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Implementation of a Dedicated Facial Trauma Operating Room at a Level 1 Trauma Center.

John Y Ha1, Julia Ting1, Julie E Park1

  • 1From the Division of Plastic and Reconstructive Surgery, Case Western Reserve University/University Hospitals, Cleveland, OH.

Plastic and Reconstructive Surgery. Global Open
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Summary

Implementing a dedicated facial trauma operating room (OR) model significantly reduced after-hours surgeries and OR time for facial fracture repairs. This new model improves efficiency and provider well-being in trauma centers.

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Area of Science:

  • Trauma Surgery
  • Surgical Operations Management
  • Healthcare Efficiency

Background:

  • Facial fracture repairs often face scheduling challenges as add-on cases.
  • This leads to operational inefficiencies, delayed care, and increased provider burnout.

Purpose of the Study:

  • To evaluate the impact of a dedicated facial trauma operating room (OR) model at a level 1 trauma center.
  • To assess improvements in surgical efficiency and patient care delivery.

Main Methods:

  • Implementation of a dedicated facial trauma OR, available twice weekly for same-day scheduling.
  • Comparative analysis of surgical outcomes before and after the model's implementation using statistical tests.
  • Focus on mandibular and nasal fracture repairs.

Main Results:

  • After-hours operations for mandibular fractures decreased by 26.5% (P=0.02).
  • Operating room time for nasal fracture reductions decreased by 24.8% (P=0.03).
  • Trends towards reduced hospital stay and time-to-surgery were observed.

Conclusions:

  • A dedicated facial trauma OR model enhances operational efficiency and reduces after-hours workload.
  • This model shows promise for optimizing facial trauma care delivery in major trauma centers.
  • Further investigation is warranted to confirm broader benefits.