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Tackling Productivity Challenges in Perioperative and SPD: Insights from Brian Dawson

This piece explores productivity challenges facing perioperative services and sterile processing departments (SPD), featuring insights from Brian Dawson. It highlights the critical tradeoffs healthcare operations leaders must navigate between operating room efficiency and patient safety. Strategic solutions — including technology and workflow improvements — are presented as key levers for improvement.

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By Michelle Dawn Mooney · Brian DawsonCensisCommConcensis Podcast
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Key takeaways

01

OR efficiency and patient safety are competing priorities that require deliberate operational tradeoffs.

02

Sterile processing departments face unique productivity pressures that directly impact surgical throughput.

03

Technology-driven solutions and process standardization are central strategies for overcoming SPD and perioperative challenges.

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The healthcare sector suffered a major setback due to the COVID-19 pandemic. Providing high-quality services to patients is a priority. However, for healthcare facilities to run properly, managers and directors must make operational and strategic decisions, especially in the perioperative setting. Efficient operating room (OR) management involves maintaining equilibrium between optimal OR capacity, allocation of ORs to surgeons, assignment of staff, ordering of materials, and reliable scheduling while giving the highest priority to patient safety.

But what are the challenges in SPD Management and ensuring high-quality perioperative services?

On a recent episode of the ConCensis Podcast, host Michelle Mooney sat down with Brian Dawson, the System VP of Perioperative Services for CommonSpirit Health, to discuss the challenges in measuring productivity in the perioperative setting and SPD. Measuring productivity in the OR is totally different from the sterile processing department. AAMI, one of the SPD governing bodies, has developed a chart indicating the average time required to perform various tasks. Tasks are categorized into four levels.

With this information, Censis can monitor the tasks done in SPD to determine the number of staff required based on workload.

"Most facilities like CommonSpirit Health measure OR productivity through minutes of service- how many minutes do patients spend in the OR and how many people are required to care for them," Dawson said. "Then, based on that, we can look at how many minutes were used in the OR and how many staff were required, and then we can determine if it is balanced, over, or under productivity. The big picture is to have a comprehensive data sharing which allows for proper assignment, division, and staff utilization."

The big picture is to have a comprehensive data sharing which allows for proper assignment, division, and staff utilization.
— Brian Dawson, System VP of Perioperative Services at CommonSpirit Health

Final words to other healthcare facilities that need a tool to measure productivity: find one that suits your procedural area so you can capitalize on the asset you have to generate revenue.

Brian Dawson, the System VP of Perioperative Services at CommonSpirit Health, holds a Bachelor of Science-Nursing degree from American University and a Master's of Science-Nursing and Health Care Administration degree from Old Dominion University. With over 28 years of nursing experience, his insights offer valuable guidance for healthcare professionals navigating the complexities of perioperative and SPD management.

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Surgical instrument management software for over 1,300 U.S. hospitals.

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About the author

MD

Michelle Dawn Mooney is a media professional and host known for her work in broadcast journalism and B2B content.

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About the Experts

MD
Michelle Dawn Mooney

Host / Healthcare Media Correspondent

Michelle Dawn Mooney is a healthcare media host and correspondent who conducts interviews and produces content focused on clinical operations, technology, and patient care. She regularly collaborates with healthcare companies to communicate industry insights to broader professional audiences. Her work spans podcasts, video content, and written features across the health sector.

BD
Brian Dawson

Healthcare Operations / Perioperative and SPD Expert

Censis

Brian Dawson is a subject matter expert in perioperative services and sterile processing department (SPD) operations. He focuses on productivity challenges, workflow optimization, and the intersection of OR efficiency and patient safety. He contributes strategic insights to help healthcare facilities improve instrument tracking and departmental performance.

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