{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T15:11:09Z","timestamp":1775747469153,"version":"3.50.1"},"reference-count":0,"publisher":"RCVS Knowledge","issue":"2","license":[{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VE"],"abstract":"<jats:p>Aims and objectives:\u00a0The aim of this clinical audit was to reduce nonoperative anaesthesia time from 131 minutes to 102 minutes while maintaining surgical site infection rates below 10% for canine tibial plateau osteotomy procedures. Data collected from anaesthesia records and electronic medical records provided the data to measure these aims.\nBackground:\u00a0Increased anaesthesia time increases the risk for perianaesthetic complications including surgical site infections. Through anaesthesia record analysis we recognised that nonoperative anaesthesia time was a variable that could be targeted for improvement. Nonoperative anaesthesia time is defined as total anaesthetic time minus surgical time.\nMethods:\u00a0Review of 40 total anaesthetic records (24 initial audit, 16 re-audit) and electronic medical records provided the data we recorded to determine anaesthesia time information and surgical site infection information. Manual audits were conducted to create a value stream map and nonoperative anaesthesia times were analysed for special cause variation utilising statistical process control.\nResults:\u00a0Nonoperative anaesthesia time was 131 minutes, roughly half of total anaesthesia time (270 minutes), while surgical site infection rate was 8.3%.\nImplementation of changes (team discussion &amp; changes made):\u00a0A new communication protocol was trialed between anaesthesia and surgical teams.\nRe-audit:\u00a0The same procedure and analysis were used for the initial audit and re-audit. During the re-audit nonoperative anesthesia time was reduced to 109 minutes and surgical site infection rate was 6.3%.\nApplication:\u00a0The communication protocol trialed during the re-audit is still in practice. This audit can be applied to other practices looking to better analyse their anaesthetic time variables and to re-evaluate communication procedures for better patient outcomes.<\/jats:p>","DOI":"10.18849\/ve.v10i2.706","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T09:31:50Z","timestamp":1745400710000},"source":"Crossref","is-referenced-by-count":1,"title":["Clinical audit of nonoperative anaesthesia time and surgical site infections of canine tibial plateau osteotomy procedures"],"prefix":"10.18849","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0928-8774","authenticated-orcid":false,"given":"Amy","family":"Mann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7727-7647","authenticated-orcid":false,"given":"Ciara","family":"Barr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8083","published-online":{"date-parts":[[2025,4,23]]},"container-title":["Veterinary Evidence"],"original-title":[],"link":[{"URL":"https:\/\/veterinaryevidence.org\/index.php\/ve\/article\/download\/706\/1081","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/veterinaryevidence.org\/index.php\/ve\/article\/download\/706\/1081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T09:31:50Z","timestamp":1745400710000},"score":1,"resource":{"primary":{"URL":"https:\/\/veterinaryevidence.org\/index.php\/ve\/article\/view\/706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,23]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,4,23]]}},"URL":"https:\/\/doi.org\/10.18849\/ve.v10i2.706","relation":{},"ISSN":["2396-9776"],"issn-type":[{"value":"2396-9776","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,23]]}}}