TY - JOUR
T1 - Surgical safety checklist and operating room efficiency
T2 - Results from a large multispecialty tertiary care hospital
AU - Papaconstantinou, Harry T.
AU - Smythe, William R.
AU - Reznik, Scott I.
AU - Sibbitt, Stephen
AU - Wehbe-Janek, Hania
PY - 2013/12
Y1 - 2013/12
N2 - Background The Surgical Safety Checklist (SSC) improves patient safety and outcomes; however, barriers to effective use include the perceived negative impact on operating room (OR) efficiency. The purpose of this study was to determine the effect of SSC implementation on OR efficiency. Methods All operations at our large multispecialty tertiary care hospital were reviewed for 1-year pre- and 1-year post-SSC implementation. OR efficiency included operating room time, operation time, first starts on time, same-day cancellations, and OR disposable cost. Results A total of 35,570 operations were reviewed: 17,204 pre-SSC and 18,366 post-SSC. There was no difference between groups for operating room time (P =.93), operation time (P =.66), first starts on time (P =.15), and same-day cancellations (P =.57). The mean OR disposable cost was significantly lower ($70/operation) for the post-SSC group (P <.01). Conclusions The implementation of an SSC does not negatively impact OR efficiency and should not be considered a barrier to effective use. Our data suggest that SSC use can reduce overall cost per surgical procedure.
AB - Background The Surgical Safety Checklist (SSC) improves patient safety and outcomes; however, barriers to effective use include the perceived negative impact on operating room (OR) efficiency. The purpose of this study was to determine the effect of SSC implementation on OR efficiency. Methods All operations at our large multispecialty tertiary care hospital were reviewed for 1-year pre- and 1-year post-SSC implementation. OR efficiency included operating room time, operation time, first starts on time, same-day cancellations, and OR disposable cost. Results A total of 35,570 operations were reviewed: 17,204 pre-SSC and 18,366 post-SSC. There was no difference between groups for operating room time (P =.93), operation time (P =.66), first starts on time (P =.15), and same-day cancellations (P =.57). The mean OR disposable cost was significantly lower ($70/operation) for the post-SSC group (P <.01). Conclusions The implementation of an SSC does not negatively impact OR efficiency and should not be considered a barrier to effective use. Our data suggest that SSC use can reduce overall cost per surgical procedure.
KW - Cost
KW - Efficiency
KW - Operating room
KW - Operative services
KW - Surgical Safety Checklist
KW - World Health Organization
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U2 - 10.1016/j.amjsurg.2013.08.016
DO - 10.1016/j.amjsurg.2013.08.016
M3 - Article
C2 - 24112671
AN - SCOPUS:84889100856
SN - 0002-9610
VL - 206
SP - 853
EP - 860
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -