Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Novel radiation-sparing imaging techniques in transcarotid stenting.

Seminars in vascular surgery·2026

Same author

Major Adverse Limb Events and Death After Successful Endovascular Revascularization: BEST-CLI Trial.

Journal of the Society for Cardiovascular Angiography & Interventions·2026

Same author

Safety and efficacy of delayed-release diameter reduction in constructing physician-modified endografts for complex aortic aneurysms.

Journal of vascular surgery·2026

Same author

If you're not at the table, you're part of the meal.

Journal of vascular surgery·2026

Same author

High-quality chronic limb-threatening ischemia care requires above average performance in surgical bypass and endovascular treatment.

Journal of vascular surgery·2026

Same author

Clinical and economic outcomes of transcatheter arterialization of the deep veins in no-option chronic limb-threatening ischemia patients compared with conventional therapy.

Journal of vascular surgery·2026

Same journal

Frailty is associated with fewer hospital-free days following peripheral artery disease revascularization.

Journal of vascular surgery·2026

Same journal

Shifting Burden of Major Lower Extremity Amputations Across Hospital Medicaid Burden and Socioeconomic Groups, 1993-2021.

Journal of vascular surgery·2026

Same journal

The United Kingdom Branch Endoprosthesis for Aortic arch Treatment study (UK-BEAT): Early experience with the GORE TAG thoracic branch endoprosthesis.

Journal of vascular surgery·2026

Same journal

Association of revascularization strategy with wound healing following toe amputation in chronic limb-threatening ischemia.

Journal of vascular surgery·2026

Same journal

Premature peripheral arterial disease (PAD) is associated with worse outcomes after endovascular peripheral vascular intervention.

Journal of vascular surgery·2026

Same journal

Self-Expandable versus Balloon-Expandable Bridging Stents in Off-the-Shelf Inner Branch Repair: Midterm Results from the INBREED Registry.

Journal of vascular surgery·2026

See all related articles

Search research articles

Related Experiment Video

Updated: May 10, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Lean principles optimize on-time vascular surgery operating room starts and decrease resident work hours.

Courtney J Warner¹, Daniel B Walsh, Alexander J Horvath

¹Department of Surgery, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Journal of Vascular Surgery

|July 6, 2013

Summary

This summary is machine-generated.

Lean process improvements significantly enhanced operating room efficiency, increasing on-time starts from 39% to 71% within 6 weeks and sustaining improvements for a year. This also reduced resident work hours and saved costs.

More Related Videos

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Related Experiment Videos

Last Updated: May 10, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

Healthcare Management
Process Improvement
Surgical Operations

Background:

Lean principles, widely used in industry, are underutilized in healthcare settings.
Improving operating room (OR) efficiency is critical for patient care and cost management.
First case on-time starts are a key metric for OR efficiency.

Purpose of the Study:

To assess the effectiveness of Lean principles in improving first case on-time operating room starts.
To quantify the impact of Lean implementation on resident work hours.
To evaluate the cost-effectiveness of Lean process improvements in a surgical setting.

Main Methods:

Applied DMAIC (Define, Measure, Analyze, Improve, Control) methodology to identify and address delays in vascular surgery first case starts.
Utilized value stream maps and process flow diagrams to analyze current processes.
Implemented changes such as checklists and standardization to improve resident workflow and reduce non-value-added activities.

Main Results:

On-time first case starts increased from 39% pre-implementation to 71% at 6 weeks (P = .002) and 86% at 1 year (P < .001).
Resident rounding time decreased by 33% (from 70 to 47 minutes).
Potential cost savings of $12,582 were identified within 9 weeks post-implementation.

Conclusions:

Lean principles facilitated rapid identification and implementation of perioperative process enhancements.
These improvements led to sustained gains in efficiency and significant cost savings.
Downstream benefits included improved resident efficiency and reduced work hours.