5 A Surgeon Led Model to Improve Operating Theatre Change Over Time and Overall

5 a surgeon led model to improve operating theatre

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#5 A Surgeon-Led Model to Improve Operating Theatre Change-Over Time and Overall EfficiencyA single-blinded randomized controlled trial was conducted to evaluate a consultant surgeon led model using parallel processing in order to reduce the patient change over time in between operative cases. The patient change over time is defined as the time taken during when a patient leaves the operating room (OR) to the time the next patient enters the OR from the anesthetic holding bay. A twelve-month trial during 1st July 2014 to 29 June 2015 was performed across all general surgery elective lists at a single institution (Mizumoto, Cristaudo, & Hendahewa, 2016). Honestly what I liked most about this study is that it is one of the few that I have found that is from the perspective of the surgeon and what they can do to improve turnover times. The negative in this study is that it followed one surgeon. I could hand pick a surgeon to make a study turn out whichever way I wanted so I’m not sure if this study would hold true if several “random” surgeons participated.#6 First-Case Operating Room Delays: Patterns Across Urban Hospitals of a Single Health Care SystemThis study looked at the first case-of-the-day surgeries at three hospitals in a large health system from July 2012 through November 2013. Hospital 1 has a total of 680 inpatient beds and services 39,104 outpatient and 28,395 inpatient surgeries per year. Hospital 2 has 117 total inpatient beds and services 9,154 outpatient and 7,529 inpatient surgeries per year. Lastly, Hospital 3 has 220 inpatient beds and services 15,839 outpatient and 11,619 inpatient surgeries each year. Patient, surgical and physician data were gathered from the electronic medical record, and cases were identified as delayed when patients were placed in the OR after scheduled surgery times. I liked this study because of the size of the sample and the fact that 3 hospitals were studied. I also like that they included the cost of late cases. “Estimated
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  • Winter '18
  • Tammy Gray

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