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Surgeon-Specific Computer to Improve Operating Room Flow: A Controlled Clinical Trial.

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Adding surgeon-dedicated workstations in operating rooms (ORs) significantly reduced the time for postoperative documentation and order completion. This intervention improved surgical workflow and patient care without adverse events.

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Area of Science:

  • Surgical Workflow Optimization
  • Health Informatics
  • Operating Room Efficiency

Background:

  • Postoperative documentation delays disrupt operating room (OR) efficiency and patient care continuity.
  • Surgeons leaving the OR for computer access cause workflow interruptions.
  • Current systems present challenges to timely surgical documentation.

Purpose of the Study:

  • To assess if an additional surgeon-dedicated workstation in the OR improves postoperative documentation and order completion times.
  • To evaluate the impact on adverse events and gather surgeon feedback.
  • To determine the efficiency gains from dedicated OR workstations.

Main Methods:

  • Prospective controlled clinical trial comparing ORs with and without additional surgeon workstations.
  • Inclusion of consecutive elective and urgent general surgery cases involving residents.
  • Comparison of median times for postoperative note (PN) and order (PO) completion using multivariable linear regression.

Main Results:

  • Median PN completion time reduced from 10 to 7 minutes (P=0.02) and PO completion time from 14 to 9 minutes (P<0.001) with the dedicated workstation.
  • The workstation independently reduced PN and PO completion times by 54% and 83%, respectively.
  • No adverse postoperative events were recorded; resident surveys showed unanimous agreement on improved workflow and patient care.

Conclusions:

  • Surgeon-dedicated OR workstations significantly decrease postoperative documentation and order completion times.
  • This intervention enhances surgical workflow efficiency without increasing adverse events.
  • Implementation offers a cost-effective, scalable solution for improving surgical efficiency.