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Resident Invovlement in Improving Operating Room Efficiency
Jason Hedrick, W. John Kitzmiller
University of Cincinnati
2013-02-25
Presenter: Jason Hedrick
Affidavit:
A majority of the work on this project is done by the resident
Director Name: John Kitzmiller
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: General Reconstruction
Philibert has well summarized the need and opportunities to involve residents in Quality Improvement projects as an important part of their professional development and is also an ACGME requirement. Residents at the University of Cincinnati have identified operating room inefficiencies at University Hospital in the department of Plastic Surgery. Currently 48% of our cases have a variance of either 30 minutes over or under the scheduled time. We have developed a quality improvement tool to decrease the variance in operative times and increase on time starts. A brief post procedure debrief checklist was formulated with input from operating room nurses and staff, anesthesiology, and surgery at the UHMC. The actual procedure starting time and time duration of the procedure will be noted and compared to the scheduled times. Variance and a brief explanation of the variance will be noted by the operative team at the debriefing and recorded by the circulating nurse. The information will be de-identified to protect patient confidentiality. The opportunities for improvement will be reviewed by a multidisciplinary team. A plan to implement/pursue the opportunities will be developed by the team. Our global aim is to increase the efficiency of the operating room at UHMC.
Our first smart aim is to decrease the Variance measured as actual duration versus scheduled duration of five index cases at UHMC. Our goal is to cut the variance in half in a three month period b implementing the debriefing process.
