Addressing Late-Arriving Surgeons in Support of First-case On-time Starts
2025

Reducing Late-Arriving Surgeons to Improve On-Time Surgery Starts

Sample size: 85 publication 10 minutes Evidence: high

Author Information

Author(s): Ida Jonathan B., Schechter Jamie H., Olmstead John, Menon Archana, Iafelice Mary Beth, Sawardekar Amod, Leavitt Olga, Lavin Jennifer M.

Primary Institution: Ann & Robert H. Lurie Children’s Hospital of Chicago

Hypothesis

Can a quality improvement initiative reduce late surgeon arrivals and improve first-case on-time starts?

Conclusion

A structured approach to communication and accountability can significantly reduce late surgeon arrivals and improve on-time surgery starts.

Supporting Evidence

  • Late surgeon arrivals decreased by 45% after implementing the new framework.
  • First-case on-time starts increased from 66% to 72% post-implementation.
  • Statistical process control charts showed significant improvements in both metrics.

Takeaway

This study shows that if surgeons arrive on time, surgeries can start on time, which makes everything run smoother and happier for everyone involved.

Methodology

A quality improvement initiative was implemented to track and provide feedback on surgeon arrival times over a 24-month period.

Potential Biases

Potential bias in self-reported data from surgeons regarding their late arrivals.

Limitations

The study was conducted at a single institution, which may limit the generalizability of the findings.

Participant Demographics

Surgeons from a tertiary pediatric hospital, including 83 staff surgeons and various specialties.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1097/pq9.0000000000000784

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