Improve OR efficiency
Although a lot of the changes to make surgery more patient-centered happen before and after the actual surgery, the quality and speed of the operation is one of the most important elements of patient satisfaction.
OR teams have been working for years to improve the efficiency and safety of hospital ORs, and many of the best improvements have come from other industries, says Opelka. The surgical checklist, similar to what pilots use before takeoff, is perhaps the most well-known example. But many surgical teams have also adopted simulation team training from the airline industry to prepare for emergency situations.
After-action reports adopted from other industries and other methods of analyzing performance are also helping OR teams learn from every operation to improve the overall process and, most importantly, the performance.
To discover ways to improve OR work flow, DiGioia and his team mounted several video cameras in the OR to record a series of hip and knee operations. This enabled surgeons and nurses to perform their normal routines while timing each stage of the operation and identifying areas for improvement.
For example, simple steps such as introducing the anesthesiologist in the room could take anywhere from two to nine minutes. The care team learned that they could standardize some of those steps and cut down overall turnaround time.
“OR efficiency is not only good for the hospital and the OR team, but the patient as well,” says DiGioia. “But remember, it’s good to look at OR efficiency, but the patient’s care experience involves a lot more than just the surgery.”
The new surgical Consumer Assessment of Healthcare Providers and Systems (CAHPS) has questions not found on the original CAHPS survey, including the following: