A Systematic Review of Operative Team Familiarity on Metrics of Efficiency, Patient Outcomes, Cost, and Team Satisfaction

Abstract

Objective: This study seeks to systematically review the current literature on how surgical team familiarity relates to metrics of operative efficiency. Background: The operating room (OR) is a complex environment involving numerous multidisciplinary interactions that must interface precisely to achieve a successful outcome. Methods: A systematic search of the PubMed database was prospectively registered in the National Institute for Health Research PROSPERO database (CRD 42020181046) and performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Exposure variable was team familiarity and outcome measures included operative efficiency, patient outcomes, costs, and/or team satisfaction. Results: Of 1123 articles screened, 15 studies involving 24,340 operations met inclusion criteria. All studies were limited to an individual specialty, procedure, or both. The effects of more familiar teams were most pronounced in decreasing operative times [standardized mean difference of −0.51 (95% confidence interval: −1.00, −0.02), P = 0.04], whereas the reported impacts on patient clinical outcomes, material waste, and team satisfaction were much more heterogenous. Conclusions: Improving OR team familiarity is associated with superior operative efficiency and may be associated with other favorable measures. Further inferences are limited by literature heterogeneity, yet could be a novel focus for improving OR performance.

Effect of refined management in operating room nursing on surgical efficiency and nursing satisfaction during laparoscopic radical resection of colon cancer

“…Refined management is the enhancement of services, environment and division of labor based on traditional management to rationalize resource management, reduce costs and improve quality. Fine management in the operating room can promote the smooth implementation of surgery, improve surgical safety, reduce the risk of infection, and improve the quality of care and enhance patient satisfaction [23][24][25][26]. This will improve the effectiveness of clinical treatment.…”

Bibliometric Research on Surgical Scheduling Management from the Perspective of Web of Science

“… 2 , 27 Explore the impact of operating room efficiency on hospital finance: for example, the linear prediction model based on logical matrix decision tree analyzes the annual operation of a surgeon and the financial income brought by it, so as to explore the best surgical scheduling scheme to maximize the efficiency of surgeons and reduce the idle time and income loss of operating room; 28 And explore the correlation between the application of new surgical technologies and the utilization rate of operating room, postoperative patient outcomes, and surgical costs. 29 …”

Novel Application of a Dynamic, In-Room Survey Platform to Measure Surgical Team Satisfaction

“…This is the first study to demonstrate the feasibility of dynamically measuring team satisfaction in the OR utilizing survey technology in the context of team familiarity and operative performance. Prior work from our group has illustrated the inconsistency in definitions of surgical team familiarity found in the literature and the need for standardized metrics 10 . The use of tools to measure operative team satisfaction is similarly variable, thus complicating objective insights into the relationship between teamwork quality and patient outcomes 11 .…”

“…Prior work from our group has illustrated the inconsistency in definitions of surgical team familiarity found in the literature and the need for standardized metrics. 10 The use of tools to measure operative team satisfaction is similarly variable, thus complicating objective insights into the relationship between teamwork quality and patient outcomes. 11 The integrated platform and data streams described in this work allow for continuous qualitative measurement of provider satisfaction to be used for system-wide quality improvement.…”