外科医生首选员工和员工流动对反向和解剖全肩关节置换术手术时间和并发症发生率的影响

Sarah C Kurkowski, Samuel K Gerak, Michael J Thimmesch, Henry A Kuechly, K Schuyler Nissen, Adam C Valenti, Rahul D Patel, Brian M Grawe
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引用次数: 0

摘要

背景:本研究主要调查全肩关节置换术(反向和解剖)后手术室时间和患者并发症发生率增加的风险因素。我们假设,使用外科医生首选的员工将提高手术室效率并降低并发症发生率,而员工流动性增加将降低效率并增加并发症:这是一项单中心回顾性研究,重点是确定人员配置对全肩关节置换术手术室时间和效率的影响。研究纳入了 2018 年至 2023 年期间由一名接受过研究员培训的骨科医生进行全肩关节置换术的患者:研究纳入了2018年8月至2023年4月期间的423例患者,其中264例为反向全肩关节置换术(rTSA),159例为解剖型全肩关节置换术(aTSA)。在反向全肩关节置换术(rTSA)和解剖型全肩关节置换术(aTSA)中,外科医生首选员工的存在明显减少了手术室时间。在rTSA中,人员流动增加了90天并发症的风险:结论:由于外科医生首选人员的存在会影响手术室的时间和效率,骨科医生应培训多个手术团队,这样就不会因病例中人员流失而影响效率。为降低 rTSA 的 90 天并发症发生率,应尽可能减少人员休息和流动,因为这会直接影响患者的治疗效果。医院行政和管理层应努力减少人员流动,以改善患者的治疗效果。
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Effects of Surgeon-Preferred Staff and Staff Turnover on Operating Time and Complication Rates in Reverse and Anatomic Total Shoulder Arthroplasty.

Background: This study focuses on investigating the risk factors of increased operating room time and patient complication rates after total shoulder arthroplasty cases (both reverse and anatomic). We hypothesize that the use of surgeon-preferred staff will improve operating room efficiency and reduce complication rates while increased staff turnover will decrease efficiency and increase complications.

Methods: This is a single-center, retrospective study focused on determining the effects of staffing on operating room time and efficiency in total shoulder arthroplasty. The study included patients who underwent total shoulder arthroplasty by a single fellowship-trained orthopaedic surgeon from 2018 to 2023.

Results: Four hundred twenty-three patients were included in the study from August 2018 to April 2023, 264 of which were reverse total shoulder arthroplasty (rTSA) and 159 were anatomic total shoulder arthroplasty (aTSA). In both rTSA and aTSA, the presence of surgeon-preferred staff markedly decreased operating room time. In rTSA, staff turnover increased risk of 90-day complications.

Conclusion: Because the presence of surgeon-preferred staff affects operating room time and efficiency, orthopaedic surgeons should train multiple surgical teams so that efficiency is not affected by the loss of personnel during a case. To reduce 90-day complication rates in rTSA, staff breaks and turnover should be minimized as much as possible because this has a direct effect on patient outcomes. Effort from hospital administration and management should be put toward reducing turnover to improve patient outcomes.

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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
282
审稿时长
8 weeks
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