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Addressing Late-arriving Surgeons in Support of First-case On-time Starts.
Jonathan B Ida1,2, Jamie H Schechter3, John Olmstead4
1From the Department of Otolaryngology, Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Pediatric Quality & Safety
|January 8, 2025
Summary
Implementing clear expectations and timely feedback significantly reduced late surgeon arrivals by 45%, improving first-case on-time starts (FCOTS) by 6%. This quality improvement initiative enhanced operating room efficiency.
Area of Science:
- Healthcare Management
- Surgical Operations
- Quality Improvement
Background:
- First-case on-time starts (FCOTS) are crucial for perioperative efficiency.
- Late surgeon arrivals are a primary cause of delayed operating room (OR) starts.
Purpose of the Study:
- To implement a quality improvement initiative aimed at reducing late surgeon arrivals by 30% over 24 months.
- To enhance FCOTS through targeted interventions.
Main Methods:
- A multidisciplinary team established clear expectations, tracking, review processes, and consequences for late arrivals.
- A same-day surgeon-to-surgeon feedback mechanism was introduced.
- Data were prospectively tracked for 24 months pre- and post-implementation.
Main Results:
- Late surgeon arrivals decreased by 45% (from 23.6 to 13 per month).
- FCOTS improved from 66% to 72%.
- No adverse impact on balancing measures was observed.
Conclusions:
- A structured framework of expectations, monitoring, and timely feedback effectively reduces late surgeon arrivals.
- Direct communication and consistent policy enforcement are key to improving OR efficiency and FCOTS.
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