ReviewPatient safety in surgery2024
Operating room organization and surgical performance: a systematic review.
Review in Patient safety in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Preoperative educational briefings: systematic review and novel evidence-based framework.The British journal of surgery · 2025Pooled it
- Curettage of bone is more efficient with a vacuum-assisted bone harvester than with traditional curettes.BMC musculoskeletal disorders · 2026Trial
- An intra-operative checklist for low-impact robotic urologic surgery: a three-round J-ERUS/YAU Delphi consensus.Journal of robotic surgery · 2026Article
- Integrating Predictive Analytics into Hospital Automation: Comparative Evaluation of Prediction Models for Patient Monitor Demand in Operating Rooms.Bioengineering (Basel, Switzerland) · 2026Article
- Leveraging Artificial Intelligence to Improve Perioperative Staffing Consistency: A Quality Improvement Initiative at a Large Academic Medical Center.AORN journal · 2026Article
- ADESTI: A portable open source instrument for air quality monitoring in surgical operating rooms.HardwareX · 2026Article
- Robotic-Assisted Total Hip Arthroplasty: Implications for Surgical Practice and Operating Theatre Design.Medicina (Kaunas, Lithuania) · 2026Review
- Influence of the Surgeon's First Operation of the Day on Patient Outcomes.Annals of surgery · 2026Article
- Communication failure during operating room turnover: a HFACS-informed qualitative case study of system-level coordination.BMC health services research · 2026Article
- An exploration of the organizational performance of a care pathway applied to ambulatory surgery: a systems approach.BMC health services research · 2026Article
- Accurate surgery time prediction (ASTP) strategy based on artificial intelligence techniques.Scientific reports · 2026Article
- Comparing Complication Rates for Plastic Surgery Minor Procedure in Hospital and Out-of-Hospital Premises Clinics: A One Year Retrospective Review of 2739 Cases During COVID19 Pandemic.Plastic surgery (Oakville, Ont.) · 2026Article
- Time distribution and intraoperative workflow in complex midline incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- A Familiar Working Environment Influences Surgeon's Stress in the Operating Room: A Multi-Specialty Prospective Cohort Study.Annals of surgery · 2026Article
- Machine learning prediction model for surgical site infections after major abdominal surgery.Patient safety in surgery · 2026Article
- Impact of the Federated Data Platform's digital surgery scheduling system on elective theatre utilisation at an NHS Trust: an interrupted time series analysis.BMJ health & care informatics · 2026Article
- Evolution of Alignment and Clinical Outcomes During One Surgeon's Learning Curve in L5-S1 Anterior Lumbar Interbody Fusion: A Single-Center Experience.Journal of clinical medicine · 2026Article
- Surgical Oncologists for Sustainability: A Statement from the SSO Surgical Oncologists for Sustainability Committee.Annals of surgical oncology · 2026Review
- Evaluating the Effect of Time-Based Surgeon-Team Familiarity on Neurosurgery Outcomes.Neurosurgery practice · 2026Article
- Integrating Patient-Centered Perioperative Care Continuum Digital Closed-Loop Management With Overall Every Control to Improve Perioperative Efficiency: A Mixed-Methods Study.Journal of nursing management · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundOrganizational factors may influence surgical outcomes, regardless of extensively studied factors such as patient preoperative risk and surgical complexity. This study was designed to explore how operating room organization determines surgical performance and to identify gaps in the literature that necessitate further investigation.
methodsWe conducted a systematic review according to PRISMA guidelines to identify original studies in Pubmed and Scopus from January 1, 2000 to December 31, 2019. Studies evaluating the association between five determinants (team composition, stability, teamwork, work scheduling, disturbing elements) and three outcomes (operative time, patient safety, costs) were included. Methodology was assessed based on criteria such as multicentric investigation, accurate population description, and study design.
resultsOut of 2625 studies, 76 met inclusion criteria. Of these, 34 (44.7%) investigated surgical team composition, 15 (19.7%) team stability, 11 (14.5%) teamwork, 9 (11.8%) scheduling, and 7 (9.2%) examined the occurrence of disturbing elements in the operating room. The participation of surgical residents appeared to impact patient outcomes. Employing specialized and stable teams in dedicated operating rooms showed improvements in outcomes. Optimization of teamwork reduced operative time, while poor teamwork increased morbidity and costs. Disturbances and communication failures in the operating room negatively affected operative time and surgical safety.
conclusionWhile limited, existing scientific evidence suggests that operating room staffing and environment significantly influences patient outcomes. Prioritizing further research on these organizational drivers is key to enhancing surgical performance.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.