https://doi.org/10.4081/scenario.2021.499

Strategies for correct prediction of operative time in order to increase efficiency in the operating room: a retrospective observational study

Vol. 38 No. 4 (2021): SCENARIO 4, 2021
Submitted: 17 February 2022
Accepted: 17 February 2022
Published: 17 February 2022
Efficiency, planning, operating room, operating times
Abstract Views: 624
PDF (Italiano): 143
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Authors

Gennaro Laus
scenario@aniarti.it
IRCCS CROB Centro di Riferimento Oncologico della Basilicata, Rionero in Vulture (PZ), Italy.

Introduction: Knowledge of operating room schedules can lead to accurate planning by allowing weaknesses and critical issues to be identified, then being able to focus forces at these points in order to correct them. Planning adds value to an organization but must be assured by performance indicators of operating times. Such indicators make it possible to analyze the operating process by evaluating performance. The aim of the study is to know the operating room timings by obtaining better daily planning.
Materials and Methods: A retrospective observational study was conducted from November 1, 2020, to April 30, 2021, involving the five surgical branches of IRCCS CROB in order to analyze and monitor the operative times of surgical procedures, proposing a supporting tool. The study uses three indicators: Pre-operative time (T1), Surgical time (T2) and Post-operative time (T3).
Results: Analysis of the data collected shows that there were 209 valid surgeries. Pre-operative time was 58.55 min, post-operative time was 36.84 min, and surgical time was 99.76 min. Preoperative and postoperative times appear to be the main times on which to gain margin of improvement and thus the first to act on.
Discussion: Adopting a consultation tool with average surgery times can help staff in estimating duration and room occupancy. The presented study is aimed at improving OR performance in terms of quality of care, effectiveness and efficiency by achieving better daily scheduling.
Conclusions: Continuous monitoring of operating times with periodic reviews is desirable.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Camp RC. Benchmarking: the search for industry best practices that lead to superior performance. Productivity Press. 2006 Aug.
Rothstein DH, Raval MV. Operating room efficiency. Semin Pediatr Surg. 2018 Apr; 27(2):79-85.
Lee DJ, Ding J, Guzzo TJ. Improving Operating Room Efficiency. Curr Urol Rep. 2019 Apr; 20(6):28.
Fong AJ, Smith M, Langerman A. Efficiency improvement in the operating room. J Surg Res. 2016 Aug; 204(2):371-383.
Wright JG, Roche A, Khoury AE. Improving on-time surgical starts in an operating room. Can J Surg. 2010 Jun; 53(3):167-70.
Levine WC, Dunn PF. Optimizing Operating Romm Scheduling. Anesthesiol Clin. 2015 Dec; 33(4):697-711.
Ubiali A, Perger P, Rochira A, Corso RM, Pagliantini S, Campagna A, Cavalli M, Buccioli M. Operating Room Efficiency measurement made simple by a single metric. Ann Ig. 2021 Jan-Feb; 33(1):100-102. doi: 10.7416/ai.2021.2411. PMID: 33354699.
Buccioli M, Grementieri P, Signani R, Agnoletti V, Vetri E, Dal Monte D, Gambale G. Qualità e sicurezza del paziente chirurgica: information technology per la governance di un percorso integrato. Evidence 2012; 4(1)e1000004.
Costa ADS Jr. Assessment of operative times of multiple surgical specialties in a public university hospital. Einstei (San Paolo). 2017 Apr-Jun; 15(2):200-205.
Nicolay CR, Purkayastha S, Greenhalgh A, Benn J, Chaturvedi S, Philips N, Darzi A. Systematic Review of the application of quality improvement methodology from the manifacturing industry to surgical healthcare. Br J Surg. 2012 Mar; 99:324-335.
Cima RR, Brown MJ, Hebl JR, Moore R, Rogers JC, Kollengode A, Amstutz GJ, Weisbrod CA, Narr BJ, Deschamps C. Use of lean and six sigma methodology to improve operating room efficiency in a high volume tertiary-care academic medical center. J Am Coll Surg. 2011 Jul; 213:83-92.
Laskin DM, Abumaker AO, Strauss RA. Accuracy of predicting the duration of a surgical operation. J Oral Maxillofac Surg. 2013 Feb; 71:446-447.
Milone MT, Hacquebord H, Catalano LW, Glickel SZ, Hacquebord JH. Preparatory Time-Related Hand Surgery Operating Room Inefficiency: A Systems Analysis. Hand (N Y). 2020 Sep; 15(5):659-665.
Perkins JN, Chiang T, Ruiz AG, Prager JD. Auditing of operating room times: A quality improvement project. Int J Pediatr Otorhinolary. 2014 May; 78:782-786.
Harders M, Malangoni MA, Weight S, Sidhu T. Improving operating room efficiency through process redesign. Surgery. 2006 Oct. 140:509-516.
Tagge EP, Thirumoorthi AS, Lenart J, Garberoglio C, Mitchell KW. Improving operating room efficiency in academic children's hospital using Lea Six Sigma methodology. J Pediatr Surg. 2017 Jun; 52(6):1040-1044.
Andreata M, Faraldi M, Bucci E, Lombardi G, Zagra L. Operating room efficiency and timing during coronavirus disease 2019 outbreak in a referral orthopaedic hospital in Northern Italy. Int Orthop. 2020 Dec; 44(12):2499-2504.
Pedron S, Winter V, Oppel EM, Bialas E. Operating Room Efficiency before and after Entrance in a Benchmarking Program for Surgical Process Data. J Med Stst. 2017 Aug; 23;41(10):151.
Jreije K, Sachdeva S, Cull M, Diaz G, Romero J, Schweitzer J. Rewarding On Time Start Times in Operating Rooms Improves Efficiency. Am Surg. 2020 Oct; 86(10):1391-1395.
Gennaro Laus, IRCCS CROB Centro di Riferimento Oncologico della Basilicata, Rionero in Vulture (PZ)

 

 

How to Cite

Laus, G. (2022). Strategies for correct prediction of operative time in order to increase efficiency in the operating room: a retrospective observational study. Scenario® - Il Nursing Nella Sopravvivenza, 38(4), 19–22. https://doi.org/10.4081/scenario.2021.499
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