Late operating room starts: experience with an education trial

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
A TruongM Bensimon

Abstract

This study was undertaken to determine if late starts of first cases in the Operating theatres at the SMBD-Jewish General Hospital remained a problem after identification of the causes of late starts and remedial actions being taken. Hospital approval was obtained. A retrospective chart audit analyzed a two week period (10 days with 90 elective surgical cases) in October 1993. The time of entry by the first patient into each Operating Room (OR) was transcribed from the nursing records from each OR. A late start was defined as patient entry into the OR after 0745 hr. This audit revealed 77.8% of patients scheduled' for surgery at 0745 entered the OR late with a cumulative time lost of 1101 min. The reasons for this inefficiency were identified by a follow-up assessment in April 1995 as a result of this audit. Corrective measures included presentation of inpatients for the first case, reorganization of transport personnel schedules to facilitate arrival of patients to the OR, alteration of patient verification procedures prior to entry to the OR, and education of nursing, anaesthesia, and surgical personnel of the scope of the problem of late OR starts. All attending surgeons were notified either by letter or by discussion at dep...Continue Reading

References

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Citations

May 8, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M J TesslerC R Covert
May 26, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C A Stockall
Aug 30, 2007·Der Anaesthesist·M SchusterA E Goetz
Dec 17, 2008·Der Anaesthesist·J UngerC Spies
Jan 29, 2010·Der Anaesthesist·M BauerA Klockgether-Radke
Aug 14, 1998·Journal of Clinical Anesthesia·H MelnikR M Wahba
Feb 22, 2012·Journal of Anaesthesiology, Clinical Pharmacology·Rajender Kumar, Ritika Gandhi
Mar 8, 2019·Journal of Healthcare Management / American College of Healthcare Executives·Robert W AllenErik Busby
May 19, 2009·Anesthesia and Analgesia·Ruth E Wachtel, Franklin Dexter
Mar 21, 2009·Anesthesia and Analgesia·Franklin Dexter, Richard H Epstein
Oct 3, 2006·Current Opinion in Anaesthesiology·C J Eagle
Jun 24, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C JoosM Schuster
Jul 25, 2020·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Kaishan AravinthanRussell A Murphy
Apr 26, 2013·Deutsches Ärzteblatt International·Martin SchusterMartin Bauer

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