Operating room organization and surgical performance: a systematic review
Abstract Background Organizational factors may influence surgical outcomes, regardless of extensively studied factors such as patient preoperative risk and surgical complexity. This study was designed to explore how operating room organization determines surgical performance and to identify gaps in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Patient Safety in Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13037-023-00388-3 |
| _version_ | 1797273598740660224 |
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| author | Arnaud Pasquer Simon Ducarroz Jean Christophe Lifante Sarah Skinner Gilles Poncet Antoine Duclos |
| author_facet | Arnaud Pasquer Simon Ducarroz Jean Christophe Lifante Sarah Skinner Gilles Poncet Antoine Duclos |
| author_sort | Arnaud Pasquer |
| collection | DOAJ |
| description | Abstract Background Organizational factors may influence surgical outcomes, regardless of extensively studied factors such as patient preoperative risk and surgical complexity. This study was designed to explore how operating room organization determines surgical performance and to identify gaps in the literature that necessitate further investigation. Methods We conducted a systematic review according to PRISMA guidelines to identify original studies in Pubmed and Scopus from January 1, 2000 to December 31, 2019. Studies evaluating the association between five determinants (team composition, stability, teamwork, work scheduling, disturbing elements) and three outcomes (operative time, patient safety, costs) were included. Methodology was assessed based on criteria such as multicentric investigation, accurate population description, and study design. Results Out of 2625 studies, 76 met inclusion criteria. Of these, 34 (44.7%) investigated surgical team composition, 15 (19.7%) team stability, 11 (14.5%) teamwork, 9 (11.8%) scheduling, and 7 (9.2%) examined the occurrence of disturbing elements in the operating room. The participation of surgical residents appeared to impact patient outcomes. Employing specialized and stable teams in dedicated operating rooms showed improvements in outcomes. Optimization of teamwork reduced operative time, while poor teamwork increased morbidity and costs. Disturbances and communication failures in the operating room negatively affected operative time and surgical safety. Conclusion While limited, existing scientific evidence suggests that operating room staffing and environment significantly influences patient outcomes. Prioritizing further research on these organizational drivers is key to enhancing surgical performance. |
| first_indexed | 2024-03-07T14:46:42Z |
| format | Article |
| id | doaj.art-69436e96ae9a4b6abc4a8118e49bed18 |
| institution | Directory Open Access Journal |
| issn | 1754-9493 |
| language | English |
| last_indexed | 2024-03-07T14:46:42Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Patient Safety in Surgery |
| spelling | doaj.art-69436e96ae9a4b6abc4a8118e49bed182024-03-05T19:58:23ZengBMCPatient Safety in Surgery1754-94932024-01-0118111310.1186/s13037-023-00388-3Operating room organization and surgical performance: a systematic reviewArnaud Pasquer0Simon Ducarroz1Jean Christophe Lifante2Sarah Skinner3Gilles Poncet4Antoine Duclos5Research On Healthcare Performance RESHAPE, Université Claude BernardResearch On Healthcare Performance RESHAPE, Université Claude BernardResearch On Healthcare Performance RESHAPE, Université Claude BernardResearch On Healthcare Performance RESHAPE, Université Claude BernardDepartment of Digestive and Colorectal Surgery, Edouard Herriot University HospitalResearch On Healthcare Performance RESHAPE, Université Claude BernardAbstract Background Organizational factors may influence surgical outcomes, regardless of extensively studied factors such as patient preoperative risk and surgical complexity. This study was designed to explore how operating room organization determines surgical performance and to identify gaps in the literature that necessitate further investigation. Methods We conducted a systematic review according to PRISMA guidelines to identify original studies in Pubmed and Scopus from January 1, 2000 to December 31, 2019. Studies evaluating the association between five determinants (team composition, stability, teamwork, work scheduling, disturbing elements) and three outcomes (operative time, patient safety, costs) were included. Methodology was assessed based on criteria such as multicentric investigation, accurate population description, and study design. Results Out of 2625 studies, 76 met inclusion criteria. Of these, 34 (44.7%) investigated surgical team composition, 15 (19.7%) team stability, 11 (14.5%) teamwork, 9 (11.8%) scheduling, and 7 (9.2%) examined the occurrence of disturbing elements in the operating room. The participation of surgical residents appeared to impact patient outcomes. Employing specialized and stable teams in dedicated operating rooms showed improvements in outcomes. Optimization of teamwork reduced operative time, while poor teamwork increased morbidity and costs. Disturbances and communication failures in the operating room negatively affected operative time and surgical safety. Conclusion While limited, existing scientific evidence suggests that operating room staffing and environment significantly influences patient outcomes. Prioritizing further research on these organizational drivers is key to enhancing surgical performance.https://doi.org/10.1186/s13037-023-00388-3SurgeryStaffingTurn overFamiliarityTeamworkDisturbing elements |
| spellingShingle | Arnaud Pasquer Simon Ducarroz Jean Christophe Lifante Sarah Skinner Gilles Poncet Antoine Duclos Operating room organization and surgical performance: a systematic review Patient Safety in Surgery Surgery Staffing Turn over Familiarity Teamwork Disturbing elements |
| title | Operating room organization and surgical performance: a systematic review |
| title_full | Operating room organization and surgical performance: a systematic review |
| title_fullStr | Operating room organization and surgical performance: a systematic review |
| title_full_unstemmed | Operating room organization and surgical performance: a systematic review |
| title_short | Operating room organization and surgical performance: a systematic review |
| title_sort | operating room organization and surgical performance a systematic review |
| topic | Surgery Staffing Turn over Familiarity Teamwork Disturbing elements |
| url | https://doi.org/10.1186/s13037-023-00388-3 |
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