Description
In this engaging talk, Graham Cheung, a Consultant Hand Surgeon from Liverpool, shares his innovative methods to improve patient care and operating efficiency in the context of significant challenges faced during the COVID-19 pandemic. He begins by humorously addressing his local roots and the impact of lockdowns on surgical waiting lists, particularly in hand surgery, where processes traditionally flowed smoothly. Through a series of anecdotes and insights, Cheung discusses his aspiration to streamline the patient experience for procedures like carpal tunnel surgery, likening it to a straightforward dental visit.
He emphasizes the concept of 'marginal gains' inspired by Sir David Brailsford, advocating for small, incremental improvements that collectively yield substantial benefits. By implementing changes such as relocating hand surgeries from traditional theaters to simpler treatment rooms, Cheung effectively increases capacity without sacrificing quality.
Cheung outlines practical adjustments: reducing unnecessary pre-operative assessments, simplifying check-in procedures, and optimizing surgical instrument trays. He highlights the transition from traditional handwashing to alcohol hand rubs, showcasing not only time efficiency but also better hand care for the surgeons.
Furthermore, he discusses the necessity of convincing various stakeholders—from matrons to anesthetists—about the benefits of his innovative approach, culminating in a redefined surgical pathway that prioritizes patient care while effectively managing hospital resources. Ultimately, Cheung's talk is filled with creative solutions and evidence-backed strategies aimed at enhancing surgical processes and maintaining patient safety, advocating for efficiency and team collaboration in healthcare.