Building a world class surgical program requires assuring an efficient and effective peri-operative process. This includes standardizing cardiac clearance as part of pre-admission testing, developing preference cards to reduce variation in practice, and creating an efficiency index to maximize the use of space, time, staff, and patient safety. The goal is an efficient operating room workflow from patient arrival to recovery.

1. Building a World Class Surgical Program
Operative Process

2. Goal
Assure the Peri-Operative Process is
Efficient and Effective

3. Pre-Operative Risk
Cardiac Clearance
Cardiac Clearance part of Pre-Admission Testing
and Teaching Process

4. Variation in Practice
Reviewing all Preference Cards
Developing VSC Preference Card for Lap Chole
Refrain from opening supplies until requested

5. Efficiency
Develop Efficiency Index
to assure maximum benefit of
space, time, staff and patient safety parameters

6. Operating Room Efficiency
Wheels
In
Incision
Dressing
Placed
Wheels
Out
Arrival to
Recovery
Room
Ready in
Pre-Op
Arrival to
admittingArrival to
Pre-Op
Turnover