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Preparing a high-performance surgical team: lessons from 11,000 surgeries.

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Building a high-performance surgical team requires specific competencies. This model achieved high volume and exceptional results by focusing on experienced surgeons, shared goals, and a supportive environment.

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Area of Science:

  • Surgical Team Management
  • Healthcare Performance Improvement
  • Hospital Administration

Background:

  • Centralization of surgery in high-value hospitals is predicted.
  • High-performance surgical teams are crucial but poorly understood.
  • Data on building and managing these teams are scarce.

Purpose of the Study:

  • To outline the competencies and skills needed to build and lead a high-performance general surgery team.
  • To share a successful model for surgical team development.

Main Methods:

  • A general surgery team was established at a tertiary hospital in 2012.
  • The model emphasized high volume by a small, experienced, and motivated team.
  • Daily case discussions, a prospective outcome database, and above-market compensation were implemented.

Main Results:

  • Over 6 years, 11,006 procedures were performed (8,597 elective, 2,409 urgent).
  • Low surgical site infection rate (0.12% in clean procedures) and re-do surgery rates (0.2% elective, 2.4% urgent).
  • Low postoperative mortality (0.07% elective, 0.66% urgent).

Conclusions:

  • A competent surgical team within a performance-driven, individual-valuing model achieves high volume and excellent outcomes.
  • This approach demonstrates the feasibility of high-performance surgical teams in a centralized care model.