Operating Room (OR) utilization in our hospital – Can it be improved?
EAES Academy. Salama M. 07/05/22; 363102; P147
Mr. Mohamed Salama
Contributions
Contributions
Abstract
Introduction:
Healthcare systems are facing a difficult period characterised by increasing costs and spending cuts due to economic problems. ORs are a costly component of the hospital budget expenditure. They require maximum utilisation to ensure optimum cost benefit. We intend to render the OR process efficient and safe. We focus on the OR due to an urgent need to deliver high quality care with limited resources. Delay in patients’ transportation to the OR is a globally recognised phenomenon leading to subsequent delays.
Aims:
To evaluate reasons for delay in transporting patient to OR and how to eliminate them
Methods:
Retrospective study of general surgical emergency cases collected over 6 weeks.
Data collected: Date, Time (normal working days, out of hours)
Arrival time: Time from calling the patient to OR arrival.
Anaesthetic time: Time between sign-in and skin incision.
Recovery time: Time spent in the recovery room.
If the arrival time is more than 30mins, the reasons for delay were recorded.
Results:
Total number – 101, Documentation not complete – 34 (33.7%)
Average arrival time: 21.4 mins, Average anaesthetic time: 21.1 mins, Average recovery time: 56.3 mins.
Recovery times:
Daytime: 56.25 mins, Night-time: 56.53 mins, Weekends: 48.18 mins
Laparoscopic appendectomy: 49.5 mins, Laparoscopic Cholecystectomy: 72.5 mins.
7 cases bypassed the recovery room directly to the ward.
5 patients had delayed transportation from the ward to the theatre of more than 40 mins (1 patient in ED, 1 Paediatric patient needing pre-med, 1 checklist not signed, 1 porter not available, 1 anaesthetic machine fault).
During the study period, there were no theatre porters available between 20:00 and 21:00.
Conclusions:
The time interval of OR time utilization for most general surgical emergency cases ranged within acceptable limits being comparable to the time estimates of published operating lists. The documentation in our theatre list was sub-optimal. Due to delayed transportation of some cases, special emphasis towards improvement of OR time should be paid. We believe there is room for improvement.
Healthcare systems are facing a difficult period characterised by increasing costs and spending cuts due to economic problems. ORs are a costly component of the hospital budget expenditure. They require maximum utilisation to ensure optimum cost benefit. We intend to render the OR process efficient and safe. We focus on the OR due to an urgent need to deliver high quality care with limited resources. Delay in patients’ transportation to the OR is a globally recognised phenomenon leading to subsequent delays.
Aims:
To evaluate reasons for delay in transporting patient to OR and how to eliminate them
Methods:
Retrospective study of general surgical emergency cases collected over 6 weeks.
Data collected: Date, Time (normal working days, out of hours)
Arrival time: Time from calling the patient to OR arrival.
Anaesthetic time: Time between sign-in and skin incision.
Recovery time: Time spent in the recovery room.
If the arrival time is more than 30mins, the reasons for delay were recorded.
Results:
Total number – 101, Documentation not complete – 34 (33.7%)
Average arrival time: 21.4 mins, Average anaesthetic time: 21.1 mins, Average recovery time: 56.3 mins.
Recovery times:
Daytime: 56.25 mins, Night-time: 56.53 mins, Weekends: 48.18 mins
Laparoscopic appendectomy: 49.5 mins, Laparoscopic Cholecystectomy: 72.5 mins.
7 cases bypassed the recovery room directly to the ward.
5 patients had delayed transportation from the ward to the theatre of more than 40 mins (1 patient in ED, 1 Paediatric patient needing pre-med, 1 checklist not signed, 1 porter not available, 1 anaesthetic machine fault).
During the study period, there were no theatre porters available between 20:00 and 21:00.
Conclusions:
The time interval of OR time utilization for most general surgical emergency cases ranged within acceptable limits being comparable to the time estimates of published operating lists. The documentation in our theatre list was sub-optimal. Due to delayed transportation of some cases, special emphasis towards improvement of OR time should be paid. We believe there is room for improvement.
Introduction:
Healthcare systems are facing a difficult period characterised by increasing costs and spending cuts due to economic problems. ORs are a costly component of the hospital budget expenditure. They require maximum utilisation to ensure optimum cost benefit. We intend to render the OR process efficient and safe. We focus on the OR due to an urgent need to deliver high quality care with limited resources. Delay in patients’ transportation to the OR is a globally recognised phenomenon leading to subsequent delays.
Aims:
To evaluate reasons for delay in transporting patient to OR and how to eliminate them
Methods:
Retrospective study of general surgical emergency cases collected over 6 weeks.
Data collected: Date, Time (normal working days, out of hours)
Arrival time: Time from calling the patient to OR arrival.
Anaesthetic time: Time between sign-in and skin incision.
Recovery time: Time spent in the recovery room.
If the arrival time is more than 30mins, the reasons for delay were recorded.
Results:
Total number – 101, Documentation not complete – 34 (33.7%)
Average arrival time: 21.4 mins, Average anaesthetic time: 21.1 mins, Average recovery time: 56.3 mins.
Recovery times:
Daytime: 56.25 mins, Night-time: 56.53 mins, Weekends: 48.18 mins
Laparoscopic appendectomy: 49.5 mins, Laparoscopic Cholecystectomy: 72.5 mins.
7 cases bypassed the recovery room directly to the ward.
5 patients had delayed transportation from the ward to the theatre of more than 40 mins (1 patient in ED, 1 Paediatric patient needing pre-med, 1 checklist not signed, 1 porter not available, 1 anaesthetic machine fault).
During the study period, there were no theatre porters available between 20:00 and 21:00.
Conclusions:
The time interval of OR time utilization for most general surgical emergency cases ranged within acceptable limits being comparable to the time estimates of published operating lists. The documentation in our theatre list was sub-optimal. Due to delayed transportation of some cases, special emphasis towards improvement of OR time should be paid. We believe there is room for improvement.
Healthcare systems are facing a difficult period characterised by increasing costs and spending cuts due to economic problems. ORs are a costly component of the hospital budget expenditure. They require maximum utilisation to ensure optimum cost benefit. We intend to render the OR process efficient and safe. We focus on the OR due to an urgent need to deliver high quality care with limited resources. Delay in patients’ transportation to the OR is a globally recognised phenomenon leading to subsequent delays.
Aims:
To evaluate reasons for delay in transporting patient to OR and how to eliminate them
Methods:
Retrospective study of general surgical emergency cases collected over 6 weeks.
Data collected: Date, Time (normal working days, out of hours)
Arrival time: Time from calling the patient to OR arrival.
Anaesthetic time: Time between sign-in and skin incision.
Recovery time: Time spent in the recovery room.
If the arrival time is more than 30mins, the reasons for delay were recorded.
Results:
Total number – 101, Documentation not complete – 34 (33.7%)
Average arrival time: 21.4 mins, Average anaesthetic time: 21.1 mins, Average recovery time: 56.3 mins.
Recovery times:
Daytime: 56.25 mins, Night-time: 56.53 mins, Weekends: 48.18 mins
Laparoscopic appendectomy: 49.5 mins, Laparoscopic Cholecystectomy: 72.5 mins.
7 cases bypassed the recovery room directly to the ward.
5 patients had delayed transportation from the ward to the theatre of more than 40 mins (1 patient in ED, 1 Paediatric patient needing pre-med, 1 checklist not signed, 1 porter not available, 1 anaesthetic machine fault).
During the study period, there were no theatre porters available between 20:00 and 21:00.
Conclusions:
The time interval of OR time utilization for most general surgical emergency cases ranged within acceptable limits being comparable to the time estimates of published operating lists. The documentation in our theatre list was sub-optimal. Due to delayed transportation of some cases, special emphasis towards improvement of OR time should be paid. We believe there is room for improvement.
{{ help_message }}
{{filter}}