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Influence of Surgery Preparation Time on Patient Outcomes
1College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea.
Journal of Nursing Management
|April 14, 2025
Summary
Shorter surgery preparation time, the period between anesthesia and incision, is linked to better patient outcomes. Operating room nurse competence is key to reducing this time and improving postoperative results.
Area of Science:
- Perioperative Medicine
- Surgical Nursing
- Patient Safety
Background:
- Postoperative complications significantly impact survival rates.
- Anesthesia time is a critical factor influencing these complications.
- Surgery preparation time, from anesthesia to incision, is influenced by operating room nurse efficiency.
Purpose of the Study:
- To analyze the impact of surgery preparation time on patient outcomes.
- To investigate the relationship between preparation time and postoperative complications.
Main Methods:
- Retrospective cohort study of 1,944 patients admitted to the ICU post-surgery (2017-2020).
- Patients categorized into groups with preparation times of ≥30 minutes and <30 minutes.
- Statistical analyses included chi-squared tests, t-tests, and multiple logistic regression with 12 adjusted variables.
Main Results:
- Multiple logistic regression revealed surgery preparation time significantly affects alertness (OR=1.44), ventilator application (OR=1.32), and ICU length of stay (OR=1.69).
- A shorter preparation time (<30 minutes) was associated with improved outcomes in these areas.
Conclusions:
- Surgery preparation time is a significant determinant of postoperative patient outcomes.
- Operating room nurse competence is crucial for optimizing preparation time.
- Standardizing tasks and providing targeted nurse education can reduce preparation time and enhance patient outcomes.
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