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Surgical Instrument Optimization to Reduce Instrument Processing and Operating Room Setup Time.

Lauren Crosby1, Eric Lortie2, Brian Rotenberg3

  • 1Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 23, 2019
PubMed
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Optimizing surgical trays significantly reduces instrument setup and assembly times in the operating room (OR). This efficiency improvement in healthcare settings leads to better workflow and reduced variability.

Area of Science:

  • Healthcare Operations Management
  • Surgical Workflow Optimization
  • Medical Device Management

Background:

  • Rising healthcare expenditures necessitate increased operational efficiency.
  • The operating room (OR) is a key area for optimizing workflow and supply utilization.
  • High instrument redundancy in surgical trays is common, impacting costs and efficiency.

Purpose of the Study:

  • To quantify the potential time savings achieved through surgical tray optimization.
  • To assess the impact of reducing instrument redundancy on OR efficiency.

Main Methods:

  • Instrument utilization was analyzed for four surgical procedures.
  • Instruments used in less than 20% of cases were excluded from trays.
  • Tray assembly and OR setup times were prospectively measured before and after optimization.
Keywords:
PS/QIcost reductionefficiencyoptimizationotolaryngologysurgerysurgical tray

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Main Results:

  • Tray assembly times decreased by 58%-66% (P < .05) post-optimization.
  • Operating room instrument setup times reduced by 26%-37% (P < .05).
  • Variability in both assembly and setup times was significantly reduced.

Conclusions:

  • Surgical tray optimization leads to measurable time savings and improved efficiency.
  • Reduced redundancy enhances workflow predictability and may decrease stress and adverse events.
  • Optimization allows for better staff and resource management in surgical departments.