Utilization of lean project management principles and health informatics to reduce operating room delays in a vascular surgery practice - 15/12/21
Abstract |
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 < 0.05). No delays were due to missing orders.
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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Standardization of workflows is a critical quality improvement tool. |
• | Inconsistent results can decrease the quality and value of patient care. |
• | Informatics can be utilized to study issues and implement change in healthcare. |
• | Perioperative inefficiency is a major source of waste in healthcare. |
Keywords : Perioperative efficiency, Perioperative delay, Quality improvement, Lean management, Informatics
Plan
Vol 223 - N° 1
P. 176-181 - janvier 2022 Retour au numéro
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