BACKGROUND: The Massachusetts General Hospital (MGH) Operating Room of the Future (ORF) project is a test site for evaluating new surgical technologies and processes. Here we evaluate the effect on staff satisfaction and burnout of introducing a set of new technologies. METHODS: Staff satisfaction and burnout were measured via sequential surveys based on the Maslach Burnout Inventory during the introduction of a new technology system. Functional behavior of the OR was measured in terms of flow time (time to transit the OR) and wait time (time to access the OR). These data were gathered using time-motion analysis methods. RESULTS: Significant functional improvements were found in the ORF (more than 35% reduction in flow time and wait time, P < .05). During the same period, more exposure to the ORF resulted in greater sense of personal accomplishment among surgeons, a worse sense of personal accomplishment among nurses, more emotional exhaustion among surgeons, and less emotional exhaustion among nurses. However, the responses for emotional exhaustion were reversed the greater the time from exposure to the ORF. Staff with 6 to 10 years' experience were at highest risk for burnout across all categories. General surgeons experienced more emotional exhaustion than other physicians. CONCLUSIONS: Tracking the response of all users and identifying groups at high risk for burnout when exposed to new systems should be a central part of any new technology project.
BACKGROUND: The Massachusetts General Hospital (MGH) Operating Room of the Future (ORF) project is a test site for evaluating new surgical technologies and processes. Here we evaluate the effect on staff satisfaction and burnout of introducing a set of new technologies. METHODS: Staff satisfaction and burnout were measured via sequential surveys based on the Maslach Burnout Inventory during the introduction of a new technology system. Functional behavior of the OR was measured in terms of flow time (time to transit the OR) and wait time (time to access the OR). These data were gathered using time-motion analysis methods. RESULTS: Significant functional improvements were found in the ORF (more than 35% reduction in flow time and wait time, P < .05). During the same period, more exposure to the ORF resulted in greater sense of personal accomplishment among surgeons, a worse sense of personal accomplishment among nurses, more emotional exhaustion among surgeons, and less emotional exhaustion among nurses. However, the responses for emotional exhaustion were reversed the greater the time from exposure to the ORF. Staff with 6 to 10 years' experience were at highest risk for burnout across all categories. General surgeons experienced more emotional exhaustion than other physicians. CONCLUSIONS: Tracking the response of all users and identifying groups at high risk for burnout when exposed to new systems should be a central part of any new technology project.
Authors: Matthew M Hutter; Katherine C Kellogg; Charles M Ferguson; William M Abbott; Andrew L Warshaw Journal: Ann Surg Date: 2006-06 Impact factor: 12.969
Authors: Gen Li; Chelsie J K Dietz; Robert E Freundlich; Matthew S Shotwell; Jonathan P Wanderer Journal: J Med Syst Date: 2020-08-21 Impact factor: 4.460
Authors: Lena Maier-Hein; Matthias Eisenmann; Duygu Sarikaya; Keno März; Toby Collins; Anand Malpani; Johannes Fallert; Hubertus Feussner; Stamatia Giannarou; Pietro Mascagni; Hirenkumar Nakawala; Adrian Park; Carla Pugh; Danail Stoyanov; Swaroop S Vedula; Kevin Cleary; Gabor Fichtinger; Germain Forestier; Bernard Gibaud; Teodor Grantcharov; Makoto Hashizume; Doreen Heckmann-Nötzel; Hannes G Kenngott; Ron Kikinis; Lars Mündermann; Nassir Navab; Sinan Onogur; Tobias Roß; Raphael Sznitman; Russell H Taylor; Minu D Tizabi; Martin Wagner; Gregory D Hager; Thomas Neumuth; Nicolas Padoy; Justin Collins; Ines Gockel; Jan Goedeke; Daniel A Hashimoto; Luc Joyeux; Kyle Lam; Daniel R Leff; Amin Madani; Hani J Marcus; Ozanan Meireles; Alexander Seitel; Dogu Teber; Frank Ückert; Beat P Müller-Stich; Pierre Jannin; Stefanie Speidel Journal: Med Image Anal Date: 2021-11-18 Impact factor: 13.828