E-Posters-10179_Geynisman

10179_Geynisman_Tan

Pdf Summary

This study analyzed the impact of handoffs between operating room (OR) personnel and the number of learners in the room on operating room time in women who underwent surgery for pelvic organ prolapse (POP). The study included 148 women who underwent surgery in a single academic medical center in 2016. Demographic information, procedure types, surgical times, and number of handoffs were collected and analyzed.<br /><br />The results showed that longer OR times were associated with younger age, higher BMI, and higher estimated blood loss (EBL). Patient comorbidities and ASA class were not found to be associated with OR times. However, longer OR times were associated with more handoffs between anesthesia, surgical-tech, and circulator personnel. The study did not find an association between the number of learners in the room and OR time.<br /><br />In specific POP surgeries, each surgical-tech handoff was associated with an additional 23 minutes of OR time for minimally invasive sacrocolpopexies (LASC) and an additional 31 minutes for robotic sacrocolpopexies (RASC). Each circulator handoff was associated with an additional 15 minutes for RASC and an additional 27 minutes for vaginal prolapse repair surgeries. The median number of handoffs during a POP case was 4.3.<br /><br />The study concluded that handoffs between OR personnel were associated with longer OR times, independent of patient factors. Reducing handoffs may be a modifiable factor to reduce OR time and costs and enhance patient safety.<br /><br />This study contributes to the existing literature on improving OR efficiency by examining intraoperative factors. It highlights the importance of minimizing handoffs between OR personnel to improve OR utilization. However, further research is needed to validate these findings and explore other factors that may impact OR efficiency.

Keywords

handoffs

operating room personnel

operating room time

surgery

pelvic organ prolapse

surgical times

number of handoffs

patient comorbidities

minimally invasive sacrocolpopexies

OR efficiency