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2018 | 17 | 11--22
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Management of Surgical Workflow - an Observation-Based Assessment Study

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Surgery is considered as one of the most demanding and challenging domains of medical activities. This is because of the continuous development of procedures and implementation of modern and innovative methods of surgical treatment. However, the application of new medical technologies makes surgical procedures a highly cost-intensive medical area. In this regard, improvement efficiency should be a strategic component of daily management in a hospital. The objective of this paper is to introduce an observation method for assessing surgical workflow, as a component of management process in a hospital. Basically, possible workflow disruptions were cited as factors for delays and deviations from the natural progression of a procedure. In this regard, the research approach assumed investigating intraoperative activities during live surgeries which is quite a new aspect of hospital workflow. The main method for data acquisition was a direct observation with photo/ or video registration of live surgeries. Also, a common checklist containing workflow assessment criteria for recognizing any deviation was developed. Both the sequences and workflow assessment criteria were implemented using CAPTIV software version L7000 enabled for cross-sectional analyzes including descriptive statistics. Also, interviews with surgeons and scrub nurses were conducted in order to recognize the additional factors contributing to intraoperative efficiency. As a result, 10 factors influencing surgical workflow were recognized that are directly connected with important aspects of management such as the communication aspects of surgical teamwork members or physical workload of the surgeon and scrub nurse. (original abstract)
  • Silesian University of Technology
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