Early endocrine attending surgeon presence increases operating room efficiency

Audra Clark, Alan P. Dackiw, Wendy D. White, Fiemu E. Nwariaku, Shelby A. Holt, Jennifer L. Rabaglia, Sarah C. Oltmann

Research output: Contribution to journalArticle

Abstract

Background Preincision operating room (OR) preparation varies greatly. Cases requiring exacting preoperative setup may be more sensitive to inconsistent team members and trainees. Leadership and oversight by the surgeon may facilitate a timely start. The study hypothesized that early attending presence in the OR expedites surgery start time, improving efficiency, and decreasing cost. Methods Prospective data collection of endocrine surgery cases at an urban teaching hospital was performed. Time points recorded in minutes. Cost/min of OR time was $54. Patients classified as in the OR ≤10 min before attending arrival or >10 min before attending arrival. Results A total of 227 cases (166 thyroid, 54 parathyroid, 10 adrenal) were performed over 14 mo. Of the patients, 128 were in the OR ≤10 min before attending arrival, and 99 patients were >10 min (3 ± 3 min versus 35 ± 14 min, P 10 min (P 

Original languageEnglish (US)
Pages (from-to)272-278
Number of pages7
JournalJournal of Surgical Research
Volume205
Issue number2
DOIs
StatePublished - Oct 1 2016
Externally publishedYes

Keywords

  • Cost savings
  • Delay reduction
  • Operating room efficiency
  • Surgeon leadership
  • Teamwork
  • Utilization

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Clark, A., Dackiw, A. P., White, W. D., Nwariaku, F. E., Holt, S. A., Rabaglia, J. L., & Oltmann, S. C. (2016). Early endocrine attending surgeon presence increases operating room efficiency. Journal of Surgical Research, 205(2), 272-278. https://doi.org/10.1016/j.jss.2016.06.093