Optimising Complex Surgical Trays Based on PDSA Cycles

Hong-Xia Duan; Xiu-Mei Wang; Yue Guo; Ling Wei; Rui-Xia Hao; Zhen-Shan Guo

doi:10.2147/JMDH.S435427

Optimising Complex Surgical Trays Based on PDSA Cycles

J Multidiscip Healthc. 2023 Nov 24:16:3619-3628. doi: 10.2147/JMDH.S435427. eCollection 2023.

Authors

Hong-Xia Duan¹, Xiu-Mei Wang¹, Yue Guo¹, Ling Wei¹, Rui-Xia Hao¹, Zhen-Shan Guo¹

Affiliation

¹ Department of Surgery, Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences), Taiyuan, Shanxi, People's Republic of China.

Abstract

Objective: To investigate the application of a multidisciplinary collaboration model to optimise the configuration management of orthopaedic external device sets in general hospitals.

Methods: A pretest-post-test study design was used. Sixty patients who underwent unilateral total knee arthroplasty and 60 patients who underwent posterior lumbar interbody fusion between March and May 2022 were recruited as the control stage. Additionally, a total of 120 patients, 60 of each, who underwent the two procedures between September and November 2022, were recruited as the experimental stage. For the control stage, conventional external equipment management was used, and for the experimental stage, an external device management programme was implemented based on multidisciplinary collaboration with the control stage. Based on the PDSA cycle, the configuration management of orthopaedic external device sets was optimised, and the differences in collating and counting external devices, nurses' overtime in the external device stage and orthopaedic surgeon satisfaction were compared between the two stages.

Results: Compared with the control stage, the collation count took less time (8.65 ± 0.25 min vs 5.37 ± 0.13 min; 13.55 ± 1.10 min vs 7.85 ± 0.82 min), the number of overtime hours was shorter (175.80 ± 12.19 min vs 96.68 ± 13.66 min) and orthopaedic surgeon satisfaction was improved (4.58 ± 0.62 vs 4.10 ± 0.68; 4.33 ± 0.73 vs 3.87 ± 0.77; 4.20 ± 0.71 vs 3.82 ± 0.71; 4.12 ± 0.69 vs 3.87 ± 0.72; 4.05 ± 0.68 vs 3.79 ± 0.68) in the experimental stage (all P < 0.05).

Conclusion: Multidisciplinary collaboration offers various benefits for optimising the configuration of external device sets, such as reducing the time taken for the preoperative sorting and counting of external devices, enhancing nurses' work efficiency and improving surgeons' job satisfaction; therefore, it is worthy of reference in clinical practice.

Keywords: external instruments; item counting; operating theatre; optimisation configuration; scientific management; work efficiency.

Grants and funding

The project was supported by Research project of Shanxi Provincial Health Commission: Establishment and application of standardized node control platform in perioperative patient safety management (2023137).Funding agencies did not play a role in study design, data collection, analysis and interpretation, and manuscript writing.