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Perioperative Workflow: Barriers to Efficiency, Risks, and Satisfaction
Author(s) -
Fowler Patricia H.,
Craig Janet,
Fredendall Lawrence D.,
Damali Uzay
Publication year - 2008
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/j.aorn.2007.07.001
Subject(s) - workflow , perioperative nursing , specialty , perioperative , work (physics) , patient safety , work flow , nursing , medicine , process (computing) , operations management , process management , medical emergency , business , surgery , computer science , health care , engineering , family medicine , political science , mechanical engineering , industrial engineering , database , law , operating system
AN IN‐DEPTH, INTERDISCIPLINARY CASE study was conducted to map and describe the information, material, and functional processes common to high‐volume surgical specialty procedures at a southeastern US hospital. RESEARCHERS IDENTIFIED PROCESS defects and their effects using both observation and staff member interviews. OUTDATED INFORMATION and structural barriers to communications were responsible for many procedural delays, procedural interruptions, and staff member work‐arounds. OPPORTUNITIES FOR IMPROVEMENT are identified, including redesigns and enhancement of information technology systems. AORN J 87 (January 2008) 187‐208. © AORN, Inc, 2008.