Optimising Complex Surgical Trays Based on PDSA Cycles

Figures & data

Figure 1 Optimization Flow Chart.

Table 1 Project Expert Group Members and Responsibilities

Owning Department	Position	Job Title	Responsibilities of this Project
Joint Group Ward	Director	Chief Physician	Communicate with the manufacturer personnel to finally determine the type and quantity of external device packs fixed in this specialty as well as the optimal configuration scheme of devices in the pack
Spine Group Ward	Director	Chief Physician
Operating room	Chief Nurse	Chief Nurse	Promote the whole implementation process and collect feedback content, and give regular feedback
Supply Room	Chief Nurse	Associate Chief Nurse
Operating room	Group Leader, Spine Specialty	Chief Nurse	Develop the type, quantity and management plan of external device packs fixed in this specialty, and the optimal configuration plan of devices in the pack
Operating room	Joint Specialty Group Leader	Chief Nurse
Operating room	Device Management Team Leader	Associate Chief Nurse	Fixed Alien Pack Management Scheme and Optimized Alien Pack Configuration Scheme
Supply Room	Foreign Device Team Leader	Chief Nurse

Table 2 Comparison of Time-Consuming for Preoperative Sorting and Counting of External Instruments Between the Two Phases (Minutes)

Phase	N	Time-Consuming for Preoperative Sorting and Counting (Minutes)
		Posterior Lumbar Interbody Fusion	Unilateral Total Knee Arthroplasty
Experimental phase	120	5.37±0.13	7.85±0.82
Control phase	120	8.65±0.25	13.55±1.10
t		−88.769	31.856
p		<0.001	<0.001

Table 3 Average Daily Overtime Hours of Nurses of the External Instrument Group in the Supply Room (Minutes)

Phase	Working Days	Average Daily Overtime Hours
Experimental phase	66	96.68±13.66
Control phase	66	175.80±12.19
t		−35.103
p		<0.001

Table 4 Comparison of Orthopedic Surgeons’ Satisfaction with the Two Phases

Phase	N	Preparation of Surgical Items	Delivery of Instruments	Cooperation in Surgery	Use of Special Instruments	Management of External Instruments
Experimental phase	120	4.10±0.68	3.87±0.77	3.82±0.71	3.87±0.72	3.79±0.68
Control phase	120	4.58±0.62	4.33±0.73	4.20±0.71	4.12±0.69	4.05±0.68
t		–5.777	–4.844	–4.116	–2.747	–2.924
p		<0.001	<0.001	<0.001	<0.05	<0.05

Data Sharing Statement

All data generated or analysed during this study are included in this article. Further enquiries can be directed to the corresponding author.