Surgical process re-engineering: carpal tunnel decompression--a model

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
J A Casaletto, V Rajaratnam

Abstract

Surgical process re-engineering is a methodology where the entire surgical process is systematically analysed and re-designed. The process starts with mapping of the current process followed by in-depth analysis of the existing process. A new process is drafted with the aim of making the whole procedure more efficient. The new process is then discussed with all the staff involved in the operating room. Following implementation of the process, surgical process re-engineering should ideally be routinely carried out to continuously improve the procedure. We present an example of surgical process re-engineering which we carried out on the procedure of carpal tunnel release. We used carpal tunnel release as a model as it is a very common operation, with predictable intra-operative findings, and the patient is likely to benefit directly from procedure time reduction. A preliminary mapping of three procedures was done followed by a detailed timed mapping of five routine carpal tunnel decompression procedures. The mapped process was analysed in detail and a number of changes were made in the process. After implementing the new process, a further five procedures were mapped and timed again. In comparison to the original process, we achi...Continue Reading

References

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Citations

Jun 8, 2010·International Journal of Computer Assisted Radiology and Surgery·Thomas NeumuthOliver Burgert
Jun 1, 2010·Journal of Ocular Biology, Diseases, and Informatics·Thomas NeumuthPeter Wiedemann
Jan 14, 2011·Artificial Intelligence in Medicine·Dayana NeumuthThomas Neumuth
Mar 2, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·T NeumuthO J Muensterer
Aug 28, 2016·The Journal of Surgical Research·Abigail J FongAlexander Langerman
Aug 11, 2016·Surgical Innovation·Stuart J DavidsonAlexander J Langerman
Apr 17, 2019·Current Urology Reports·Daniel J LeeThomas J Guzzo

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