Novel Application of a Dynamic, In-Room Survey Platform to Measure Surgical Team Satisfaction.
Journal
Annals of surgery
ISSN: 1528-1140
Titre abrégé: Ann Surg
Pays: United States
ID NLM: 0372354
Informations de publication
Date de publication:
13 Jul 2023
13 Jul 2023
Historique:
medline:
12
7
2023
pubmed:
12
7
2023
entrez:
12
7
2023
Statut:
aheadofprint
Résumé
This study aims to elucidate the potential usage of continuous feedback regarding team satisfaction and correlations with operative performance and patient outcomes. Continuous, actionable assessment of teamwork quality in the operating room (OR) is challenging. This work introduces a novel, data-driven approach to prospectively and dynamically assess healthcare provider (HCP) satisfaction with teamwork in the OR. Satisfaction with teamwork quality for each case was assessed utilizing a validated prompt displayed on HappyOrNot® Terminals™ placed in all ORs, with separate panels for circulators, scrub nurses, surgeons, and anesthesia providers. Responses were cross-referenced with OR log data, team familiarity indicators, efficiency parameters and patient safety indicator events through continuous, semi-automated data marts. De-identified responses were analyzed via logistic regression modeling. Over a 24-week period, 4,123 responses from 2,107 cases were recorded. The overall response rate per-case was 32.5%. Greater scrub nurse specialty experience was strongly associated with satisfaction (odds ratio 2.15, 95% CI 1.53-3.03, P<0.001). Worse satisfaction was associated with longer than expected procedure time (odds ratio 0.91, 95% CI 0.82-1.00, P=0.047), nighttime (0.67, 95% CI 0.55-0.82, P<0.001) and add-on cases (0.72, 95% CI 0.60-0.86, P<0.001). Higher material costs (22%, 95% CI 6-37%, P=0.006) were associated with greater team satisfaction. Cases with superior teamwork ratings were associated with a 15% shorter length of hospital stay (95% CI 4-25%, P=0.006). This study demonstrates for the feasibility of a dynamic survey platform to report actionable HCP satisfaction metrics in real-time. Team satisfaction is associated with modifiable team variables and some key operational outcomes. Leveraging qualitative measurements of teamwork as operational indicators may augment staff engagement and measures of performance.
Sections du résumé
OBJECTIVE
OBJECTIVE
This study aims to elucidate the potential usage of continuous feedback regarding team satisfaction and correlations with operative performance and patient outcomes.
BACKGROUND
BACKGROUND
Continuous, actionable assessment of teamwork quality in the operating room (OR) is challenging. This work introduces a novel, data-driven approach to prospectively and dynamically assess healthcare provider (HCP) satisfaction with teamwork in the OR.
METHODS
METHODS
Satisfaction with teamwork quality for each case was assessed utilizing a validated prompt displayed on HappyOrNot® Terminals™ placed in all ORs, with separate panels for circulators, scrub nurses, surgeons, and anesthesia providers. Responses were cross-referenced with OR log data, team familiarity indicators, efficiency parameters and patient safety indicator events through continuous, semi-automated data marts. De-identified responses were analyzed via logistic regression modeling.
RESULTS
RESULTS
Over a 24-week period, 4,123 responses from 2,107 cases were recorded. The overall response rate per-case was 32.5%. Greater scrub nurse specialty experience was strongly associated with satisfaction (odds ratio 2.15, 95% CI 1.53-3.03, P<0.001). Worse satisfaction was associated with longer than expected procedure time (odds ratio 0.91, 95% CI 0.82-1.00, P=0.047), nighttime (0.67, 95% CI 0.55-0.82, P<0.001) and add-on cases (0.72, 95% CI 0.60-0.86, P<0.001). Higher material costs (22%, 95% CI 6-37%, P=0.006) were associated with greater team satisfaction. Cases with superior teamwork ratings were associated with a 15% shorter length of hospital stay (95% CI 4-25%, P=0.006).
CONCLUSIONS
CONCLUSIONS
This study demonstrates for the feasibility of a dynamic survey platform to report actionable HCP satisfaction metrics in real-time. Team satisfaction is associated with modifiable team variables and some key operational outcomes. Leveraging qualitative measurements of teamwork as operational indicators may augment staff engagement and measures of performance.
Identifiants
pubmed: 37436888
doi: 10.1097/SLA.0000000000005993
pii: 00000658-990000000-00547
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.