Operating Room Time Savings with the Use of Splint Packs: A Randomized Controlled Trial

Authors

  • Christopher Chiodo Harvard Medical School, Brigham and Women’s Hospital Foot & Ankle Center, Boston, MA
  • David Palms Harvard Medical School, Brigham and Women’s Hospital Foot & Ankle Center, Boston, MA
  • Eric Bluman Harvard Medical School, Brigham and Women’s Hospital Foot & Ankle Center, Boston, MA
  • Jeremy Smith Harvard Medical School, Brigham and Women’s Hospital Foot & Ankle Center, Boston, MA
  • Tyler Gonzalez Harvard Combined Orthopaedic Surgery Resident PGY 3, Department of Orthopaedic Surgery, Massachusetts General Hospital, Brigham and Women’s Hospital Foot & Ankle Center, Boston, MA
Abstract:

 Background: The most expensive variable in the operating room (OR) is time. Lean Process Management is being used in the medical field to improve efficiency in the OR. Streamlining individual processes within the OR is crucial to a comprehensive time saving and cost-cutting health care strategy. At our institution, one hour of OR time costs approximately $500, exclusive of supply and personnel costs. Commercially prepared splint packs (SP) contain all components necessary for plaster-of-Paris short-leg splint application and have the potential to decrease splint application time and overall costs by making it a more lean process. We conducted a randomized controlled trial comparing OR time savings between SP use and bulk supply (BS) splint application. Methods: Fifty consecutive adult operative patients on whom post-operative short-leg splint immobilization was indicated were randomized to either a control group using BS or an experimental group using SP. One orthopaedic surgeon (EMB) prepared and applied all of the splints in a standardized fashion. Retrieval time, preparation time, splint application time, and total splinting time for both groups were measured and statistically analyzed. Results: The retrieval time, preparation time and total splinting time were significantly less (p

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

operating room time savings with the use of splint packs: a randomized controlled trial

background: the most expensive variable in the operating room (or) is time. lean process management is being used in the medical field to improve efficiency in the or. streamlining individual processes within the or is crucial to a comprehensive time saving and cost-cutting health care strategy. at our institution, one hour of or time costs approximately $500, exclusive of supply and personnel ...

full text

Operating Room Time Savings with the Use of Splint Packs: A Randomized Controlled Trial.

BACKGROUND The most expensive variable in the operating room (OR) is time. Lean Process Management is being used in the medical field to improve efficiency in the OR. Streamlining individual processes within the OR is crucial to a comprehensive time saving and cost-cutting health care strategy. At our institution, one hour of OR time costs approximately $500, exclusive of supply and personnel c...

full text

Use of face masks by non-scrubbed operating room staff: a randomized controlled trial.

BACKGROUND Ambiguity remains about the effectiveness of wearing surgical face masks. The purpose of this study was to assess the impact on surgical site infections (SSIs) when non-scrubbed operating room staff did not wear surgical face masks. METHODS Eight hundred twenty-seven participants undergoing elective or emergency obstetric, gynecological, general, orthopaedic, breast or urological s...

full text

Effectiveness of a night-time hand positioning splint in rheumatoid arthritis: a randomized controlled trial.

OBJECTIVE To evaluate the effectiveness of a night-time hand positioning splint in patients with rheumatoid arthritis. DESIGN Randomized controlled trial. METHODS Fifty patients with rheumatoid arthritis were divided randomly into 2 groups. The study group used a night-time splint starting at baseline, while the control group used the splint only during evaluations. All patients attended ev...

full text

The effect of iron supplement on children with euthyroid goiter: a randomized placebo-controlled clinical trial

Background Endemic goiter is present in most parts of Iran. Iron deficiency adversely affects the physiology of thyroid. The initial steps of thyroid hormone synthesis are catalyzed by thyroperoxidases and are dependent on iron. In many developing countries, children are at high risk of both goiter and iron deficiency anemia. In addition, iron deficiency may alter central nervous system contro...

full text

Use of Probiotic for the Treatment of Acute Rotavirus Diarrhea in Children: a Randomized Single-Blind Controlled Trial

Background and Objective: Despite consistent evidence that probiotics reduce the duration of diarrhea, there is only weak evidence for their efficacy in reducing the duration of hospitalization. Another source of heteroge-neity for probiotic trials is the type of probiotic being assessed; also, information about combined products is scarce. Methods: This is a randomized, single-blind controlle...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 4  issue 1

pages  10- 15

publication date 2016-01-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023