Retrospective Analysis of the Time Elements for Different Workflow Scenarios During Femtosecond Laser-assisted Cataract Surgery (FLACS) From the Surgeon, Staff, and Patient Perspectives.

Cataracts are the most common cause of preventable visual impairment. In the United States, the number of people with cataracts is forecasted to double from 24.4 million to about 50 million by the year 20501. By age 80, half of all Americans have a cataract. Recent and ongoing reductions in reimbursement for cataract surgery have fueled an increased need to drive innovation in ways to be more financially efficient. Simultaneously, new technology in the field, especially as it relates to use of the femtosecond laser for portions of lens surgery, can increase challenges in creating an efficient and cost-effective structure for providing care2.

Understanding operating room workflows is crucial for cataract surgeons, as it allows them to improve efficiency, achieve time savings, and realize significant cost savings. By optimizing workflows, surgeons can streamline processes, reduce delays, and expedite surgical procedures, leading to shorter wait times for patients. Moreover, efficient resource utilization, including surgical instruments and equipment, minimizes waste and reduces unnecessary expenses. This not only enhances surgeon, staff, and patient safety and satisfaction but also maximizes the utilization of operating room facilities, ultimately resulting in cost-effective care delivery3,4.

The introduction of femtosecond laser technology in cataract surgery offers promising advancements and precision in lens procedures. However, integrating this technology into existing workflows presents challenges in creating an efficient and cost-effective care structure. The incorporation of femtosecond laser requires careful evaluation and optimization of workflows to accommodate the added steps and equipment. By understanding the specific requirements and sequencing of tasks, surgeons can identify potential bottlenecks and implement changes that enhance efficiency and minimize disruption in the surgical process. Additionally, evaluating the cost-effectiveness of femtosecond laser usage, considering factors such as equipment costs, maintenance, and potential savings in overall patient care, is crucial for informed decision-making5-8.

Efficiency and cost-effectiveness are essential considerations in cataract surgery, given the increasing prevalence of cataracts and reductions in reimbursement rates. Understanding operating room workflows allows cataract surgeons to optimize processes, reduce delays, and achieve significant cost savings. Moreover, the integration of femtosecond laser technology in lens surgery necessitates careful evaluation and adaptation of workflows to ensure efficient utilization and seamless integration. By prioritizing efficiency, time savings, and cost reduction through workflow optimization and the adoption of innovative technologies, cataract surgeons can provide optimal patient care while addressing the challenges posed by evolving healthcare demands and financial constraints.

The objective of this study is to identify workflows that enhance surgical efficiency and enhance satisfaction among patients, surgeons, and staff by closely monitoring the timing and movements of patients, staff, and surgeons throughout their surgical journey. By analyzing the collected data, workflow efficiencies and best practices to optimize the surgical process can be identified.