Improving Efficiency and Standardization in a Robotics Program: A Quality Improvement Project. (27th November 2018)

• Record Type: Journal Article
• Authors: Price, Michael; Bates, Anne; Clagett, Michael
• Is Part Of: AORN journal. Volume 108:Number 6(2018:Dec.)
• Page Start: 652
• Page End: 660
• Publication Date: 2018-11-27
• Subjects: robotic‐assisted surgery -- standardization -- turnaround time -- workflow; Operating room nursing -- Periodicals; Soins infirmiers en salle d'opération -- Périodiques; Nursing -- Periodicals; Operating Room Nursing -- Periodicals; Perioperative Nursing -- Periodicals; Societies, Nursing -- Periodicals; 617.917
• DOI: 10.1002/aorn.12401
• Languages: English
• ISSNs: 0001-2092

Abstract

Abstract: After an evaluation of the growing robotics program at Christiana Care Health System in Newark, Delaware, perioperative leaders identified needs related to a lack of instrument set standardization and inconsistent workflow processes; these deficiencies were causing higher‐than‐anticipated turnaround time (ie, 59 minutes) and an excessive inventory of sterilized robotic instruments. A workgroup was created to review the results of the evaluation and develop solutions for the robotic surgery program. Goals included a 40‐minute procedure turnaround time and a 35% reduction in sterilized robotic instrument set inventory one year after project initiation. By developing a team training program, improving operational efficiencies, and improving standardization, the robotics program achieved a 10‐minute TAT reduction and a 54% reduction in sterilized robotic instrument inventory. Personnel considered the project to be a huge success because it laid the groundwork for improving efficiency and standardization in Christiana Care Health System's robotics program.