit, yet the operational costs are rarely calculated. As early as 1984, SPRI's report demonstrated that disposable materials and removable covers generate substantial hidden costs [1].

  • Laundring costs A removable cover must be removed and machine washed in the event of contamination. If this occurs only once a month, the cost of laundering and handling amounts to thousands of kronor (or euros) over the lifespan of the mattress.
  • Labour costs Changing covers is time-consuming and causes physical strain on staff. A "cheap" mattress quickly becomes costly once extra replacement covers and the labor time required for changes are factored into the calculation.

Mattresses with a Lentex surface layer are instead cleaned and disinfected directly on-site. Because no machine laundering is required, staff avoid heavy lifting and the handling of contaminated covers. This ensures a smoother workflow and reduces wear and tear on both materials and personnel.

The Price of Failure: The Multi-Million Cost of Pressure Ulcers

A product that fails to perform properly quickly becomes a financial liability. Pressure ulcers cause immense human suffering while leading to skyrocketing healthcare costs.

Hard facts show how quickly these costs escalate:

  • SEK 53 million annually (approx. €4.6 million) This staggering sum was the cost of pressure ulcers for the Jönköping Region during a single year, according to their own calculations [2]. (Note: If targeting the UK/EU, this is equivalent to approximately £4 million / €4.7 million).
  • Ten times more expensive Studies published in the scientific journal JAMA confirm that treating a pressure ulcer is up to ten times more expensive than preventing it [3].
  • SEK 2.8 billion nationally (approx. €245 million) On a rolling annual basis in Sweden, the total societal costs for pressure ulcers amount to approximately 2.8 billion SEK [4].

Choosing a mattress with documented pressure redistribution according to the SS 876 00 13 standard is therefore not an ordinary expense. It is a strategic investment with enormous savings potential the moment the risk of a single pressure ulcer is reduced [5].

Lifespan is direct savings

Quality costs more on day one, yet considerably less on day one thousand. If a mattress lasts five years instead of four, this effectively reduces the annual cost by 25%.

To verify that the material retains its pressure-redistributing properties over time, the mattresses are tested at RISE in accordance with current standards for exceptionally high demands, where they are subjected to as many as 130,000 cycles [5].

Strategically choosing proven quality over cheap upfront purchases is the simplest and most effective way to reduce your long-term budget.

The hidden cost of logistics

Nearly a third of the traditional rental cost for a mattress often consists of pure transport fees. The conventional "Just-in-time" system—where trucks are forced to make urgent deliveries of single products as soon as a need arises—represents significant economic and environmental waste.

Through the Pick ’n’ Go system, the buffer stock is instead moved directly to your facility. You always have mattresses ready on-site, pay only when they are actually put into use, and thereby slash transport costs.

Checklist for a profitable investment

Ensure you don't buy a pig in a poke. Here are the factors that distinguish a smart investment from an expensive lesson:

  • Calculate operational costs, not just the purchase price: The quoted price is only half the truth. Factor the costs of laundering, extra replacement covers, and labor time for cover changes into your calculation. It is highly common for actual costs to escalate significantly once these variables are included.
  • Demand measurable standards: Avoid subjective requirements like "soft" or "comfortable." Instead, use the standard SS 876 00 13 as your baseline. Demand that the supplier presents actual test protocols, not just promises [5].
  • Scrutinize the warranty and durability: Use the standard SS 876 00 11 (fatigue test) to evaluate the real lifespan. A mattress with higher foam density and documented durability always yields a lower annual cost [5]. ☐ Beware of vacuum packaging: Check how
  • Beware of vacuum packaging: Check how the mattresses are delivered. Tightly vacuum-packed mattresses risk losing their recovery capacity and overall lifespan, and they often require waiting time before they can actually be put into clinical use.

Regulatory and Clinical References

  1. Healthcare-associated infections (HAIs) in Sweden. Municipalities and Regions of Sweden (SKR) and the National Board of Health and Welfare. Measurements show that just over 50,000 patients annually are affected by HAIs, resulting in approximately 1,500 deaths. The cost of a single HAI is estimated at around 107,000 SEK.
  2. Risk of infection when changing patients Cohen, B. et al. (2018). Association Between Healthcare-Associated Infection and Exposure to Hospital Roommates and Previous Bed Occupants with the Same Organism. Infection Control & Hospital Epidemiology. The study demonstrates a 583 % increased risk of infection if the previous patient in the bed was carrying an infection.
  3. Warnings concerning mattress covers U.S. Food and Drug Administration (FDA). (2013/2017). Safety Communication: Covers for Hospital Bed Mattresses – Learn How to Keep Patients Safe. FDA warns that fluids and body fluids can penetrate mattress covers without visible signs, which can lead to cross-contamination. .
  4. Health risks from mould Exposure to mould spores in healthcare environments (caused by trapped moisture in mattresses) is linked to symptoms such as asthma, respiratory infections, and skin irritation. .
  5. Risks with seams and wicking Studies published in Infection Control & Hospital Epidemiology highlight the risks associated with capillary action (wicking) in sutures and seams in medical textiles, where fluid can travel through the barrier layer.

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Evidence-based pest control
Gain deeper insight into life-saving technology. In this White Paper, we review clinical studies and provide you with a smart checklist to use when procuring pressure-relieving mattresses.

Suggestions for procurement documents
A smart checklist for procuring mattresses with a focus on pressure relief.