Preparatory Time-Related Hand Surgery Operating Room Inefficiency: A Systems Analysis.

Hand : Official Journal of the American Association for Hand Surgery
Michael T MiloneJacques H Hacquebord

Abstract

Background: No study exists on preparatory time-from patient's entrance into the operating room to skin incision-and its role in hand surgery operating room inefficiency. The purpose of this study was to investigate the length and variability of preparatory time and assess the relationship between several variables and preparatory time. Methods: Consecutive upper extremity cases performed for a period of 1 month by hand surgeons were reviewed at 3 surgical sites. Preparatory time was compared across locations. Cases at one location were further analyzed to assess the relationship between preparatory time and several variables. Both traditional statistical methods and Shewhart control charts, a quality control tool, were used for data analysis. Results: A total of 288 cases were performed. The mean preparatory times at the 3 sites were 25.1, 25.7, and 20.7 minutes, respectivley. Aggregated preparatory time averaged 24.4 (range 7-61) minutes, was 75% the length of the surgical time, and accounted for 34% of total operating room time. Control charts confirmed substantial variability at all locations, signifying a poorly defined process. At a single site, where 189 cases were performed by 14 different surgeons, there was no differe...Continue Reading

References

Sep 1, 1994·Journal of Clinical Anesthesia·W J Mazzei
Mar 1, 1996·AORN Journal·F Dexter
Aug 31, 2002·European Journal of Anaesthesiology·E SokolovicT Szucs
Dec 24, 2005·Annals of Surgery·David M FriedmanDavid L Berger
Oct 3, 2006·Surgery·Maureen HardersTejbir Sidhu
Mar 6, 2009·Surgical Endoscopy·M J van DetJ P E N Pierie
Feb 14, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Elise H LawsonClifford Y Ko
Apr 2, 2013·The Journal of Arthroplasty·Travis J SmallWael K Barsoum
Nov 26, 2013·The Journal of Hand Surgery·Daniel M Avery, Kristofer S Matullo
Jan 1, 2014·The Journal of Surgical Research·Bhavani S KodaliRichard D Urman
Jan 29, 2014·Journal of Medical Systems·Bhavani Shankar KodaliRichard D Urman
Mar 7, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Elizabeth van Veen-BerkxGeert Kazemier
Jul 31, 2014·Journal of Clinical Anesthesia·Thomas M AustinWarren S Sandberg
Nov 9, 2014·Journal of Medical Systems·Ankeet S BhattPeter J Deckers
Apr 1, 2015·The Journal of Hand Surgery·Nicholas M CaggianoKristofer S Matullo
Apr 19, 2015·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Lancaster R WeldThomas E Novak
Apr 12, 2016·Journal of the American College of Surgeons·Elizabeth van Veen-BerkxFleur C Mokken
Nov 24, 2016·American Journal of Infection Control·Timothy L WiemkenJulio A Ramirez
Jan 31, 2017·Journal of Shoulder and Elbow Surgery·Eric M PadegimasSurena Namdari
Feb 6, 2017·Hand : Official Journal of the American Association for Hand Surgery·Michael B GottschalkS Steven Yang
Feb 25, 2017·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Anna SchuhBruce H Jones
Mar 31, 2017·World Journal of Surgery·Colby P SoudersJennifer T Anger
Apr 9, 2017·Journal of Pediatric Surgery·Edward P TaggeKenneth W Mitchell

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Citations

Jun 20, 2020·Surgical Endoscopy·Dimitrios I AthanasiadisDimitrios Stefanidis

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Software Mentioned

ProAptive Metrics Analysis
Stata

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