ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2026
Use of equipment whiteboard checklists in improving communication while reducing case cost during ureteroscopy.
Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionEffective communication is essential in operating room (OR) settings to reduce interruptions, ensure patient safety, and reduce equipment-related waste. In the setting of percutaneous nephrolithotomy equipment, whiteboards improved OR staff perceptions of communication and decreased procedural costs. Given that ureteroscopy has varying equipment needs from case to case, we sought to evaluate the effectiveness of equipment whiteboard implementation in ureteroscopy.
methodsThirty-three urology OR staff were recruited to complete questionnaires assessing confidence in equipment accuracy and efficacy of communication both with and without the equipment whiteboard. Furthermore, 50 cases were randomly allocated 1:1 into having the surgeon verbally indicate equipment needs compared to using the whiteboard. These procedures were assessed for objective accuracy of equipment, case length, case cost, and number of interruptions. All outcomes were compared between groups using two-sided T-tests and Fisher's exact tests.
resultsFrom the questionnaires, we found significant increases with the whiteboard in confidence equipment was in the room (p<0.001, confidence interval [CI] -5.386, -3.621), confidence required equipment was opened (p<0.001, CI -4.956, -3.015), and confidence nothing unnecessary was opened (p<0.001, CI -5.432, -3.393). Furthermore, we found significant improvements in objective equipment accuracy scores (p<0.001, CI -3.982, -1.618), a significant reduction in interruptions (p=0.001, CI -1.147, -0.293), and an average 25% decrease in equipment-related procedural costs (p=0.018, CI 30.661, 313.099).
conclusionsImplementation of an equipment whiteboard for ureteroscopy was effective for improving OR staff confidence in equipment choices and perceptions of communication. Furthermore, the whiteboard improved equipment accuracy while reducing interruptions and procedural costs.
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