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Improving on-time start for iMRI neurosurgeries.

Natascha Fherzinah Rustom Ghadiali¹, Darren Koh, Kuok Wei Chia

¹Department of Anaesthesiology, Singapore General Hospital, Singapore.

Asian Journal of Neurosurgery

|June 7, 2013

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Improving on-time starts for intraoperative MRI (iMRI) neurosurgeries from 10.5% to 100% within nine months significantly reduced resource waste. This quality improvement project demonstrates success in complex, multidisciplinary hospital workflows.

Area of Science:

Neurosurgery
Medical Imaging
Healthcare Management

Background:

Intraoperative MRI (iMRI) neurosurgery is a complex, multidisciplinary process at Singapore General Hospital.
A baseline analysis revealed only 10.5% of iMRI neurosurgeries started on time, leading to resource waste.

Purpose of the Study:

To improve the on-time start rate of iMRI neurosurgeries to 100% within a nine-month period.
To enhance efficiency and reduce resource wastage in iMRI neurosurgical procedures.

Main Methods:

Clinical Practice Improvement (CPI) methodology was employed.
The project involved four phases: Diagnostic (baseline analysis), Intervention (problem identification), Implementation (solution deployment), and Sustaining (maintaining improvements).

Keywords:

Clinical practice improvement Singapore healthcare intraoperative magnetic resonance imaging neurosurgery quality improvement

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Main Results:

The percentage of on-time start cases progressively increased, reaching 100% within eight months.
The on-time start rate was sustained above 85% for the subsequent five months.

Conclusions:

The project successfully demonstrated the application of quality improvement strategies in a complex, multidisciplinary hospital workflow.
The findings highlight the potential for significant efficiency gains in routine hospital procedures through targeted quality improvement initiatives.