Improving on-time surgical starts through a perioperative stop and huddle

Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2024-12-19 DOI:10.1016/j.pcorm.2024.100458

Jonathan A. Alter , Alexander Estright , Michael Platten , David C. Kaelber , Michael D. Leeds , Hannah Hill , Samantha E. Pope , Luis E. Tollinche

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引用次数: 0

Abstract

Background

Punctuality in procedure start times is a critical component of operating room efficiency. The first case on-time start (FCOTS) metric refers to the number of first cases of a day that start on time. Delays in FCOTS, by leading to future case delays, have a detrimental impact on perioperative operations and result in worsened patient care, increased health care costs and decreased patient satisfaction. Despite the importance of timely FCOTS, many attempts to improve FCOTS have failed. We designed a quality improvement project to drive punctual FCOTS.

Methods

To increase FCOTS, perioperative services implemented a mandatory team meeting time of 15 min before the scheduled procedure start time and six other associated processes to improve FCOTS. This 0715-bedside arrival for all team members enabled a full preoperative huddle. All required preoperative duties were expected to be completed before this 0715-huddle time.

Results

The implementation of a 0715 mandatory pre-operative huddle improved the FCOTS significantly by 10 % with a sustained increase of 7 %. Furthermore, this increase has been sustained for over a year, well above the 90th percentile benchmark of healthcare systems using our electronic health record and earned our system a first-place national ranking for FCOTS.

Conclusion

A multi-disciplinary team approach and regimented huddle times prior to surgical starts helped improve the percentage of FCOTS across our healthcare system.

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通过围手术期停止和挤在一起提高手术准时开始

手术开始时间的准时性是手术室效率的重要组成部分。第一个案例准时开始（FCOTS）度量是指一天中第一个案例准时开始的数量。FCOTS的延误会导致未来的病例延误，从而对围手术期手术产生不利影响，并导致患者护理恶化、医疗保健费用增加和患者满意度下降。尽管及时的FCOTS很重要，但许多改进FCOTS的尝试都失败了。我们设计了一个质量改进项目来推动准时交货。方法为提高FCOTS，围手术期服务部门实施了计划手术开始时间前15分钟的强制性小组会议时间和其他6项相关流程来提高FCOTS。7月15日，所有团队成员都来到床边，进行了一次完整的术前会议。所有必需的术前工作预计将在0715之前完成。结果0715强制性术前抱团的实施使FCOTS显著提高10%，并持续提高7%。此外，这一增长已经持续了一年多，远远超过了使用我们电子健康记录的医疗保健系统的第90百分位基准，并使我们的系统在FCOTS方面获得了全国第一的排名。结论采用多学科团队的方法和手术前严格的会诊时间有助于提高整个医疗系统中FCOTS的百分比。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.