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DTSTAMP:20251016T135149Z
LOCATION:Riverside East
DTSTART;TZID=America/Chicago:20251014T173000
DTEND;TZID=America/Chicago:20251014T183000
UID:HFESAM_ASPIRE 2025_sess131_POST359@linklings.com
SUMMARY:Using Broken Windows Theory to Examine Flow Disruptions in Surgica
 l Care: A Multispecialty Comparison
DESCRIPTION:Asfand Khan (Embry-Riddle Aeronautical University, AdventHealt
 h)\n\nIntroduction: Minimally invasive innovations enhance procedural tech
 nology. However, healthcare quality demands addressing mental and physical
  workloads. This study analyzes flow disruptions uncovering specialty-spec
 ific patterns and systemic weaknesses, to enhance quality, processes, and 
 patient safety.\nMethods: 25 cardiovascular, 40 orthopedic, 65 trauma care
 , and 30 neurosurgical cases were examined. The data were categorized usin
 g human factor taxonomy, and descriptive statistics were applied.\nResults
 : Comparing the four specialties using RIPCORD TWA taxonomy, cardiovascula
 r and trauma care were translated into one disruption every 2.2 minutes, f
 ollowed by neurosurgery with one disruption every 2.7 minutes and orthoped
 ics with one disruption every 3.7 minutes. Interruptions were the highest 
 percentage for cardiovascular and orthopedics, with 54% and 46% of flow di
 sruptions. Trauma care was heavily affected by communication flow disrupti
 on with 33%. Layout and coordination issues accumulate 26% of flow disrupt
 ions in neurosurgery.\nConclusions: Cardiovascular, orthopedics, trauma ca
 re, and neurosurgery each feature distinct workflows, risks, and teamwork 
 dynamics, demanding tailored process improvements. By analyzing flow disru
 ptions and systemic weaknesses, this study highlights patterns unique to e
 ach specialty, advocating for tailored interventions to enhance communicat
 ion, coordination, layout optimization, and equipment usability for improv
 ed surgical safety and quality.\nKeywords: quality, process, patient safet
 y, human factors, flow disruptions\n\n
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