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Surgical scheduling: a lean approach to process improvement.

Ross William Simon, Elena G Canacari

|December 28, 2013

Summary

Implementing a new electronic system for orthopedic surgery scheduling eliminated site/side errors and significantly reduced procedure changes, improving patient safety and satisfaction.

Area of Science:

Healthcare Management
Patient Safety
Surgical Workflow Optimization

Background:

Traditional paper-based orthopedic surgery scheduling processes are prone to inefficiencies, leading to delays and critical errors like site/side discrepancies.
Existing scheduling systems often result in uneven block time allocation and frequent procedural sequence changes, impacting operational efficiency and patient care.

Purpose of the Study:

To develop and implement a safe, effective, patient-centered, timely, efficient, and accurate orthopedic scheduling process.
To optimize operating room block time allocation for improved efficiency.
To eliminate site/side discrepancies in orthopedic surgical procedures.

Main Methods:

Formation of a multidisciplinary team to redesign the orthopedic surgery scheduling process.

Keywords:

Lean orthopedic surgery scheduling

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Implementation of a real-time patient information database integrated into the surgeon's office preoperative visit.

Transition from a paper-based system to a digital, real-time data entry workflow.

Main Results:

Zero occurrence of site/side discrepancies post-implementation.
A 70% reduction in instances requiring changes to the sequence of orthopedic procedures.
Increased patient satisfaction levels attributed to the improved scheduling process.

Conclusions:

A real-time, database-driven scheduling system effectively eliminates site/side errors in orthopedic surgery.
The new process significantly enhances surgical workflow efficiency and patient safety.
Digital transformation of surgical scheduling leads to improved operational outcomes and patient experience.