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Lean principles to optimize instrument utilization for spine surgery in an academic medical center: an opportunity to standardize, cut costs, and build a culture of improvement

Lunardini D, Arington R, Canacari EG, Gamboa K, Wagner K, McGuire KJ. Published in September 2016 in Spine Abstract STUDY DESIGN: Case study OBJECTIVE.: To optimize the utilization of...
September 15, 2017

Disruptions love company: Investigating flow disruption clusters in robotic surgery

Originally Published By Samuel A. Curtis, January 2017 Assessment of the safety and efficiency of new technologies in the operating room (OR) is critical, as an increasing number of technologies...
July 11, 2017

Application of Lean Methodology for Improved Quality and Efficiency in Operating Room Instrument Availability

Farrokhi FR, Gunther M, Williams B, Blackmore CC. Published in Sept-Oct 2015 in Journal for Healthcare Quality Abstract Advances in surgical instrumentation allow surgeons to treat patients...
April 20, 2017

Costs associated with instrument sterilization in gynecologic surgery

Van Meter MM, Adam RA. Published in November 2016 in American Journal of Obstetrics & Gynecology Abstract BACKGROUND: With rising health care expenditures, hospitals must contain costs in...
April 20, 2017

Surgical instrumentation: the true cost of instrument trays and a potential strategy for optimization

Mhlaba JM, Stockert EW, Coronel M, Langerman AJ. Published in 2015, Vol. 4, No. 6, in Journal of Hospital Administration Abstract Objective: Operating rooms (OR) generate a large portion of...
April 20, 2017

A pilot study to assess the adequacy of the Brigham 20 Kit for cesarean delivery

Greenberg JA, Wylie B, Robinson JN. Published in May 2012 in International Journal of Gynecology & Obstetrics Abstract OBJECTIVE: To determine whether a kit of only 20 instruments could be...
April 20, 2017

A prospective study of patient safety in the operating room

Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM. Published February 2006 in Surgery Abstract BACKGROUND: To better understand the operating room as...
April 20, 2017

Comparison of economic and environmental impacts between disposable and reusable instruments used for laparoscopic cholecystectomy

Adler S, Scherrer M, Rückauer KD, Daschner FD. Published February 2005 in Surgical Endoscopy And Other Interventional Techniques Abstract BACKGROUND: The economic and environmental effects...
April 20, 2017

How hospitals could be rebuilt, better than before

The Economist, April 8, 2017 Technology could revolutionize the way they work. IN A nondescript part of Cleveland, in a room known as the bunker, a doctor, nurses and medical technicians gather...
April 14, 2017

Improving efficiency in the operating room

Surgeons need to document the timing of all steps in the operating room to become more efficient. Ocular Surgery News U.S. Edition, March 25, 2017 Uday Devgan, MD New ophthalmology...
March 29, 2017

Surgeon–patient communication during awake procedures

Claire S. Smith, M.F.A., Kristina Guyton, M.D., Joseph J. Pariser, M.D., Mark Siegler, M.D., Nancy Schindler, M.D. M.H.P.E., Alexander Langerman, M.D. S.M.,...
March 26, 2017

Going Under the Knife, with Eyes and Ears Wide Open

The article explores the issues surrounding performing surgical procedures with patients awake and alert to, and in some cases able to see, what is happening. Alex Langerman, Explorer's...
March 26, 2017

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