title: The impact of a preloaded intraocular lens delivery system on operating room efficiency in routine cataract surgery.
abstract: OBJECTIVE
  The aim of this study was to evaluate the operational impact of using preloaded intraocular lens (IOL) delivery systems compared with manually loaded IOL delivery processes during routine cataract surgeries.
  
  
  METHODS
  Time and motion data, staff and surgery schedules, and cost accounting reports were collected across three sites located in the US, France, and Canada. Time and motion data were collected for manually loaded IOL processes and preloaded IOL delivery systems over four surgery days. Staff and surgery schedules and cost accounting reports were collected during the 2 months prior and after introduction of the preloaded IOL delivery system.
  
  
  RESULTS
  The study included a total of 154 routine cataract surgeries across all three sites. Of these, 77 surgeries were performed using a preloaded IOL delivery system, and the remaining 77 surgeries were performed using a manual IOL delivery process. Across all three sites, use of the preloaded IOL delivery system significantly decreased mean total case time by 6.2%-12.0% (P<0.001 for data from Canada and the US and P<0.05 for data from France). Use of the preloaded delivery system also decreased surgeon lens time, surgeon delays, and eliminated lens touches during IOL preparation.
  
  
  CONCLUSIONS
  Compared to a manual IOL delivery process, use of a preloaded IOL delivery system for cataract surgery reduced total case time, total surgeon lens time, surgeon delays, and eliminated IOL touches. The time savings provided by the preloaded IOL delivery system provide an opportunity for sites to improve routine cataract surgery throughput without impacting surgeon or staff capacity.
authors.affiliation: Jones Eye Clinic, Sioux City, IA, USA.
authors.forename: Jason J
authors.initials: JJ
authors.lastname: Jones
authors.affiliation: Quorum Consulting Inc., San Francisco, CA, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Chu
authors.affiliation: Quorum Consulting Inc., San Francisco, CA, USA.
authors.forename: Jacob
authors.initials: J
authors.lastname: Graham
authors.affiliation: VISIS, Perpignan, France.
authors.forename: Serge
authors.initials: S
authors.lastname: Zaluski
authors.affiliation: Ocular Microsurgery & Laser Centre, Brandon, MB, Canada.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Rocha
keywords: IOL; provider impact; surgical throughput; time and motion