The english version of the website is under development. Wherever text appears in Greek, it means it has not been translated yet.

Δημοσίευση

An audit of operating room time utilization in a teaching hospital: is there a place for improvement?

TitleAn audit of operating room time utilization in a teaching hospital: is there a place for improvement?
Publication TypeJournal Article
Year of Publication2014
AuthorsStavrou, G., Panidis S., Tsouskas J., Tsaousi G., & Kotzampassi K.
JournalISRN Surg
Volume2014
Pagination431740
Date Published2014
ISSN2090-5785
Abstract

Aim. To perform a thorough and step-by-step assessment of operating room (OR) time utilization, with a view to assess the efficacy of our practice and to identify areas of further improvement. Materials and Methods. We retrospectively analyzed the most ordinary general surgery procedures, in terms of five intervals of OR time utilization: anaesthesia induction, surgery preparation, duration of operation, recovery from anaesthesia, and transfer to postanaesthesia care unit (PACU) or intensive care unit (ICU). According to their surgical impact, the procedures were defined as minor, moderate, and major. Results. A total of 548 operations were analyzed. The mean (SD) time in minutes for anaesthesia induction was 19 (9), for surgery preparation 13 (8), for surgery 115 (64), for recovery from anaesthesia 12 (8), and for transfer to PACU/ICU 12 (9). The time spent in each step presented an ascending escalation pattern proportional to the surgical impact (P = 0.000), which was less pronounced in the transfer to PACU/ICU (P = 0.006). Conclusions. Albeit, our study was conducted in a teaching hospital, the recorded time estimates ranged within acceptable limits. Efficient OR time usage and outliers elimination could be accomplished by a better organized transfer personnel service, greater availability of anaesthesia providers, and interdisciplinary collaboration.

DOI10.1155/2014/431740
Alternate JournalISRN Surg
PubMed ID25006514
PubMed Central IDPMC3976892

Contact

Secretariat of the School of Medicine
 

Connect

School of Medicine's presence in social networks
Follow Us or Connect with us.