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A Quarterly Multidisciplinary Craniofacial Operative Team Conference to Improve Surgical Outcomes and Adherence to
Austin M Grove1,2, Hannah M Kirsch1, Seth P Hanley3
1Phoenix Children's Center for Cleft and Craniofacial Care, Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, AZ.
The Journal of Craniofacial Surgery
|May 5, 2025
Summary
Multidisciplinary team meetings for craniofacial surgery improved adherence to care pathways. This led to reduced anesthesia time, fewer blood transfusions, and shorter hospital stays for craniosynostosis patients.
Area of Science:
- Craniofacial Surgery
- Perioperative Care
- Healthcare Quality Improvement
Background:
- Craniofacial surgery necessitates a multidisciplinary approach for optimal perioperative patient management.
- Standardized craniofacial surgical pathways aim to guide clinical decisions and care, but adherence can be challenging due to complexity and multiple disciplines involved.
Purpose of the Study:
- To assess the impact of implementing quarterly multidisciplinary craniofacial operative team meetings on adherence to perioperative care pathways.
- To evaluate the effect of these meetings on perioperative outcomes for craniosynostosis suturectomy operations.
Main Methods:
- Retrospective review of 141 craniosynostosis suturectomy operations (70 before, 71 after meeting implementation).
- Comparison of perioperative outcomes and adherence to the surgical pathway before and after the introduction of regular team meetings.
Main Results:
- Significant decreases observed in anesthesia duration, blood transfusion rates, and total hospital length of stay post-implementation (P<0.05).
- Improved adherence to the craniofacial pathway, notably in the consistent application of peripheral nerve blocks as specified (P<0.05).
Conclusions:
- Quarterly multidisciplinary craniofacial operative team meetings effectively enhance adherence to surgical pathways.
- These structured team meetings significantly improve key perioperative outcomes in craniofacial surgery, including craniosynostosis repair.
