Team Approach: Improving Orthopaedic Operating Room Efficiency.


Journal

JBJS reviews
ISSN: 2329-9185
Titre abrégé: JBJS Rev
Pays: United States
ID NLM: 101674872

Informations de publication

Date de publication:
01 08 2023
Historique:
medline: 9 8 2023
pubmed: 7 8 2023
entrez: 7 8 2023
Statut: epublish

Résumé

The cost of surgical care accounts for almost one-third of all health care spending in the United States. Within health care spending, the operating room (OR) is one of the largest health care costs during a perioperative episode of care. Efficiency in the OR has been associated with increased productivity, safety, and quality of care. However, multiple sources of delays can contribute to inefficiency, and improving efficiency in the OR requires a systematic approach to identify and address each issue. We report on the case of a process improvement initiative implemented in a large academic institution to improve OR efficiency in outpatient orthopaedic cases, and we discuss the lessons learned through this program. Optimizing workflow in the OR requires a multidisciplinary team approach consisting of clinician leaders with common goals and open discussion regarding the needs of each team member, including circulating nurses, surgical nurses/technologists, and anesthesiologists. Our experience highlights the importance of practical, clinician-driven changes that are supported by administrative engagement, resources for staffing and equipment, and institutional flexibility, which are required to implement systemic changes to address and improve efficiency in the OR.

Identifiants

pubmed: 37549236
doi: 10.2106/JBJS.RVW.23.00036
pii: 01874474-202308000-00004
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A998).

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Auteurs

Miho J Tanaka (MJ)

Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

Rashmi Prasad (R)

Department of Anesthesia, Johns Hopkins University, Baltimore, Maryland.

Lauren A Miller (LA)

The Johns Hopkins Hospital, Baltimore, Maryland.

Marina M Fleck (MM)

The Johns Hopkins Hospital, Baltimore, Maryland.

Beverly Stiles (B)

The Johns Hopkins Hospital, Baltimore, Maryland.

Catherine J Boyne (CJ)

The Johns Hopkins Hospital, Baltimore, Maryland.

The-Hung Edward Nguyen (TE)

Department of Anesthesia, Johns Hopkins University, Baltimore, Maryland.

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