OR Efficiency

Enhanced recovery after surgery program at Kaiser Permanente improves surgical outcomes

A comprehensive Enhanced Recovery After Surgery program implemented in Kaiser Permanente’s 20 Northern California medical centers involved nearly 9,000 surgical patients and resulted in a one-third relative reduction in postoperative complication rates and a 21 percent reduction in opioid prescribing rates. A study of the program, published today in JAMA Surgery, also showed decreased hospital mortality among colorectal resection patients and increased rates of home discharge over discharge to skilled nursing facilities among hip fracture patients.

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The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty

On the basis of our preliminary findings, it appears that a PSH model with its expanded role of the anesthesiologist as the “perioperativist” can be associated with improvements in the operational outcomes of increased on-time surgery starts and reduced anesthesia-related delays and day-of-surgery case cancellations, and decreased selected costs in patients undergoing THA and TKA.

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Is Double-Booking ORs All Bad?

Running concurrent ORs for high-volume surgeons is a fairly common practice, but is it safe? A new study published in the Journal of Bone & Joint Surgery suggests running overlapping rooms in orthopedic ambulatory surgery centers is just as safe and efficient as giving surgeons access to one room as time.

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Minimizing Operating Room Traffic May Improve Patient Safety by Lowering Rates of Surgical Site Infections

A safety team at a Canadian hospital determined there was too much traffic in and out of the operating room (OR) during total joint replacement procedures. So they implemented several strategies to reduce traffic, which may have contributed to a decrease in orthopedic surgical site infections (SSIs), according to study results presented today at the 2016 American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) Conference.

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