Successful strategies for improving operating room efficiency at academic institutions.
In this prospective study, we evaluated the etiology of operating room (OR) delays in an academic institution, examined the impact of multidisciplinary strategies to improve OR efficiency, and established OR timing benchmarks for use in future OR efficiency studies.
OR times and delay etiologies were collected for 94 cases during the initial phase of the study.
Timing data and delay etiologies were analyzed, and 2 wk of multidisciplinary OR efficiency awareness education was conducted for the nursing, surgical, and anesthesia staff.
After the education period, timing data were collected from 1787 cases, and monthly reports listing individual case delays and timing data were sent to the Chiefs of Service.
For the first case of the day, patient in room, anesthesia ready, surgical preparation start, and procedure start time were significantly earlier (P<0.01) in the posteducation period compared with the preeducation period, and the procedure start time for the first case of the day occurred, on average, 22 min earlier than all other procedures.
For all cases combined, turnover time decreased, on average, by 16 min.
Unavailability of surgeons, anesthesiologists, and residents decreased significantly (P<0.05) as causes of OR delays.
Anesthesia induction times were consistently longer for the vascular and cardiothoracic services, whereas surgical preparation time was increased for the neurosurgical and orthopedic services (P<0.05). (...)
Mots-clés Pascal : Bloc opératoire, Gestion, Centre hospitalier universitaire, Délai, Organisation travail, Education, Anesthésiste, Infirmier, Chirurgien, Homme, Optimisation, Ordonnancement, Personnel sanitaire, Gestion hospitalière, Caroline du Sud, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Operating room, Management, Teaching hospital, Time lag, Job engineering, Education, Anesthesiologist, Nurse, Surgeon, Human, Optimization, Scheduling, Health staff, Hospital management, South Carolina, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0212674
Code Inist : 002B30A04B. Création : 11/09/1998.