TY - JOUR
T1 - Bringing efficiency into practice
T2 - A quality improvement initiative to reduce operating room turnaround time
AU - Sharif, Hasanat
AU - Shehzad, Noman
AU - Farooqi, Joveria
AU - Karim, Sana
AU - Akbar, Sana
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Operating room (OR) turnaround time (TAT) is the minimal essential time required for cleaning of OR and preparation for the next case. The TAT inversely affects OR efficiency. Several factors related to personnel, equipment and scheduling have been identified as causes of increased TAT. We conducted the study to identify factors that affect OR TAT and to propose recommendations for its reduction. The retrospective study, conducted at Aga Khan University Hospital, Karachi, comprised TAT records related to March 2014. Of the 88 cases, 22(25%) showed a delay. Upon Pareto analysis it was found that in 8(36.6%) cases there was a delay of 70% related to scheduling of OR list and 5(22.7%) related to movement of patients from wards to OR. As such, improvement in these two broad areas can take care of majority of delays. We also recommend documentation of all processes as part of continuous improvement.
AB - Operating room (OR) turnaround time (TAT) is the minimal essential time required for cleaning of OR and preparation for the next case. The TAT inversely affects OR efficiency. Several factors related to personnel, equipment and scheduling have been identified as causes of increased TAT. We conducted the study to identify factors that affect OR TAT and to propose recommendations for its reduction. The retrospective study, conducted at Aga Khan University Hospital, Karachi, comprised TAT records related to March 2014. Of the 88 cases, 22(25%) showed a delay. Upon Pareto analysis it was found that in 8(36.6%) cases there was a delay of 70% related to scheduling of OR list and 5(22.7%) related to movement of patients from wards to OR. As such, improvement in these two broad areas can take care of majority of delays. We also recommend documentation of all processes as part of continuous improvement.
KW - Operating room, Turnaround time, Quality improvement, Shewhart cycle.
UR - http://www.scopus.com/inward/record.url?scp=85051771223&partnerID=8YFLogxK
M3 - Article
C2 - 27895341
AN - SCOPUS:85051771223
SN - 0030-9982
VL - 66 3)
SP - S8-S11
JO - JPMA. The Journal of the Pakistan Medical Association
JF - JPMA. The Journal of the Pakistan Medical Association
IS - 10
ER -