Efficiency and perceived safety of foot and ankle procedures performed on the preoperative stretcher versus operating room table

Author:

Lause Gregory E1,Parker Emily B23ORCID,Farid Alexander4,Smith Jeremy T3,Chiodo Christopher P23,Martin Elizabeth A3,Bluman Eric M23

Affiliation:

1. Department of Orthopaedic Surgery, Landstuhl Regional Medical Center, Landstuhl, Germany

2. Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA

3. Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

4. Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

Abstract

Background: Foot and ankle surgeons often perform minor surgeries on the preoperative stretcher instead of the operating room table. We examined whether stretcher-based and operating room table-based procedures differed with respect to operating room efficiency and staff perceptions. Methods: We retrospectively reviewed medical records of patients undergoing minor foot and ankle surgery at an ambulatory surgery centre. We collected ‘time to start’, the duration between patient arrival in the operating room and incision time, and ‘time to exit’, the duration between procedure end time and patient exit from the operating room. Staff were surveyed regarding their perceptions of stretcher-based and operating room table-based procedures. Results: ‘Time to start’ was significantly shorter for stretcher-based procedures, but ‘time to exit’ was not. Seventeen (81%) staff members thought stretcher-based procedures increased operating room efficiency. Thirteen (62%) thought stretcher-based procedures bettered staff safety. Nineteen (91%) thought stretcher-based procedures were equivalent to or better than operating room table-based procedures for patient safety. Most (67%) would recommend stretcher-based procedures. Conclusion: We found small but significant time savings associated with stretcher-based procedures. Without adapting surgical scheduling practices, the impact of stretcher-based procedures on overall operating room efficiency is questionable. Nevertheless, the majority of OR staff think stretcher-based procedures increase OR efficiency and are safer for staff. Level of Evidence: Level IV, Retrospective case series.

Publisher

SAGE Publications

Subject

Medical–Surgical Nursing,Anesthesiology and Pain Medicine,Surgery

Reference19 articles.

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