Utilization of lean project management principles and health informatics to reduce operating room delays in a vascular surgery practice
| Autor: | Jaime O'Brien, Jeniann A. Yi, Daniella de la Cruz, Maxwell Shaw, Ethan Cumbler, Anahita Dua, Quy Tat, Ryan Gupta, Rachel McPherson |
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| Rok vydání: | 2022 |
| Předmět: |
Operating Rooms
medicine.medical_specialty Quality management Efficiency Organizational Health informatics Workflow Lean project management Cost Savings Humans Medicine Operations management Retrospective Studies Academic Medical Centers business.industry Medical record Health Plan Implementation General Medicine Perioperative Vascular surgery Quality Improvement Informatics Practice Guidelines as Topic Root Cause Analysis Surgery business Vascular Surgical Procedures Medical Informatics Program Evaluation |
| Zdroj: | The American Journal of Surgery. 223:176-181 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2021.07.040 |
| Popis: | Objectives Perioperative inefficiency can increase cost. We describe a process improvement initiative that addressed preoperative delays on an academic vascular surgery service. Methods First case vascular surgeries from July 2019–January 2020 were retrospectively reviewed for delays, defined as late arrival to the operating room (OR). A stakeholder group spearheaded by a surgeon-informaticist analyzed this process and implemented a novel electronic medical records (EMR) preoperative tool with improved preoperative workflow and role delegation; results were reviewed for 3 months after implementation. Results 57% of cases had first case on-time starts with average delay of 19 min. Inappropriate preoperative orders were identified as a dominant delay source (average delay = 38 min). Three months post-implementation, 53% of first cases had on-time starts with average delay of 11 min (P Conclusions Inconsistent preoperative workflows led to inappropriate orders and delays, increasing cost and decreasing quality. A novel EMR tool subsequently reduced delays with projected savings of $1,200/case. Workflow standardization utilizing informatics can increase efficiency, raising the value of surgical care. |
| Databáze: | OpenAIRE |
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