Preventing Delays in First-Case Starts on the Neurosurgery Service: A Resident-Led Initiative at an Academic Institution

Journal of Surgical Education
Seunggu J HanManish K Aghi

Abstract

On-time starts for the first case of the day are critical to maintaining efficiency in operating rooms (ORs). We studied whether a resident-led initiative to ensure on-time site marking and documentation of surgical consent could lead to improved first-case start time. In a resident-led initiative at a large 600-bed academic hospital with 25 ORs, we aimed to complete site marking and surgical consents half an hour before the scheduled start time for all first-case neurosurgical patients. We monitored the occurrence of delayed first starts and the length of delay during our initiative, and compared these cases to neurosurgical cases 3 months before the implementation of the initiative and to first-start nonneurosurgical cases. In the year of the initiative, both site marking and surgical consents were completed 30 minutes before the case start in 97% of neurosurgical cases. The average delay across all first-case starts was reduced to 7.17 minutes (N = 1271), compared with 9.67 minutes before the intervention (N = 345). During the study period, non-neurosurgical cases were delayed on average 10.3 minutes (N = 3592). There was a significant difference in latencies between the study period and the period before the initiative (p <...Continue Reading

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Citations

Oct 23, 2018·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Katie E RaffelMichelle Mourad
Mar 8, 2019·Journal of Healthcare Management / American College of Healthcare Executives·Robert W AllenErik Busby
Jul 22, 2018·Journal of Medical Systems·Usman A HalimAdam M Ali
Aug 9, 2020·Pediatric Quality & Safety·Dinesh S PashankarMatthew Grossman
May 10, 2020·Der Unfallchirurg·K WelleK Kabir
Jul 27, 2021·International Anesthesiology Clinics·Amy RobertsonEdward Yaghmour
Oct 13, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Sandy D Morel, Nicole A Gonzaga Gomez

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