Effects of the Surgical Procedure Manager (SPM) on surgical procedure and planning

Introduction:

This study evaluates the effect of a more sophisticated surgical workflow-guidance-software (SPM 2.0) regarding its control-function on the intraoperative process in respect of adherence to process, procedure-duration (OR-time) and documentation accuracy. Thereby former results of a big patient collective are reconsidered critically.

Methods:

The Surgical Procedure Manager (SPM®, Johnson&Johnson) presents each single steps of the prescribed procedure to the surgical team. Since 2013 the software was successfully applied to more than 10.000 surgical ENT-procedures as version 1.x. The current study assesses the application of version 2.0 to 1.500 surgeries regarding adherence to process accuracy, usability, procedure duration and documentation accuracy. Further new options, only available in version SPM 2.0, are considered.

Results:

The mean of the adherence to process accuracy within the evaluated amount of overall 3.500 surgeries was 88%. The impact of the applied system on surgeon's decision making was rated with „has an impact“ in 72% and with “chances my decision” in 29%.

Conclusion:

By application of SPM 2.0 process accuracy increased compared to version 1.x. Procedure duration as well as unnecessary instrument-consumption were reduced, which constitutes a considerable saving of costs. Finally, by a precise definition of the procedure in its single steps combined with time guidelines for each step the predictability for the perioperative management improved and patient safety as well as the accuracy of documentation within the OR-report increased.

Publikationsverlauf

Publikationsdatum:
23. April 2019 (online)