Improving Operating Room Efficiency, Part 1: General Managerial and Preoperative Strategies

Healey, Travis L.; El-Othmani, Mouhanad M.; Healey, Jessica; Peterson, Todd C.; Saleh, Khaled J.

doi:10.2106/jbjs.rvw.n.00109

Cited by 17 publications

(12 citation statements)

References 78 publications

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“…In this study, gender was not significantly correlated with general and specialized knowledge and also with general and specialized skills, which is consistent with the results obtained by Karimi-Moonghi et al .,[ 31 ] Healey et al .,[ 32 ] and Faraji et al . [ 15 ] Nevertheless, in a study on master intensive care nursing students, female nurses enjoyed higher clinical competence than male ones in all items (e.g.…”

Section: Discussionmentioning

confidence: 99%

Competency assessment of the operating room staff and some related factors: A multi-center cross-sectional study

Cheraqpur

Aarabi

Bahrami

et al. 2022

Iranian J Nursing Midwifery Res

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Section: Discussionmentioning

confidence: 99%

Competency assessment of the operating room staff and some related factors: A multi-center cross-sectional study

Cheraqpur

Aarabi

Bahrami

et al. 2022

Iranian J Nursing Midwifery Res

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“…Sykehus organiseres og driftes ulikt (Halim, Khan & Ali, 2018). Selv om ikke all kunnskap fra forskning på forsinkelser har direkte overføringsverdi til eget sykehus, kan det vaere mye å hente fra andre studier, ikke minst kunnskap om effektiv drift av operasjonsenheter og hva en kan gjøre for å redusere forsinkelser (Healey et al, 2015a;Healey, El-Othmani, Healey, Peterson & Saleh, 2015b;Charlesworth & Pandit, 2020). En åpenbar årsak til forsinkelser ved elektive inngrep er at akutte operasjoner må prioriteres.…”

Section: Hva Var De Egentlige åRsaker Til Forsinkelser Ved Elektive Operasjonerunclassified

Årsaker til forsinkelser ved elektive operasjoner

2021

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Forsinkelser og strykninger under elektive operasjoner hindrer optimal drift og kan være en påkjenning for pasienter. Målet med studien var å identifisere og beskrive de faktiske årsaker til forsinkelser ved elektive operasjoner, samt omfang, varighet og andre kjennetegn ved slike forsinkelser. Studien har et flermetodisk prospektivt studiedesign. I en periode på to måneder ble alle elektronisk registrerte forsinkelser fulgt opp med strukturerte intervju. I løpet av studieperioden ble halvparten av elektive operasjoner registrert med en eller flere forsinkelser (N = 402). Informantene anga 60 ulike rotårsaker som en forklaring på forsinkelsene. I 72% av alle forsinkelser var årsaken knyttet til organisering/administrering av operasjonsplanleggingen. Forsinkelser ved elektive operasjoner skyldes i stor grad utilstrekkelig planlegging og organisering. Mer presis planlegging, informasjonsutveksling og forbedret dataverktøy kan redusere forsinkelser ved elektive operasjoner. Causes of delays in elective surgery: A prospective study Abstract Delays and cancellations in elective surgery prevent optimal services and can be stressful for patients. This study aimed to identify and describe the actual causes of delays in elective surgery, and the extent, duration and other characteristics of these delays. The study has a multi-method prospective study design. For two months, all electronically recorded delays in a Norwegian hospital were followed up with structured interviews to identify their true causes. Half of the elective surgeries recorded had one or more delays (N = 402). The delays had 60 different root causes; using qualitative content analysis, these were interpreted into 13 subcategories and four main categories, namely patient-related (17%), staff-related (10%), related to surgical ward/equipment (2%) or organizational (71%). Most delays were due to poor planning and organization of surgery. The study indicates that more precise planning, better information exchange and an improved electronic tool can reduce delays in elective surgery.

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“…Surgical procedures are an essential service in any health care system, accounting for nearly 60% of hospital revenue 2 . Inefficiencies in the operating room (OR) delay the delivery of patient care, can affect patient outcomes, and present a substantial cost burden to the health system.…”

Section: Introductionmentioning

confidence: 99%

Patient and personnel factors affect operating room start times

Meneveau

Mehaffey

Turrentine

et al. 2020

Surgery

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Objectives: Perioperative efficiency has been studied, though little is known about patient and personnel factors associated with a timely operating room (OR) start. We hypothesize that patient, personnel factors, and induction order decisions are associated with anesthesia induction time.Methods: An institutional database was used to identify the anesthesia induction time of adults undergoing first start, elective operations from January 2014 to May 2017 at an academic quaternary care center. Data included patient demographics, the gender of the surgeon and anesthesiologist as well as their seniority (years since initial board certification), Certified Registered Nurse Anesthetist (CRNA) versus anesthesia resident staffing, and use of neuraxial anesthesia. Times were measured as minutes from scheduled start to induction. Univariate and multivariate analyses were performed to identify factors associated with induction time. Results:We identified 15,823 cases. Predictors of later induction included add-on cases (1,224 cases were add-on's, 7.73%), ASA≥ 3, neuraxial anesthesia, and CRNA staffing. Surgeon seniority but not gender affected induction time. In 11,093 (70.1%) of cases, the anesthesiologist was scheduled for multiple first starts with a choice of which patient to induce first. Surgeon gender was predictive of induction order, with the cases of male surgeons were induced somewhat first more frequently than female surgeons' (47.0% vs 44.1%; p=0.02). Cases staffed by anesthesiology residents were more likely to be induced first compared to those staffed by CRNAs (52.1% vs 41.5%, p<0.01). Conclusions:Patient and personnel factors affect the order of case induction, but induction time is most dependent on patient factors. Hospitals should focus on improving preparedness and limiting bias to create a more equitable and efficient perioperative process.

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Improving Operating Room Efficiency, Part 1: General Managerial and Preoperative Strategies

Cited by 17 publications

References 78 publications

Competency assessment of the operating room staff and some related factors: A multi-center cross-sectional study

Competency assessment of the operating room staff and some related factors: A multi-center cross-sectional study

Årsaker til forsinkelser ved elektive operasjoner

Patient and personnel factors affect operating room start times

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