August 22, 2013
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Dedicated OR for joint arthroplasty decreases operating time

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In a dedicated operating room for joint arthroplasty, researchers found an improved time of 19 minutes per procedure compared to a traditional operating room, according to this study.

“The dedicated [operating room] OR system significantly decreased operative time, anesthesia controlled time, and turnover time for [total knee arthroplasty] TKA and [total hip arthroplasty] THA procedures, without increasing complication rates,” Wael K. Barsoum, MD, and colleagues wrote in the study. “Further studies are required to determine what benefits are made possible by these time savings, but may include improvements in employee satisfaction and retention, cost savings to the hospital, and/or opportunity to increase surgical volume.”

Barsoum and colleagues analyzed the effectiveness of six ORs with dedicated staff for THA and TKA procedures compared to performing total joint arthroplasty procedures in ORs using a traditional staffing model. In the dedicated OR, the team performed primary 529 THA and TKA surgeries while the traditional OR performed 475 surgeries.

There were no additional adverse events reported in the dedicated OR group. Anesthesia time decreased by 4 minutes in the dedicated OR and turnover time also decreased by 8 minutes, according to the abstract.

orthomind

Disclosure: Barsoum receives royalties from Exactech, Shukla Medical, Stryker, Wright Medical Technology and Zimmer, is on the speaker’s bureau for Stryker, is a paid consultant for Shukla Medical and Stryker, receives stock options from Custom Orthopaedic Solutions, iVHR and Otismed and receives research support from Active Implants, Bristol-Myers Squibb, Cool Systems, DJO, Orthovita, Salient Surgical Technologies, Stryker and Zimmer.