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Related Experiment Video

Updated: Jun 6, 2025

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Disruption Driving Innovation: Optimising Efficiency in Functional Neurosurgery.

Ludvic Zrinzo1, Harith Akram1, Jonathan Hyam1

  • 1Unit of Functional Neurosurgery, Department of Neurosurgery, National Hospital of Neurology and Neurosurgery, London, UK.

Stereotactic and Functional Neurosurgery
|November 28, 2024
PubMed
Summary
This summary is machine-generated.

Implementing parallel neurosurgical workflows significantly reduced waiting times for deep brain stimulation (DBS) and radiofrequency ablation (RFA) procedures. This enhanced efficiency doubled productivity, cutting waitlists from over 1.5 years to under 4 months without compromising safety or accuracy.

Keywords:
Deep brain stimulationOptimising workflowRadiofrequency ablationSafety and efficiencySurgical waiting time

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Area of Science:

  • Neurosurgery
  • Surgical Workflow Optimization
  • Healthcare Management

Background:

  • Post-COVID-19 pandemic, NHS waiting lists for elective functional neurosurgery, including deep brain stimulation (DBS) and radiofrequency ablation (RFA), exceeded 1.5 years by late 2022.
  • Factors like reduced operating room availability, iMRI suite refurbishment, and staff strikes in 2023 exacerbated potential delays.

Purpose of the Study:

  • To analyze and redesign the surgical workflow for DBS and RFA procedures.
  • To improve surgical efficiency and productivity to address extended waiting times.
  • To compare procedure volume, waiting times, accuracy, and safety before and after workflow changes.

Main Methods:

  • Evaluation of the previous surgical workflow for deep brain stimulation (DBS) and radiofrequency ablation (RFA).
  • Implementation of specific changes to enhance operational efficiency.
  • Comparative analysis of procedure numbers, waiting times, lead placement accuracy, and complication rates.

Main Results:

  • Productivity doubled, with the average number of procedures per surgical list increasing from 0.8 to 1.6.
  • In 2023, 95 DBS and 31 RFA procedures were completed, a 52% increase over 2019 levels, reducing surgical waiting times to under 4 months.
  • Lead placement accuracy remained high (0.8 mm), with no infections and only one asymptomatic hemorrhage, demonstrating maintained safety.

Conclusions:

  • Adopting parallel surgical workflows with neurosurgeons working concurrently maximizes efficiency and productivity.
  • This optimized workflow significantly increases the number of functional neurosurgical procedures performed.
  • The enhanced workflow successfully reduces waiting lists without compromising procedural accuracy or patient safety.