MP16-01 TEAM STRATEGIES AND TOOLS TO ENHANCE PERFORMANCE AND PATIENT SAFETY (TEAMSTEPPS) IMPROVES OPERATING ROOM EFFICIENCY

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Cost Effectiveness I1 Apr 2015MP16-01 TEAM STRATEGIES AND TOOLS TO ENHANCE PERFORMANCE AND PATIENT SAFETY (TEAMSTEPPS) IMPROVES OPERATING ROOM EFFICIENCY Matthew Stringer, Lancaster Weld, James Ebertowski, Timothy Baumgartner, Matthew Kasprenski, Jeremy Kelley, Doug Cho, Erwin Tieva, and Kyle Weld Matthew StringerMatthew Stringer More articles by this author , Lancaster WeldLancaster Weld More articles by this author , James EbertowskiJames Ebertowski More articles by this author , Timothy BaumgartnerTimothy Baumgartner More articles by this author , Matthew KasprenskiMatthew Kasprenski More articles by this author , Jeremy KelleyJeremy Kelley More articles by this author , Doug ChoDoug Cho More articles by this author , Erwin TievaErwin Tieva More articles by this author , and Kyle WeldKyle Weld More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.808AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES TeamSTEPPS is a collaborative effort by the Department of Defense and Agency for Healthcare Research and Quality to improve performance and patient safety in the healthcare environment. A commonly stated barrier to implementation of TeamSTEPPS is the time requirement of healthcare personnel during a busy operative schedule and the perceived consequential adverse effect on operating room efficiency. The purpose of this project is to evaluate the operating room efficiency during the first year of implementation of TeamSTEPPS compared to the prior year in the Department of Urology at a teaching medical center. METHODS TeamSTEPPS consisted of an initial one-time personnel training session, preoperative briefings at the beginning of each day for each operating room, and postoperative debriefings after each case. The preoperative briefing was led by the surgeon and attended by all healthcare personnel assigned to the specific operating room to discuss concerns unique to each case scheduled for that day. Postoperative debriefings identified areas for improvement. The operative times, on-time start rates, and turnover times of all cases performed by the Department of Urology during the year with TeamSTEPPS were compared to the prior year before implementation of TeamSTEPPS. RESULTS A total of 1431 cases with TeamSTEPPS and 1513 cases before TeamSTEPPS were compared. Case complexity and distribution among subspecialties were similar between the years with and before TeamSTEPPS. The mean in-room to turnover-to-surgeon time was 13.75 minutes with TeamSTEPPS compared to 14.45 minutes before TeamSTEPPS (p=0.017). The mean turnover-to-surgeon to surgical-start time was 15.19 minutes with TeamSTEPPS and 16.29 minutes before TeamSTEPPS (p=0.004). The mean surgical time with TeamSTEPPS was 72.23 minutes compared to 83.45 minutes before TeamSTEPPS (p<0.001). The on-time first-start rate was 69.8% with TeamSTEPPS while the rate before TeamSTEPPS was 48.9% (p<0.001). The mean room turnover time of 40.49 minutes with TeamSTEPPS was not significantly different than the before TeamSTEPPS time of 41.48 minutes (p=0.193). CONCLUSIONS The time requirement by healthcare personnel to participate in daily TeamSTEPPS briefings does not adversely affect operating room efficiency. TeamSTEPPS improves operating room efficiency by decreasing operating room time and increasing on-time first-start rates. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e168 Peer Review Report Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Matthew Stringer More articles by this author Lancaster Weld More articles by this author James Ebertowski More articles by this author Timothy Baumgartner More articles by this author Matthew Kasprenski More articles by this author Jeremy Kelley More articles by this author Doug Cho More articles by this author Erwin Tieva More articles by this author Kyle Weld More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...