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Operating theatre operations · Case plans with standard sets

AI System for Checking Operating Theatre Material Readiness

We design a system that compares the approved list with stock and sterilisation records without selecting a surgical method or materials. The workflow checks the case plan, approved list, stock, sterilisation and alternative-set records against their sources, then prepares a readiness check report. No record or operational process changes until the operating theatre lead nurse and clinical team have completed their review.

Representative theatre operations panel with a work queue, checks and an audit trail: case set readiness review queue
Case set readiness review queue Representative interface — contains no real data. Case and personal data are anonymised. This panel does not decide diagnosis, treatment or surgical method.

The problem

In day-to-day operations, missing preparation may only be noticed shortly before the scheduled case. When the case plan, approved list, stock, sterilisation and alternative-set records are scattered across different screens, documents or team records, problems do not become visible in time.

Fragmented data delays preparation of the readiness check report and forces staff to search manually for supporting evidence again. Before making a decision, the operating theatre lead nurse and clinical team have to complete missing fields and verify inconsistencies one by one.

A common exception is that a different set approved by the clinician may be used for the case. Incomplete or incorrect automation that overlooks this context could flag a suitable set as incomplete or treat an incomplete set as ready, so the output cannot be applied directly.

What we set out to improve

  • Number of confirmed missing-material alerts
  • Rate of outputs corrected or rejected by the operating theatre lead nurse and clinical team
  • Time between the source record and the review output

How the system works

  1. 01 Define the scope of the review and the authorised operating theatre lead nurse and clinical team roles
  2. 02 Collect the inputs: case plan, approved list, stock, sterilisation and alternative-set records
  3. 03 Check source identity, date, version and data freshness
  4. 04 Select the current approved list
  5. 05 Check stock, batch and sterilisation records
  6. 06 Check the exception: a different set approved by the clinician may be used for the case
  7. 07 Place low-confidence or inconsistent records in a separate human review queue
  8. 08 Write the source identity, rule, output and time to the audit trail
  9. 09 Have the operating theatre lead nurse and clinical team approve, correct, defer or reject the output

Methods we used

  • Matching against the approved checklist
  • Source, format, version and required-field checks for the case plan, approved list, stock, sterilisation and alternative-set records
  • A missing-data warning instead of an estimate when inputs are missing or inconsistent
  • Checking exceptions separately from the main rule
  • Storing the source identity, rule result, readiness check report and human decision together

Where people stay involved

The system stops after preparing the readiness check report. The operating theatre lead nurse and clinical team review the sources and the exception, then approve, correct or reject the output. Direct application is disabled because it could flag a suitable set as incomplete or treat an incomplete set as ready; the system does not replace specialist judgement.

Data and security

Access to the case plan, approved list, stock, sterilisation and alternative-set records is limited to the minimum permissions required for each role. Identifiers and sensitive fields are masked where possible, and only the necessary section is sent to the model rather than the entire raw file. Access, outputs and decisions by the operating theatre lead nurse and clinical team are recorded; the system does not enter production until the organisation has approved the retention period and data location.

Who this suits

A good fit

  • Organisations with digital case and stock records

Not a good fit

  • Organisations expecting clinical material selection

Frequently asked questions

Which inputs are used?

The system uses the case plan, approved list, stock, sterilisation and alternative-set records. If a required field is unavailable, it does not produce a definitive result and presents the missing source for review by the operating theatre lead nurse and clinical team.

At what point does a person make the decision?

The workflow stops when the readiness check report is ready and waits for approval from the operating theatre lead nurse and clinical team. The specialists may correct, defer or reject the output and record their reasons.

Can the output be audited?

The system is designed to store the source identity, applied rule, exception, output and human decision together. This makes it possible to review later how the source data led to a particular recommendation.

Project led by:DijitalPi

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