Surgical Team Familiarity: An Integrative Review

Stucky, Christopher H.; Jong, Marla J. De

doi:10.1002/aorn.13281

Cited by 25 publications

(16 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Portanto, estudo mostra que o uso rotineiro dos checklists colabora para a familiarização da equipe cirúrgica na execução das etapas, otimizando a assistência cirúrgica e reduzindo o tempo operatório e de hospitalização 24 . Nesta pesquisa, a média do tempo de cirurgia passou de 138 minutos para 108 minutos; porém, ainda superior à análise de 165.474 artroplastias de quadril ou joelho, e cujos resultados mostraram Rev Col Bras Cir 50:e20233425 Batista Impacto de checklists cirúrgicos no tempo dos processos operatórios: um estudo transversal tempo operatório de aproximadamente 92 minutos 25 .…”

Section: Discussionunclassified

Impacto de checklists cirúrgicos no tempo dos processos operatórios: um estudo transversal

Batista

Cruz

Silva

et al. 2023

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

RESUMO Objetivo: analisar o impacto do uso de checklists no tempo médio dos processos operatórios de pacientes submetidos a artroplastias de quadril e joelho. Método: pesquisa transversal e analítica realizada entre novembro/2020 e março/2022 com consulta retrospectiva em amostra aleatória simples de 291 prontuários, distribuídos em três períodos (2010/2013/2016). Utilizou-se estatística descritiva e inferencial para análise dos dados; valores de p=0,05 indicaram significância. Resultados: houve redução do tempo de entrada-saída da sala cirúrgica (p=0,002), de cirurgia (p<0,001) e entre o início-anestesia e início-incisão (p=0,021). Não houve diferença no tempo entre os pacientes com e sem o uso dos checklists (p=0,05) com relação às variáveis início-anestesia, início-incisão, tempo de anestesia e de cirurgia. Conclusão: a implantação de checklists potencialmente contribuiu para reduzir o tempo de uso da sala cirúrgica. A não associação de seu uso ao aumento do tempo médio dos processos no centro cirúrgico mostra que sua aplicação não interfere negativamente nesse indicador.

show abstract

Section: Discussionunclassified

Impacto de checklists cirúrgicos no tempo dos processos operatórios: um estudo transversal

Batista

Cruz

Silva

et al. 2023

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

“…We did not find any studies that had defined an adequate number of staff members needed on a surgical team or their composition per specific surgery. However, some studies did find that adequate surgical team size had a positive effect on teamwork, possibly because there are more people available to help complete tasks and share the total cognitive load (34,35). Adequate staffing can compensate for unexpected emergencies or prolonged surgical cases (36).…”

Section: Discussionmentioning

confidence: 99%

“…Surgical teams are often constructed on an ad hoc basis and thus fluctuate, which can lead to a lack of familiarity (13). Familiarity enables a shared definition of teamwork and professional roles that can increase positive surgeon-anesthesiologist relationships (14,34). Doll et al (41) found that a managerial decision to assign a particular anesthetist to a surgeon and to use a predefined surgical list resulted in decreased operative times.…”

Section: Discussionmentioning

confidence: 99%

Patient safety and staff psychological safety: A mixed methods study on aspects of teamwork in the operating room

Arad

Finkelstein

Rozenblum

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

ObjectivesTo predict the amount of teamwork that takes place throughout a surgery, based on performing a preoperative safety standards (surgical safety checklist and surgical count) and to explore factors affecting patient safety and staff psychological safety during a surgery, based on interprofessional teamwork.MethodsThis mixed methods study included quantitative and qualitative analyses. Quantitative data included 2,184 direct observations of surgical cases with regard to the performance of safety standards during surgeries in 29 hospitals, analyzed using multivariate binary logistic regressions. Qualitative data were obtained from an analysis of 25 semi-structured interviews with operating room (OR) clinicians and risk managers, using an inductive thematic analysis approach.ResultsAnalysis of the OR observations revealed that a lack of teamwork in the preoperative “sign-in” phase doubled the chances of there being a lack of teamwork during surgery [odds ratio = 1.972, 95% confidence interval (CI) 1.741, 2.233, p < 0.001] and during the “time-out” phase (odds ratio = 2.142, 95% CI 1.879, 2.441, p < 0.001). Consistent presence of staff during surgery significantly increased teamwork, by 21% for physicians and 24% for nurses (p < 0.05), but staff turnover significantly decreased teamwork, by 73% for physicians (p < 0.05). Interview data indicated that patient safety and staff psychological safety are related to a perception of a collaborative team role among OR staff, with mutual commitment and effective interprofessional communication.ConclusionsHealthcare organizations should consider the key finding of this study when trying to identify factors that affect teamwork during a surgery. Effective preoperative teamwork positively affects intraoperative teamwork, as does the presence of more clinicians participating in a surgery, with no turnover. Other factors include working in a fixed, designated team, led by a surgeon, which functions with effective interprofessional communication that promotes patient safety and staff psychological safety.

show abstract

“…Strategies to improve intraoperative communication and efficiency have been proposed, such as implementing a structured plan for each procedure 9 . Across several disciplines, having a consistent team in the operating room (OR) has been shown to improve task‐specific communication, decrease procedure duration and disruptions, and improve postoperative outcomes 10,11 . However, the utility of team consistency has not been outlined in the head and neck literature.…”

Section: Introductionmentioning

confidence: 99%

Team Consistency in Reducing Operative Time in Head and Neck Surgery with Microvascular Free Flap Reconstruction

et al. 2023

View full text Add to dashboard Cite

Objective(s)To evaluate the impact of consistent surgical teams on procedure duration in head and neck free tissue transfer, and to evaluate the length of stay and readmission rates with consistent teams.MethodsA retrospective chart review of head and neck microvascular reconstruction by a single surgeon between August 2017 and November 2021 was performed. Procedure duration, wound complications, length of stay, and 30‐day readmissions were analyzed. One circulating nurse (CN) and surgical technologist (ST) were considered “consistent” due to their prior work with the primary surgeon. All others were considered “ad hoc.” Teams were “Consistent CN + ST,” “Consistent ST,” “Consistent CN,” or “Ad hoc.” Procedure duration between groups was compared via analysis of variance. Multivariate linear regression was performed to predict procedure duration.ResultsA total of 135 patients were included. Age, sex, and American Society of Anesthesiologists status did not significantly differ across groups (p = 0.963; p = 0.467; p = 0.908, respectively). The mean procedure duration was 339.3 min and differed significantly across all groups (p = 0.006, Cohen d = 0.32). Compared to the Ad hoc group, consistent teams demonstrated significant reductions in mean procedure duration (Consistent CN + ST: 58.4 min, p = 0.001, Cohen d = 0.67; Consistent ST: 51.6 min, p = 0.013, Cohen d = 0.61; Consistent CN: 44.5 min, p = 0.031, Cohen d = 0.52). Controlling for other factors, the ad hoc team predicted increased procedure duration on multivariate analysis ( 57.38, 19.92–94.85, p < 0.003). Wound complications, length of stay, and readmission rates did not differ significantly across groups (p = 0.940; p = 0.174; p = 0.935, respectively).ConclusionConsistent CN and ST improve operative efficiency in head and neck‐free tissue transfer. Future studies may evaluate the impact of team consistency on complications, physician burnout, and health systems costs.Level of Evidence3 Laryngoscope, 133:2154–2159, 2023

show abstract

Surgical Team Familiarity: An Integrative Review

Cited by 25 publications

References 46 publications

Impacto de checklists cirúrgicos no tempo dos processos operatórios: um estudo transversal

Impacto de checklists cirúrgicos no tempo dos processos operatórios: um estudo transversal

Patient safety and staff psychological safety: A mixed methods study on aspects of teamwork in the operating room

Team Consistency in Reducing Operative Time in Head and Neck Surgery with Microvascular Free Flap Reconstruction

Contact Info

Product

Resources

About