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Updated: Jan 21, 2026
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Principles of Rodent Surgery for the New Surgeon
Published on: January 6, 2011
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Does Attending Surgeon Presence at the Preinduction Briefing Improve Operating Room Efficiency?
Rajeev C Saxena1, Mark E Whipple2, Moni B Neradilek3
1Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.
Summary
Attending surgeon presence at preinduction briefings offers a small, statistically significant reduction in time to incision. This efficiency gain, while measurable, is operationally minor for surgical teams.
Area of Science:
- Anesthesiology
- Surgical Operations Management
- Healthcare Efficiency
Background:
- Preinduction briefings are crucial for surgical team coordination.
- Attending surgeon involvement in these briefings may impact operational efficiency.
Purpose of the Study:
- To investigate the association between attending surgeon presence during preinduction briefings and the time from room entry to surgical incision.
- To determine if this association varies by surgical complexity or service line.
Main Methods:
- Retrospective cohort study of 22,857 operations.
- Analysis using linear regression models to compare time to incision.
- Survey of attending surgeons on briefing perceptions.
Main Results:
- A statistically significant but operationally minor reduction of 1.8 minutes in time to incision when attending surgeons were present.
- No significant differences observed for complex equipment/positioning or across service lines.
- Surgeon was the strongest confounding variable; 55% of surgeons prioritized attending briefings.
Conclusions:
- Attending surgeon presence at preinduction briefings has a minimal impact on surgical efficiency as measured by time to incision.
- The operational significance of this efficiency gain requires further evaluation in clinical practice.
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