Robertson Orson, Bettarelli Douglas, Bandaru Vishal, Siddiqui Khaja, Shemmiyeva Maysa, Walden Eric, Shaw Chip, Griswold John, Pang Alan
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引用次数: 0
Abstract
Introduction: Preoperative communication checklists are used to improve surgical safety and team coordination. We evaluated whether introduction of a preoperative communication checklist was associated with reduced operative duration in a burn operating room.
Methods: We conducted a quality improvement study comparing operative outcomes before and after introduction of a preoperative communication checklist in a burn unit. Cases from August 19, 2020, to August 20, 2022, were included, with checklist introduction occurring in August 20, 2021. Adult patients undergoing excisional debridement procedures were analyzed. The primary outcome was operative duration. Mixed-effects models were used to assess the association between checklist use and operative duration while adjusting for surgeon, procedure type, and square area excised.
Results: A total of 139 patients undergoing 281 operations were included (143 pre-checklist, 138 post-checklist). Mean operative duration decreased from 107.8 minutes pre-checklist to 96.0 minutes post-checklist. In adjusted analysis, checklist use was associated with a 17.99-minute reduction in operative duration (p<0.001). Procedures involving autograft, ReCell, and biodegradable temporizing matrix were associated with increased operative time, as was greater square area excised. In interaction models, the overall reduction was not statistically significant; however, ReCell procedures demonstrated a significant reduction of 30.49 minutes (p=0.003) following checklist introduction.
Conclusion: Introduction of a preoperative communication checklist was associated with decreased operative duration. The greatest effect was observed in ReCell procedures, suggesting that improved preoperative coordination may enhance efficiency in complex workflows. Preoperative checklists represent a scalable quality improvement strategy to optimize operative efficiency and resource utilization in burn care.
期刊介绍：
Journal of Burn Care & Research provides the latest information on advances in burn prevention, research, education, delivery of acute care, and research to all members of the burn care team. As the official publication of the American Burn Association, this is the only U.S. journal devoted exclusively to the treatment and research of patients with burns. Original, peer-reviewed articles present the latest information on surgical procedures, acute care, reconstruction, burn prevention, and research and education. Other topics include physical therapy/occupational therapy, nutrition, current events in the evolving healthcare debate, and reports on the newest computer software for diagnostics and treatment. The Journal serves all burn care specialists, from physicians, nurses, and physical and occupational therapists to psychologists, counselors, and researchers.
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