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Streamlining and Consistency in Surgery: Lean Six Sigma to Improve Operating Room Efficiency.

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Lean Six Sigma (LSS) improved efficiency in plastic surgery by reducing operative times for breast reconstruction. This quality improvement model enhanced workflow and patient safety.

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Area of Science:

  • Plastic Surgery
  • Quality Improvement
  • Healthcare Management

Background:

  • Perioperative efficiency is crucial for reducing costs, increasing operating room throughput, and enhancing patient safety.
  • Lean Six Sigma (LSS), a proven business efficiency model, has limited adoption in medicine.
  • This study explores LSS application to optimize plastic surgery operative efficiency.

Purpose of the Study:

  • To adapt and implement Lean Six Sigma (LSS) methodologies within plastic surgery.
  • To enhance perioperative efficiency for complex reconstructive procedures.
  • To reduce surgical expenditure and improve operating room throughput.

Main Methods:

  • The study employed the Define, Measure, Analyze, Improve, and Control (DMAIC) phases of LSS.
  • Key metrics included total operative time and incision-to-closure time.
  • Interventions focused on optimizing surgeon positioning, roles, and preparing specialized surgical trays.

Main Results:

  • A total of 181 patients undergoing bilateral deep inferior epigastric perforator flap breast reconstruction were included.
  • LSS implementation reduced total operative time from 636.36 to 530.35 minutes.
  • Incision-to-closure time decreased from 555.16 to 458.85 minutes.

Conclusions:

  • Lean Six Sigma (LSS) effectively improves perioperative efficiency in complex plastic surgery.
  • Optimized workflow, surgeon spatial positioning, and distinct roles enhanced intraoperative efficiency.
  • The study demonstrates LSS's value in streamlining surgical procedures and improving outcomes.