Who is responsible for operating room management and how do we measure how well we do it?

Marjamaa, Riitta A.; Kirvelä, Olli

doi:10.1111/j.1399-6576.2007.01368.x

Cited by 34 publications

(34 citation statements)

References 17 publications

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“…Nurse managers rarely supervised any other professionals (e.g. physicians) than their own nurses (Marjamaa & Kirvelä, ) and challenges existed when managing other professionals (Martin & Waring, ). Sharing of responsibility between nurse managers and physicians should be clear to everyone (Marjamaa & Kirvelä, ; Martin & Waring, ).…”

Section: Key Issuementioning

confidence: 99%

The nurse manager’s role in perioperative settings: An integrative literature review

et al. 2019

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Aim To describe the nurse manager's role in perioperative settings. Background The nurse manager's role is complex and its content unclear. Research in this area is scarce. We need to better understand what this role is to support the nurse manager's work and decision‐making with information systems. Evaluation An integrative literature review was conducted in May 2018. Databases CINAHL, Cochrane, PubMed and Web of Science were used together with a manual search. The review followed a framework especially designed for integrative reviews. Quality of the literature was analysed with an assessment tool. Nine studies published between 2001 and 2016 were included in the final review. Key issue The findings from the review indicate that the nurse manager's role requires education and experience, and manifests in skills and tasks. A bachelor's degree with perioperative specialisation is the minimum educational requirement for a nurse manager. Conclusion Research lacks a clear description of the nurse manager's role in perioperative settings. However, the role evolves by education. More education provides advanced skills and, thereby, more demanding tasks. Information technology could provide useful support for task management. Implications for Nursing Management These findings can be used to better answer the current and future demands of the nurse manager's work.

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Section: Key Issuementioning

confidence: 99%

The nurse manager’s role in perioperative settings: An integrative literature review

et al. 2019

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“…The operating theatre represents one of the most critical hospital units, both in patient safety and financial terms [12,13]. The team has chosen the topic of operating room management because of an urgent need to deliver high quality care with limited resources and the correct management of operating theaters represents an important step towards achieving this.…”

Section: Introductionmentioning

confidence: 99%

Operating room data management: improving efficiency and safety in a surgical block

et al. 2013

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BackgroundEuropean Healthcare Systems are facing a difficult period characterized by increasing costs and spending cuts due to economic problems. There is the urgent need for new tools which sustain Hospitals decision makers work. This project aimed to develop a data recording system of the surgical process of every patient within the operating theatre. The primary goal was to create a practical and easy data processing tool to give hospital managers, anesthesiologists and surgeons the information basis to increase operating theaters efficiency and patient safety.MethodsThe developed data analysis tool is embedded in an Oracle Business Intelligence Environment, which processes data to simple and understandable performance tachometers and tables. The underlying data analysis is based on scientific literature and the projects teams experience with tracked data. The system login is layered and different users have access to different data outputs depending on their professional needs. The system is divided in the tree profile types Manager, Anesthesiologist and Surgeon. Every profile includes subcategories where operators can access more detailed data analyses. The first data output screen shows general information and guides the user towards more detailed data analysis. The data recording system enabled the registration of 14.675 surgical operations performed from 2009 to 2011.ResultsRaw utilization increased from 44% in 2009 to 52% in 2011. The number of high complexity surgical procedures (≥120 minutes) has increased in certain units while decreased in others. The number of unscheduled procedures performed has been reduced (from 25% in 2009 to 14% in 2011) while maintaining the same percentage of surgical procedures. The number of overtime events decreased in 2010 (23%) and in 2011 (21%) compared to 2009 (28%) and the delays expressed in minutes are almost the same (mean 78 min). The direct link found between the complexity of surgical procedures, the number of unscheduled procedures and overtime show a positive impact of the project on OR management. Despite a consistency in the complexity of procedures (19% in 2009 and 21% in 2011), surgical groups have been successful in reducing the number of unscheduled procedures (from 25% in 2009 to 14% in 2011) and overtime (from 28% in 2009 to 21% in 2011).ConclusionsThe developed project gives healthcare managers, anesthesiologists and surgeons useful information to increase surgical theaters efficiency and patient safety. In difficult economic times is possible to develop something that is of some value to the patient and healthcare system too.

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“…Prior work showed that anesthesiologists perceive OR management to be an integral part of their professional work (Marjamaa and Kirvela, 2007;Larsson et al, 2003). As reviewed in the Introduction, statistical methods are needed for good OR management decisions, and misconceptions that good decisions can be made absent statistical methods are due to psychological biases.…”

Section: Discussionmentioning

confidence: 99%

“…Anesthesiologists are integrally involved in operating room (OR) management (Marjamaa and Kirvela, 2007), and describe coordination of surgical suites and smooth patient flow as part of their professional work (Larsson, Holmström, and Rosenqvist, 2003). However, OR management differs from clinical anesthesia in that statistical literacy and reasoning are needed to make good decisions.…”

Section: Introductionmentioning

confidence: 99%

Application of an Online Reference for Reviewing Basic Statistical Principles of Operating Room Management

Dexter

Masursky

Wachtel

et al. 2010

Journal of Statistics Education

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Operating room (OR) management differs from clinical anesthesia in that statistical literacy is needed daily to make good decisions. Two of the authors teach a course in operations research for surgical services to anesthesiologists, anesthesia residents, OR nursing directors, hospital administration students, and analysts to provide them with the knowledge to make evidencebased management decisions. Some of these students do not remember enough of their basic statistics class(es) to understand the principles presented. We performed a systematic, qualitative survey of previous experimental and quasi-experimental studies of the impact of a computer on student learning of the basic statistical topics that form a prerequisite to the management course. Computer-assisted instruction enhanced student learning of the basic statistical topics. We created slides containing both hyperlinks to specific pages of Rice University's introductorylevel free web-based "Online Statistics Book" and OR management examples to provide context Journal of Statistics Education, Volume 18, Number 3 (2010) 2 for the material. The website is effective at teaching the material because it directs students to test their predictions, which has been shown to enhance learning. Once students have completed the statistics review, they have sufficient background to learn the material in the OR management course. The students use an interactive Excel spreadsheet dealing with OR management topics to provide additional computer-assisted instruction.

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Who is responsible for operating room management and how do we measure how well we do it?

Abstract: The structure of the daily operative management of an operating room needs redefining. There should be more focus on collaboration and communication between the care providers.

Cited by 34 publications

References 17 publications

The nurse manager’s role in perioperative settings: An integrative literature review

The nurse manager’s role in perioperative settings: An integrative literature review

Operating room data management: improving efficiency and safety in a surgical block

Application of an Online Reference for Reviewing Basic Statistical Principles of Operating Room Management

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