Outpatient Surgery Magazine

Work-Life Balance - January 2017 - 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.

Issue link: http://magazine.outpatientsurgery.net/i/771120

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Page 160 of 162

The OHIO OR The OHIO principle is especially effective in surgery. Robert E. Booth, MD, noted knee surgeon and efficiency master, conveyed the OHIO mindset to me years ago. Dr. Booth recognized how much time we waste in the OR when we pass instruments back and forth during the course of a case. What if, he wondered, we only handled each instru- ment once? We'd minimize instrument exchanges and save lots of time. When Dr. Booth performs a knee arthroplasty, he employs the periosteal elevator and the electrocautery and the saw blade only once. There's no time wasted with redundant instrument handoffs. OHIO (and skill) let Dr. Booth execute surgeries in hyper-efficient fashion. As an arthroscopist, I apply OHIO whenever possible. In the past, when I performed an arthroscopic rotator cuff repair, I used a shaver blade to resect the subacromial bursa and decorticate the greater tuberosity. After the bursectomy, I would customarily exchange the shaver for a burr in order to perform the acromioplasty, and then return to the shaver for more tuberosity preparation. With the OHIO principle, I now use the shaver blade once — for all its necessary applications. I simply resect the bursa, then immediately proceed to the tuberosity before I introduce the burr. Imagine the diminished transactions and handoffs resulting from implementation of OHIO. Cases will start to flow more lyrically and be completed in less time. An added bonus of fewer instrument exchanges: less occasion for error and sharps injuries. The discipline of applying OHIO to your life will result in more time, less clutter and the increased satisfaction of knowing that you completed tasks in timely fashion. Now where did I put that letter from Publishers Clearing House. I may already be a winner! OSM Dr. Kelly (johndak4@gmail.com) is an orthopedic surgeon/sports-shoulder specialist who practices in Philadelphia, Pa. J A N U A R Y 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 1 6 1

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