TY - JOUR
T1 - Team Approach
T2 - Improving Orthopaedic Operating Room Efficiency
AU - Tanaka, Miho
AU - Prasad, Rashmi
AU - Miller, Lauren A.
AU - Fleck, Marina M.
AU - Stiles, Beverly
AU - Boyne, Catherine J.
AU - Nguyen, The Hung Edward
N1 - Publisher Copyright:
© 2023 Journal of Bone and Joint Surgery Inc.. All rights reserved.
PY - 2023/8/8
Y1 - 2023/8/8
N2 - 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.
AB - 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.
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U2 - 10.2106/JBJS.RVW.23.00036
DO - 10.2106/JBJS.RVW.23.00036
M3 - Review article
C2 - 37549236
AN - SCOPUS:85166785698
SN - 2329-9185
VL - 11
JO - JBJS reviews
JF - JBJS reviews
IS - 8
M1 - e23.00036
ER -