TY - JOUR
T1 - THE PATH TO ‘DIEPS BY DINNER’ INVOLVES THE ENTIRE OPERATIVE TEAM
AU - Law, Katherine E.
AU - Linden, Anna R.
AU - Harless, Christin
AU - Nguyen, Minh Doan T.
AU - Susan Hallbeck, M.
N1 - Publisher Copyright:
© 2020 by Human Factors and Ergonomics Society. All rights reserved.
PY - 2020
Y1 - 2020
N2 - More and more breast cancer patients are turning to autologous options for reconstruction. Deep Inferior Epigastric Perforator (DIEP) flap reconstruction is considered the gold standard flap breast reconstruction procedure; however, it requires a significant number of resources, including two surgeons and microsurgical equipment. A multidisciplinary group was tasked with reducing operative time of DIEP flap procedures by 25% so that complex surgeries can become more routine and accessible to patients. Using participatory ergonomics, members of the operative team were engaged to identify interventions. Following implementation, 22 DIEP flap cases were evaluated using workload surveys and patient outcomes to determine the success of the interventions. DIEP flap surgical durations were reduced by 25% on average (M=12.9 hours, SD=5.7 to M=9.7 hours, SD=1.4). When cases lasted longer than 9 hours, surgeons reported 31% more physical demand and 78% more fatigue than cases that were 9 hours or less. Survey results linked positive team characteristics to reduced frustrations and distractions.
AB - More and more breast cancer patients are turning to autologous options for reconstruction. Deep Inferior Epigastric Perforator (DIEP) flap reconstruction is considered the gold standard flap breast reconstruction procedure; however, it requires a significant number of resources, including two surgeons and microsurgical equipment. A multidisciplinary group was tasked with reducing operative time of DIEP flap procedures by 25% so that complex surgeries can become more routine and accessible to patients. Using participatory ergonomics, members of the operative team were engaged to identify interventions. Following implementation, 22 DIEP flap cases were evaluated using workload surveys and patient outcomes to determine the success of the interventions. DIEP flap surgical durations were reduced by 25% on average (M=12.9 hours, SD=5.7 to M=9.7 hours, SD=1.4). When cases lasted longer than 9 hours, surgeons reported 31% more physical demand and 78% more fatigue than cases that were 9 hours or less. Survey results linked positive team characteristics to reduced frustrations and distractions.
UR - https://www.scopus.com/pages/publications/85171294913
UR - https://www.scopus.com/inward/citedby.url?scp=85171294913&partnerID=8YFLogxK
U2 - 10.1177/1071181320641147
DO - 10.1177/1071181320641147
M3 - Conference article
AN - SCOPUS:85171294913
SN - 1071-1813
VL - 64
SP - 646
EP - 650
JO - Proceedings of the Human Factors and Ergonomics Society
JF - Proceedings of the Human Factors and Ergonomics Society
IS - 1
T2 - 64th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2020
Y2 - 5 October 2020 through 9 October 2020
ER -