Integrating Patient-Centered Perioperative Care Continuum Digital Closed-Loop Management With Overall Every Control...

Area of Science:

• Perioperative Medicine
• Health Informatics
• Healthcare Management

Background:

• Perioperative care is complex, with fragmented workflows leading to inefficiencies and risks.
• Traditional systems struggle with multidisciplinary team coordination, impacting patient safety and operational performance.

Purpose of the Study:

• To evaluate the impact of a patient-centered, digitally enabled closed-loop perioperative management system on operating room efficiency.
• To assess the system's effectiveness within the overall every control (OEC) framework.

Main Methods:

• Implemented a digital closed-loop system integrating real-time data for standardized perioperative workflow.
• Utilized a mixed-methods design with quantitative data (on-time start, turnover time, OR utilization) from 18,076 (2022) to 54,684 (2023-2024) cases.
• Collected qualitative data through semistructured interviews with patients and healthcare providers.

Main Results:

• Significant improvements observed: on-time start rate increased from 74.6% to 89.5% (p < 0.001).
• Operating room utilization significantly increased (p < 0.001) despite a 51% rise in surgical volume and higher patient acuity.
• No system-related adverse events; providers reported better teamwork and reduced cognitive load; patients experienced shorter wait times and less anxiety.

Conclusions:

• The OEC-guided closed-loop system enhanced perioperative efficiency and patient safety under increased demand.
• Integrating real-time digital feedback with standardized management fosters continuous improvement for providers and patients.
• Nurse-led digital management models show potential for streamlining workflows, reducing cognitive load, and improving well-being.