Dedicated operating room for emergency surgery generates more utilization, less overtime, and less cancellations

American Journal of Surgery
Elizabeth van Veen-BerkxDutch Operating Room Benchmarking Collaborative

Abstract

Two approaches prevail for reserving operating room (OR) capacity for emergency surgery: (1) dedicated emergency ORs and (2) evenly allocating capacity to all elective ORs, thereby creating a virtual emergency team. Previous studies contradict which approach leads to the best performance in OR utilization. Quasi-experimental controlled time-series design with empirical data from 3 university medical centers. Four different time periods were compared with analysis of variance with contrasts. Performance was measured based on 467,522 surgical cases. After closing the dedicated emergency OR, utilization slightly increased; overtime also increased. This was in contrast to earlier simulated results. The 2 control centers, maintaining a dedicated emergency OR, showed a higher increase in utilization and a decrease in overtime, along with a smaller ratio of case cancellations because of emergency surgery. This study shows that in daily practice a dedicated emergency OR is the preferred approach in performance terms regarding utilization, overtime, and case cancellations.

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Citations

Apr 12, 2019·Journal of Medical Systems·Hussein Hasan AliSiti Norezam Othman
Oct 12, 2019·Current Urology·Ioannis KatafigiotisMordechai Duvdevani
Oct 11, 2020·BMC Health Services Research·Katie J SheehanUNKNOWN Canadian Collaborative Study on Hip Fractures
Jul 27, 2021·International Anesthesiology Clinics·Amy RobertsonEdward Yaghmour

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