Abstract 112: Systematic Review and Meta Analysis of Complications and Patient Reported Outcomes in Male to Female Vaginoplasty- Where We Are Today

CONCLUSIONS: Variability represents the most significant threat to OR scheduling efficiency. Steps to reduce variability lead to reduction in waste and increase in throughput. By focusing proactively on delays attributed to Patient Modifiable Factors, one source of waste can be eliminated. Future intervention will focus on modifying these factors in the preoperative setting. For example, additional reminders can be built in to the scheduling system to remind patients they will need a ride, be NPO, or to attend their preop Anesthesia appointment. Another intervention could be to require Pre-op Anesthesia appointment the same day as surgery scheduling appointment. Continuing to cull waste in surgical scheduling will result in noticeable gains in making surgical care economically sustainable while enhancing quality.