Role redesign in perioperative settings.

Perioperative services team members at Presbyterian Hospital of Dallas employed a methodical redesign process to redefine team members' relationships and revise roles to be patient focused. One outcome of this redesign process was the creation of multiskilled worker (ie, unlicensed assistive personnel) roles within self-managed perioperative specialty teams. An initial pilot project using the multiskilled workers in the neurosurgical specialty service resulted in increased physician and perioperative nurse collaboration and efficiency.