To examine the effect of modular surgical supply kits on operational efficiency and nursing standards, particularly in the context of preoperative preparation for thyroid surgery.
Key Findings:
Preoperative preparation duration was significantly shorter in the experimental group (24 ± 4 min vs. 30 ± 5 min; P < 0.01).
Omission rate was lower in the experimental group (0% vs. 2%; P = 0.04), but not significant after correction (adjusted P = 0.24).
Nurse satisfaction was higher in the experimental group (92.1 ± 3.4 vs. 75.8 ± 4.2; P < 0.01).
Surgeon satisfaction was also higher in the experimental group (86.5 ± 3.1 vs. 71.2 ± 4.5; P < 0.01).
Operating room turnover time was reduced by 20% (12 ± 2 min vs. 15 ± 3 min; P = 0.01), but not significant after correction (adjusted P = 0.06).
Intraoperative supplemental item requests decreased by 75% (0.3 ± 0.1 vs. 1.2 ± 0.3; P < 0.01; adjusted P < 0.0083).
The proportion of returned unused consumables was lower in the experimental group (5% vs. 15%; P < 0.01; adjusted P < 0.0083).
Interpretation:
Modular surgical supply kits enhance preoperative workflow for thyroid procedures, improving efficiency, reducing waste, and potentially impacting clinical practice positively.
Limitations:
Patient-level randomization may lead to contamination.
Lack of blinding for certain outcomes.
Absence of trial registration.
Potential biases or confounding factors not addressed.
Conclusion:
Results indicate that modular surgical supply kits can improve preoperative efficiency in thyroid surgery, but further validation in a cluster-randomized trial is necessary to confirm these findings.
Researchers evaluated perioperative and postdischarge factors associated with opioid refill prescriptions during the first 90 days after inpatient otolaryngology–head and neck surgery.
