Improving efficiency and reducing costs in robotic surgery: a Lean Six Sigma approach to optimize turnover time.

Autor: Sanchez A; Orlando Health Robotic Surgery Program, Orlando, FL, USA. Alexis.Sanchez@OrlandoHealth.com., Herrera L; Rod Taylor Thoracic Cancer Care Center, Orlando Health, Orlando, FL, USA., Teixeira A; Weight Loss and Bariatric Surgery Institute, Orlando Health, Orlando, FL, USA., Cheatham M; ORMC, Orlando Health, Orlando, FL, USA., Gibson D; Chief Surgical Quality Office, ORMC, Orlando Health, Orlando, FL, USA., Lam V; Orlando Health Robotic Surgery Program, Orlando, FL, USA., Guevara O; Orlando Health Robotic Surgery Program, Orlando, FL, USA.
Jazyk: angličtina
Zdroj: Journal of robotic surgery [J Robot Surg] 2023 Oct; Vol. 17 (5), pp. 2059-2064. Date of Electronic Publication: 2023 May 16.
DOI: 10.1007/s11701-023-01606-x
Abstrakt: Operating room (OR) turnover time (TOT) is the time it takes to prepare an OR for the next surgery after the previous one has been completed. Reducing OR TOT can improve the efficiency of the OR, reduce costs, and improve surgeons' and patients' satisfaction. The objective of this study is to evaluate the effectiveness of an operating room (OR) turnover time (TOT) reduction initiative using the Lean Six Sigma methodology (DMAIC) in the bariatric and thoracic service lines. Performance improvement strategies consist of simplifying steps (surgical tray optimization) and concurrent steps (parallel task execution). We compared 2-month pre-implementation vs. post-implementation. A paired t-test was used to assess whether the difference in the measurements was statistically significant. The study found that TOT was reduced by 15.6% from an average of 35.6 ± 8.1 to minutes 30.09 ± 9.7 min (p < 0.05). Specifically, in the bariatric service line, TOT was reduced by 17.15% and in the thoracic service line, TOT was reduced by 9.6%. No adverse events related to the initiative were reported. The results of this study indicate that the TOT reduction initiative was effective in reducing TOT. The efficient use of operating rooms is crucial in hospital management, as it not only impacts finances but also affects the satisfaction of surgical teams and patients. This study shows the effectiveness of Lean Six Sigma methodology in reducing TOT and improving the efficiency in the OR.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: