Arnaud PASQUER, Visceral Surgery Hospices Civils de Lyon and Reshape PhD
Influence of operating room organization on surgical performance and patient outcomes: a systematic scoping review
Objective: To summarize current knowledge on organizational factors in operating room and their influence on surgeon performance/patient outcomes, and identify gaps in the literature for further exploration
Background: Postoperative complications are usually investigated based on patient factors, but organizational factors can also affect surgical care quality and safety.
Methods: A systematic literature search of PubMed and Scopus according to Prisma approach, was conducted to identify published studies from January the 1st 2000 to 1st January 2020. Studies evaluating the impact of 5 factors (team composition, stability, teamwork, work scheduling, disturbing elements) on 3 outcomes (surgeon efficiency, patient safety, costs) were included after screening. Study qualities were evaluated based on 4 criteras: Multicentric, patients and professional description, design, and evaluated clinical outcome. Results were classified as positive, negative, or neutral based on significance.