Evidence map›Paper›PMID 39320701›Full record

ArticleSpine deformity2025

Do teams of strangers create health care dangers? The effect of OR team consistency on operative times in adolescent idiopathic scoliosis.

Ritt R Givens, Melanie Brown, Matan S Malka, Kevin Lu, Thomas M Zervos, Benjamin D Roye, Teeda Pinyavat, John M Flynn, Michael G Vitale

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Article in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ritt R GivensDivision of Pediatric Orthopedic Surgery, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA. rrg2158@cumc.columbia.edu.ORCID http://orcid.org/0009-0005-1641-9855
Melanie BrownDivision of Pediatric Orthopedic Surgery, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Matan S MalkaDivision of Pediatric Orthopedic Surgery, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Kevin LuDivision of Pediatric Orthopedic Surgery, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Thomas M ZervosDivision of Pediatric Orthopedic Surgery, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Benjamin D RoyeDivision of Pediatric Orthopedic Surgery, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Teeda PinyavatDivision of Pediatric Anesthesiology, Department of Anesthesiology, Columbia University Irving Medical Center, New York, NY, USA.
John M FlynnDivision of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Michael G VitaleDivision of Pediatric Orthopedic Surgery, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTeamwork and communication are important components of any surgical team. This study uses a simple, reproducible, and quantitative "team consistency score" and a nodal-based model for examining prior interactions amongst team members to represent and quantify the regularity of an OR team for a specific surgical case.

methodsThe electronic medical record (EMR) at our institution was queried for pediatric patients undergoing spinal surgery from January 2021 through December 2023. The number of prior interactions between individuals filling distinct roles in the OR for each case was recorded. A metric coined the consistency score was developed representing the sum total of these prior interactions standardized to a reference case. Spearman's Correlation as well as the Mann-Whitney comparison test were used to analyze the associations between case team consistency score and efficiency measures.

results154 cases were included for analysis. There was a statistically significant negative correlation between case consistency score and both anesthesia time (rho = -0.159; p < 0.05) and patient preparation time (rho = -0.218; p < 0.01). When looking at the consistent (above median consistency score of 0.46) vs. inconsistent cohorts, the inconsistent cohort had a higher mean patient preparation time (53.3 ± 14.0 min vs. 49.0 ± 9.3 min; p < 0.05), as well as a higher overall mean case length (336.6 ± 47.4 min vs. 321.9 ± 42.4 min; p < 0.05).

conclusionThe findings suggest that increased team consistency, as measured by a "team consistency score" metric, is related to heightened efficiency and reduced intraoperative times.

Indexed as

Operating RoomsOperative TimePatient Care TeamScoliosisAdolescentChildCommunicationElectronic Health RecordsFemaleHumansMaleAdolescent idiopathic scoliosisConsistencyOR efficiencyTeamwork

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.