Does Attending Surgeon Presence at the Preinduction Briefing Improve Operating Room Efficiency?
Otolaryngol Head Neck Surg
; 161(5): 787-795, 2019 11.
Article
em En
| MEDLINE
| ID: mdl-31335269
ABSTRACT
OBJECTIVE:
To examine if attending surgeon presence at the preinduction briefing is associated with a shorter time to incision. STUDYDESIGN:
Retrospective cohort study and survey.SETTING:
Tertiary academic medical center. SUBJECTS ANDMETHODS:
A retrospective cohort study was conducted of 22,857 operations by 141 attending surgeons across 12 specialties between August 3, 2016, and June 21, 2018. The independent variable was attending surgeon presence at the preinduction briefing. Linear regression models compared time from room entry to incision overall, by service line, and by surgeon. We hypothesized a shorter time to incision when the attending surgeon was present and a larger effect for cases with complex surgical equipment or positioning. A survey was administered to evaluate attending surgeons' perceptions of the briefing, with a response rate of 68% (64 of 94 attending surgeons).RESULTS:
Cases for which the attending surgeon was present at the preinduction briefing had a statistically significant yet operationally minor reduction in mean time to incision when compared with cases when the attending surgeon was absent. After covariate adjustment, the mean time to incision was associated with an efficiency gain of 1.8 ± 0.5 minutes (mean ± SD; P < .001). There were no statistically significant differences in the subgroups of complex surgical equipment and complex positioning or in secondary analysis comparing service lines. The surgeon was the strongest confounding variable. Survey results demonstrated mild support 55% of attending surgeons highly prioritized attending the preinduction briefing.CONCLUSION:
Attending surgeon presence at the preinduction briefing has only a minor effect on efficiency as measured by time to incision.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Salas Cirúrgicas
/
Papel do Médico
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Procedimentos Cirúrgicos Otorrinolaringológicos
/
Eficiência
/
Período Pré-Operatório
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Otolaryngol Head Neck Surg
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Estados Unidos