| Operative length independently affected by surgical team size: data from 2 Canadian hospitals. | |
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MedLine Citation:
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PMID: 23177519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Knowledge of the composition of a surgical team is the premise for studying efficiency inside the operating room. METHODS: To investigate the team composition in general surgery procedures, we retrospectively reviewed procedures performed by an expert general surgeon in 2007-08 at 2 tertiary hospitals. For each patient, demographic characteristics, procedure type, team members and procedure length were extracted from intraoperative nursing records. We assessed procedure complexity using a calculated index. Multiple logistic regressions were performed to assess the association between procedure length and team size after adjusting for procedure complexity and patient condition. RESULTS: For the 587 procedures reviewed, the mean procedure length was 88 (standard deviation [SD] 51) minutes. On average, 8 team members (range 4-14), including surgeons, anesthesiologists, nurses and other specialists, were involved in each procedure. Only 47 (8%) procedures were performed by 1 surgeon. Most were performed by 2 (295 [50%]) or 3 surgeons (214 [36%]). Half the team members were nurses (mean 4, range 1-7). Both the complexity of the operation and the team size affected the procedure length significantly. When procedure complexity and patient condition were constant, adding 1 team member predicted a 7-minute increase in procedure length. CONCLUSION: This study demonstrates that a frequent change of core team members has a negative impact on surgical performance. Management strategies need to improve to optimize team efficiency in the operating room. |
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Authors:
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Bin Zheng; Ormond N M Panton; Thamer A Al-Tayeb |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: Canadian journal of surgery. Journal canadien de chirurgie Volume: 55 ISSN: 1488-2310 ISO Abbreviation: Can J Surg Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-11-26 Completed Date: 2013-01-22 Revised Date: 2013-02-19 |
Medline Journal Info:
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Nlm Unique ID: 0372715 Medline TA: Can J Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 371-6 Citation Subset: IM |
Affiliation:
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The Department of Surgery, University of British Columbia, Vancouver General Hospital, Vancouver, BC. bin.zheng@cesei.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anesthesiology / manpower British Columbia Efficiency, Organizational* Female Humans Male Middle Aged Nurses Operating Rooms Operative Time* Patient Care Team / statistics & numerical data* Physicians Surgical Procedures, Operative |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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