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Process mapping and Lean principles applied to orthognathic surgery.

C M Bowe1, B Gurney1, J Sloane1

  • 1Department of Oral and Maxillofacial Surgery, Royal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX, Surrey, UK.

The British Journal of Oral & Maxillofacial Surgery
|January 14, 2021
PubMed
Summary
This summary is machine-generated.

Process mapping and Lean principles streamline orthognathic surgery. This approach significantly reduces operative time for bimaxillary osteotomies without compromising patient outcomes.

Keywords:
leanoperative efficiencyorthognathic surgeryprocess mapping

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Healthcare Management
  • Process Improvement

Background:

  • Orthognathic surgery is in high demand, with patients expecting excellent outcomes.
  • Hospitals face increasing pressure to reduce healthcare costs.
  • Improving operative efficiency in complex procedures like orthognathic surgery offers significant benefits.

Purpose of the Study:

  • To present an approach to process map bimaxillary orthognathic operations.
  • To demonstrate how Lean principles can enhance operative efficiency.
  • To show the application of process mapping in reducing surgical times while maintaining results.

Main Methods:

  • Process mapping was used to break down bimaxillary osteotomy into individual steps.
  • Lean surgical principles were applied to identify and reduce waste.
  • A standardized technique, refined over 2,000 cases, informed the process map.

Main Results:

  • The study achieved significantly shorter operating times for orthognathic procedures.
  • Average operative time for bimaxillary osteotomy was reduced to 2 hours and 19 minutes.
  • Multiple small operative efficiencies were identified and implemented.

Conclusions:

  • Process mapping combined with Lean principles effectively improves operative efficiency in orthognathic surgery.
  • This methodology leads to consistent, high-quality outcomes.
  • Reduced operative times can be achieved without compromising patient results.