Timeliness of Operating Room Case Planning and Time Utilization: Influence of First and To-Follow Cases

Frontiers in Medicine
Claudius BalzerKonrad Meissner

Abstract

Resource and cost constraints in hospitals demand thorough planning of operating room schedules. Ideally, exact start times and durations are known in advance for each case. However, aside from the first case's start, most factors are hard to predict. While the role of the start of the first case for optimal room utilization has been shown before, data for to-follow cases are lacking. The present study therefore aimed to analyze all elective surgery cases of a university hospital within 1 year in search of visible patterns. A total of 14,014 cases scheduled on 254 regular working days at a university hospital between September 2015 and August 2016 underwent screening. After eliminating 112 emergencies during regular working hours, 13,547 elective daytime cases were analyzed, out of which 4,346 ranked first, 3,723 second, and 5,478 third or higher in the daily schedule. Also, 36% of cases changed start times from the day before to 7:00 a.m., with half of these (52%) resulting in a delay of more than 15 min. After 7:00 a.m., 87% of cases started more than 10 min off schedule, with 26% being early and 74% late. Timeliness was 15 ± 72 min (mean ± SD) for first, 21 ± 84 min for second, and 25 ± 93 min for all to-follow cases, compar...Continue Reading

References

Oct 25, 2003·AORN Journal·Philip Lebowitz
Feb 26, 2004·Anesthesia and Analgesia·Franklin DexterDavid A Lubarsky
Jul 30, 2005·Anesthesiology·Robert HanssMartin Bauer
Mar 21, 2009·Anesthesia and Analgesia·Elisabeth U DexterNancy A Nussmeier
Jan 15, 2010·Current Opinion in Anaesthesiology·André BaumgartAlexander Schleppers
Jul 13, 2012·The New England Journal of Medicine·Lisa Rosenbaum, Daniela Lamas
Apr 26, 2013·Deutsches Ärzteblatt International·Martin SchusterMartin Bauer

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Citations

Jul 1, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Karissa L LeClairJames E Saunders

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