12 by 12: Obtaining True OR Efficiency with Radical Time Transparency and Operational Excellence

DeCook, Charles; Statton, Jeremy

doi:10.60118/001c.31769

Cited by 2 publications

(1 citation statement)

References 55 publications

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“…Surgical efficiency is of great clinical importance and is a topic of interest in medical literature (1)(2)(3). Studies concerning human patient outcomes show that surgeons can reduce surgical times and consequently reduce rates of surgical complications and hospital stays (4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

A randomized trial to compare smooth monofilament suture vs. barbed suture using the three-layer continuous closure technique in canine ovariohysterectomy in a high-quality high-volume spay/neuter clinic

Shivley,

Brookshire,

Shealy

et al. 2024

Front. Vet. Sci.

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The primary objective of this study was to compare time efficiency and complication rates between smooth monofilament suture (SMS) and barbed suture (BS) using the three-layer continuous incisional closure pattern after ovariohysterectomy in a high-quality high-volume spay/neuter clinic. The study was designed as a randomized controlled trial enrolling 71 adult female dogs. Dogs were randomly assigned to SMS or BS treatments. The effect of closure with BS or SMS on closure time was tested through multilevel, multivariable linear regression in a generalized linear mixed model. Body condition score, weight, and pre-closure incision length were tested as covariates. Surgeon was included in the model as a random effect. Pre-closure incision length (p = 0.01) and method (p ≤ 0.0001) were associated with closure time. Adjusting for pre-closure incision length, the average time for closure with SMS was 6.5 min (range 3.70–10.31 min), and the average time for closure with BS was 4.91 min (range 3.05–8.05 min). Accounting for the closure method, the closure time increased by 39 s for each additional centimeter of incision length. BS was more efficient than SMS when performing the three-layer continuous suture pattern. No short-term telemedicine-assessed complications were noted with either treatment method. BS can improve efficiency in surgical closures, especially considering large volumes of animals, and appears to have a similar short-term, telemedicine-assessed complication rate when compared to SMS.

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Section: Introductionmentioning

confidence: 99%

A randomized trial to compare smooth monofilament suture vs. barbed suture using the three-layer continuous closure technique in canine ovariohysterectomy in a high-quality high-volume spay/neuter clinic

Shivley,

Brookshire,

Shealy

et al. 2024

Front. Vet. Sci.

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Scheduling and Vendor Consistency Improves Turnover Time Efficiency in Total Joint Arthroplasty

Woelfle,

Geller,

Neuwirth

et al. 2024

The Journal of Arthroplasty

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12 by 12: Obtaining True OR Efficiency with Radical Time Transparency and Operational Excellence

Abstract: In the modern era of healthcare, true surgical efficiency and value are more important than ever. Applying the same general principles used in other disrupted industries will help us in our quest to improve the value we contribute to our healthcare industry.

Cited by 2 publications

References 55 publications

A randomized trial to compare smooth monofilament suture vs. barbed suture using the three-layer continuous closure technique in canine ovariohysterectomy in a high-quality high-volume spay/neuter clinic

A randomized trial to compare smooth monofilament suture vs. barbed suture using the three-layer continuous closure technique in canine ovariohysterectomy in a high-quality high-volume spay/neuter clinic

Scheduling and Vendor Consistency Improves Turnover Time Efficiency in Total Joint Arthroplasty

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