Outpatient Surgery Magazine

The Case for Concurrent Cases - November 2018 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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C an you run dual ortho rooms without running into trou- ble? The surgeons we spoke with say overlapping sur- geries, in which surgeons delegate another doctor or a physician assistant to close one surgery while he works on a second patient in another OR, are safe if you establish a precise protocol — and never deviate from it. "It's easy to do it poorly and it's hard to do it well," says Daniel Branham, MD, of Tennessee Orthopaedic Clinics in Knoxville, Tenn. Running dual ortho ORs is known by many names — double- booked, simultaneous, overlapping or concurrent surgery — but the practice got a bad rap a few years ago. In October 2015, the Boston Globe investigated concurrent surgery at Harvard's Massachusetts General Hospital. Reports described patients waiting under anesthesia for prolonged periods and absentee surgeons who forced residents or fellows to operate on their own. "I never want to be the one who gets told, 'I had my patient under anesthesia for 10 minutes before you even got here,'" says Mark Topolski, MD, of Gundersen Health System in La Crosse, Wis. It starts with scheduling One scheduling snafu caused by one patient not showing up can upset a day of dual ortho ORs. At Tennessee Orthopaedic Clinics, safety begins at the first point of contact when the patient is booked, says Dr. Branham. He tries to put as much information on the booking slip as he can, including vendor, length of case, X-ray or fluoroscopic imaging, graft and implants. The N O V E M B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 3 7 Double-booked surgeons must choreograph their every move. Mike Morsch | Associate Editor

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