Presentation Details
| Impact of a Dedicated Anesthesiology-Orthopedic OR Team on Surgical Efficiency and Patient Outcomes in Lower Limb Arthroplasty: A Quality Initiative Project Shivangi Mohta1, Faria Nisar2, Samantha Pope2, Amaya Harris1, Luis Tollinche1, 2, Maureen Harders2. 1Case Western Reserve University School of Medicine, Cleveland, OH, USA.2The MetroHealth System, Cleveland, OH, USA |
Abstract
BACKGROUND: An efficient operating room (OR) workflow is essential for optimizing surgical throughput, enhancing patient outcomes, and maximizing resource utilization. This quality initiative (QI) project was undertaken at our institute to evaluate the impact of implementing a dedicated Anesthesiology-Orthopedic OR team for lower limb arthroplasty procedures, compared to the standard rotating OR team model.
METHODS: This ongoing retrospective comparative quality initiative project focuses on lower limb surgeries, including primary and revision total hip and knee arthroplasties. Patient-related metrics being analyzed include: in-room time to anesthesia release, anesthesia release to procedure start, procedure start to procedure close, and procedure close to out-of-room time (all in minutes), estimated blood loss, surgical site infection rate (up to postoperative day [POD] 30), complication rate (up to POD 90), length of hospital stay (days), 90-day readmission rate, and anesthesia type (spinal vs general). Operational efficiency is also being evaluated by comparing estimated versus actual surgical day end times. Surgeon-specific metrics include average surgical times for primary and revision total knee and hip arthroplasties, stratified by surgeon.
RESULTS: Data collection is in progress, and conclusive results have not yet been determined. Early trends are being monitored to assess potential improvements in workflow efficiency, surgical timing consistency, and patient outcomes specific to lower limb surgeries. Preliminary results show a significant decrease in the duration between In room and Anesthesia release times.
CONCLUSIONS: This QI project aims to explore the impact of a dedicated Anesthesiology-Orthopedic OR team on clinical and operational outcomes in lower limb arthroplasty. Preliminary observations suggest potential benefits, but further data analysis is required to establish the effectiveness of this team-based model. Findings from this study may support improvements in OR team structure and surgical care delivery for high-volume joint replacement programs.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
METHODS: This ongoing retrospective comparative quality initiative project focuses on lower limb surgeries, including primary and revision total hip and knee arthroplasties. Patient-related metrics being analyzed include: in-room time to anesthesia release, anesthesia release to procedure start, procedure start to procedure close, and procedure close to out-of-room time (all in minutes), estimated blood loss, surgical site infection rate (up to postoperative day [POD] 30), complication rate (up to POD 90), length of hospital stay (days), 90-day readmission rate, and anesthesia type (spinal vs general). Operational efficiency is also being evaluated by comparing estimated versus actual surgical day end times. Surgeon-specific metrics include average surgical times for primary and revision total knee and hip arthroplasties, stratified by surgeon.
RESULTS: Data collection is in progress, and conclusive results have not yet been determined. Early trends are being monitored to assess potential improvements in workflow efficiency, surgical timing consistency, and patient outcomes specific to lower limb surgeries. Preliminary results show a significant decrease in the duration between In room and Anesthesia release times.
CONCLUSIONS: This QI project aims to explore the impact of a dedicated Anesthesiology-Orthopedic OR team on clinical and operational outcomes in lower limb arthroplasty. Preliminary observations suggest potential benefits, but further data analysis is required to establish the effectiveness of this team-based model. Findings from this study may support improvements in OR team structure and surgical care delivery for high-volume joint replacement programs.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
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