Improving Planned Surgical Case Duration Accuracy by Leveraging the EHR and Predictive Modeling

NCT ID: NCT03471377

Last Updated: 2022-03-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

683 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-03-05

Study Completion Date

2022-03-15

Brief Summary

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The investigators are studying the duration it takes surgeons to complete their respective surgical cases. The hospital hopes to improve the overall operating room scheduling accuracy from this project.

Detailed Description

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Conditions

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Operative Time

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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standard scheduling process

Scheduling office assigns start time and room for case and places case on schedule. At this point a default case duration is evaluated by the scheduling office, to see if the value is considered excessively short or excessively long.

standard scheduling process

Intervention Type OTHER

Scheduling office assigns start time and room for case and places case on schedule. At this point a default case duration is evaluated by the scheduling office, to see if the value is considered excessively short or excessively long. Depending on the assessment, the scheduling office will either keep the default value, use the value that the surgeon placed in the notes (if available), or the scheduling office provides their own estimation.

assigned a planned case duration value from predictive model

Predictive model calculates new duration for case at 3AM the day before surgery, and the predictions are made available on a SecureShare-site.

assigned a planned case duration value from predictive model

Intervention Type OTHER

Predictive model calculates new duration for case at 3AM the day before surgery, and the predictions are made available on a SecureShare-site.

Model predictions are then read by scheduling manager sometime between 7am-10am from the SecureShare site, and the scheduling manager will in EPIC/OpTime, overwrite the current estimate with the new duration value that was generated by the predictive model.

Interventions

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standard scheduling process

Scheduling office assigns start time and room for case and places case on schedule. At this point a default case duration is evaluated by the scheduling office, to see if the value is considered excessively short or excessively long. Depending on the assessment, the scheduling office will either keep the default value, use the value that the surgeon placed in the notes (if available), or the scheduling office provides their own estimation.

Intervention Type OTHER

assigned a planned case duration value from predictive model

Predictive model calculates new duration for case at 3AM the day before surgery, and the predictions are made available on a SecureShare-site.

Model predictions are then read by scheduling manager sometime between 7am-10am from the SecureShare site, and the scheduling manager will in EPIC/OpTime, overwrite the current estimate with the new duration value that was generated by the predictive model.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A surgeon or OR staff member in the Department of Surgery Gynecology and Colorectal service

Exclusion Criteria

* Any new surgeon that starts their practice during the study
* Surgery will take place at a location other than the Main hospital or Josie Robertson Surgical Center
* Cases where input data was not available prior to the prediction generation including late add-on cases such as urgent and emergent cases that are placed on the schedule less than 24 hours before the surgery
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christopher Stromblad

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memoral Sloan Kettering Basking Ridge

New York, New York, United States

Site Status

Countries

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United States

References

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Stromblad CT, Baxter-King RG, Meisami A, Yee SJ, Levine MR, Ostrovsky A, Stein D, Iasonos A, Weiser MR, Garcia-Aguilar J, Abu-Rustum NR, Wilson RS. Effect of a Predictive Model on Planned Surgical Duration Accuracy, Patient Wait Time, and Use of Presurgical Resources: A Randomized Clinical Trial. JAMA Surg. 2021 Apr 1;156(4):315-321. doi: 10.1001/jamasurg.2020.6361.

Reference Type DERIVED
PMID: 33502448 (View on PubMed)

Related Links

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http://www.mskcc.org/mskcc/html/44.cfm

Memorial Sloan Kettering Cancer Center

Other Identifiers

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18-115

Identifier Type: -

Identifier Source: org_study_id

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