PERIOPERATIVE TEAM COLLABORATION, PRE-OP HUDDLE
AND SURGICAL QUALITY RESOURCES
Perioperative team communication through a mobile app for improving coordination and education in neurosurgery cases | Journal of Neurosurgery
Hospitals that try to implement team huddles, a game changer practice that impacts efficiency and patient safety, often find that for surgical teams the huddle is too difficult to sustain. Why does the pre-op huddle suck? And how do you make it work? read more here
“Shift left” is a software development term that means finding software mistakes early (thus "shifting left" in the timeline), before these mistakes become very costly. Chiefy brings this approach (and other Agile software development principles) to surgery - engaging earlier to correct errors, before they cause waste or harm. Read more
Ber, R., London, D., Senan, S., Youssefi, Y., Harter, D. H., Golfinos, J. G., & Pacione, D. (2021). Perioperative team communication through a mobile app for improving coordination and education in neurosurgery cases, Journal of Neurosurgery (published online ahead of print 2021) https://doi.org/10.3171/2021.4.JNS21485
Given that there has been extensive evidence supporting the efficacy of checklists, timeouts, and briefs/debriefs, these practices should be incorporated into every operating room. Continue reading
Collings, A.T., Stefanidis, D. (2022). Checklists, Surgical Timeout, Briefing, and Debriefing: Safety in the Operating Room. In: Romanelli, J.R., Dort, J.M., Kowalski, R.B., Sinha, P. (eds) The SAGES Manual of Quality, Outcomes and Patient Safety. Springer, Cham. https://doi.org/10.1007/978-3-030-94610-4_22
The team brief before any interventional list is one process that can have a significant effect on the delivery and safety of patient care and effective team working Continue reading
M. Davidson, R.S. Oeppen, J. Hardie, M. Al-Gholmy, P.A. Brennan,
Briefings: what can surgical and minimally invasive interventional teams learn from airline flight deck practice?,
British Journal of Oral and Maxillofacial Surgery
Why Clinical Workflow is the Next Healthtech Trend
Patient centered care has been a top healthcare mantra for years, starring in health system’s leadership top-of-mind topics and a leading investment thesis. However, a real healthcare transformation isn’t going to happen before provider enablement becomes an equal priority. Continue reading
Low-cost and simple-to-implement healthtech drives health equity
In a webinar on the future of the operating room (OR), the speakers touched the topic of the cost of technology. Surgical innovation is expensive. A DaVinci robot, a surgical system that uses a minimally invasive surgical approach, has a $2-million price tag. Not every hospital can afford that.
“We’re missing the ‘Ford model T’ of robots”, one of the webinar speakers said. Continue reading
Team Communication in Hospitals
Why Chiefy is Not 'Slack for Surgery'
In the age of Slack and WhatApp it’s a bit crazy that you need a 45 minutes’ webinar to explain the benefits of connecting groups of professionals through an asynchronous communication tool. But in healthcare, it’s the first harbingers of disruption. A few interesting points Continue reading
The pre-op surgical team huddle is a game-changer. It is also impossible to sustain. Here's what you can do.
We talked to 90 perioperative clinicians and stakeholders. Nurses, anesthesiologists, surgeons, scrub technologists, vendor reps, intra-op monitoring, residents, fellows. Over 94% reported challenges with perioperative communication. Continue reading
Costs of Defects in Surgical Care: A Call to Eliminate Defects in Value
We are now entering a new era in medicine and surgery in which the focus will be elevated from the quality of care to its value. Continue reading
David W. Dietz, MD; William V. Padula, PhD, MS; Hanke Zheng, MS; Peter J. Pronovost, MD, PhD Costs of Defects in Surgical Care: A Call to Eliminate Defects in Value, NEJM Catalyst: November 2021
Rassekh, Christopher H. MDa,; Atkins, Joshua H. MD, PhDa,b; O’Malley, Bert W. Jr MDa; Chalian, Ara A. MDa; Brody, Robert M. MDa; Basu, Devraj MDa; Paul, Ellen A. BSEa; Weinstein, Gregory S. MDa The development, implementation, and efficacy of a perioperative briefing communication and treatment planning tool and its adaptation to the COVID-19 pandemic, Journal of Head & Neck Anesthesia: May 2021 - Volume 5 - Issue 1 - p e36 doi: 10.1097/HN9.0000000000000036
How can surgery be safer and more efficient? By bringing the surgeon and the surgical team closer to the patient, earlier. Or “shifting left”. Continue reading
Breaking Functional Silos | From Software Development to Surgery
Surgery is a cross-functional team sport. Each surgical case requires the collaboration of a long list of highly interdependent professionals: surgeons, anesthesiologists, nurses, scrub techs, assistants, fellows, residents, equipment vendors, office admins, scheduling coordinators, supply chain people. And then there’s the patient. Continue reading
Dreyfus, D, Nair, A, Rosales, C. The impact of planning and communication on unplanned costs in surgical episodes of care: Implications for reducing waste in hospital operating rooms. J Oper Manag. 2020; 66: 91– 111. https://doi.org/10.1002/joom.1070
Zygourakis, C. C., Yoon, S., Valencia, V., Boscardin, C., Moriates, C., Gonzales, R., & Lawton, M. T. (2017). Operating room waste: disposable supply utilization in neurosurgical procedures, Journal of Neurosurgery JNS, 126(2), 620-625. from https://doi.org/10.3171/2016.2.JNS152442
Jain AL, Jones KC, Simon J, Patterson MD. The impact of a daily pre-operative surgical huddle on interruptions, delays, and surgeon satisfaction in an orthopedic operating room: a prospective study. Patient Saf Surg. 2015 Feb 21;9:8. doi: 10.1186/s13037-015-0057-6. PMID: 25705257; PMCID: PMC4336479.