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Improving On-Time Surgical Starts in an Operating Room
Background Operating rooms are expensive to run, and hospitals strive to be efficient. The purpose of this study was to evaluate an initiative to improve starting on time in the operating room in an academic pediatric hospital. Methods We used an 8-step approach to transforming an organization. A mu...
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| Published in: | Canadian Journal of Surgery 2010-06, Vol.53 (3), p.167-170 |
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| Language: | English |
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| container_end_page | 170 |
| container_issue | 3 |
| container_start_page | 167 |
| container_title | Canadian Journal of Surgery |
| container_volume | 53 |
| creator | Wright, James G., MD, MHP Roche, Ann, RN Khoury, Antoine E., MD |
| description | Background Operating rooms are expensive to run, and hospitals strive to be efficient. The purpose of this study was to evaluate an initiative to improve starting on time in the operating room in an academic pediatric hospital. Methods We used an 8-step approach to transforming an organization. A multidisciplinary team defined on-time starts, identified reasons for delays and instituted changes, including improving the same-day admission process, instituting a huddle of operating room staff each morning and providing feedback about on-time starts to staff. Results The most common reasons for delay were surgeon and anesthesiologist unavailability and lack of preparedness of patients. The percentage of operations that began on time, defined as the patient being in the room, increased from about 6% to 60% over a 9-month period. Conclusion A targeted, multifaceted and multidisciplinary approach can increase the percentage of operations that begin on time in a pediatric hospital. |
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The purpose of this study was to evaluate an initiative to improve starting on time in the operating room in an academic pediatric hospital. Methods We used an 8-step approach to transforming an organization. A multidisciplinary team defined on-time starts, identified reasons for delays and instituted changes, including improving the same-day admission process, instituting a huddle of operating room staff each morning and providing feedback about on-time starts to staff. Results The most common reasons for delay were surgeon and anesthesiologist unavailability and lack of preparedness of patients. The percentage of operations that began on time, defined as the patient being in the room, increased from about 6% to 60% over a 9-month period. Conclusion A targeted, multifaceted and multidisciplinary approach can increase the percentage of operations that begin on time in a pediatric hospital.</description><identifier>ISSN: 0008-428X</identifier><identifier>EISSN: 1488-2310</identifier><identifier>PMID: 20507788</identifier><identifier>CODEN: CJSUAX</identifier><language>eng</language><publisher>Canada: CMA Joule Inc</publisher><subject>Appointments and Schedules ; Children ; Children's hospitals ; Efficiency ; Efficiency, Organizational ; Humans ; Management ; Operating rooms ; Operating Rooms - organization & administration ; Organizational Culture ; Organizational Innovation ; Studies ; Surgery ; Time Factors</subject><ispartof>Canadian Journal of Surgery, 2010-06, Vol.53 (3), p.167-170</ispartof><rights>Canadian Medical Association</rights><rights>COPYRIGHT 2010 CMA Joule Inc.</rights><rights>Copyright Canadian Medical Association Jun 2010</rights><rights>2010 Canadian Medical Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2878988/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2878988/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20507788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wright, James G., MD, MHP</creatorcontrib><creatorcontrib>Roche, Ann, RN</creatorcontrib><creatorcontrib>Khoury, Antoine E., MD</creatorcontrib><title>Improving On-Time Surgical Starts in an Operating Room</title><title>Canadian Journal of Surgery</title><addtitle>Can J Surg</addtitle><description>Background Operating rooms are expensive to run, and hospitals strive to be efficient. The purpose of this study was to evaluate an initiative to improve starting on time in the operating room in an academic pediatric hospital. Methods We used an 8-step approach to transforming an organization. A multidisciplinary team defined on-time starts, identified reasons for delays and instituted changes, including improving the same-day admission process, instituting a huddle of operating room staff each morning and providing feedback about on-time starts to staff. Results The most common reasons for delay were surgeon and anesthesiologist unavailability and lack of preparedness of patients. The percentage of operations that began on time, defined as the patient being in the room, increased from about 6% to 60% over a 9-month period. Conclusion A targeted, multifaceted and multidisciplinary approach can increase the percentage of operations that begin on time in a pediatric hospital.</description><subject>Appointments and Schedules</subject><subject>Children</subject><subject>Children's hospitals</subject><subject>Efficiency</subject><subject>Efficiency, Organizational</subject><subject>Humans</subject><subject>Management</subject><subject>Operating rooms</subject><subject>Operating Rooms - organization & administration</subject><subject>Organizational Culture</subject><subject>Organizational Innovation</subject><subject>Studies</subject><subject>Surgery</subject><subject>Time Factors</subject><issn>0008-428X</issn><issn>1488-2310</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNptkl9r2zAUxc3YWLNuX2GYDjr24CHJkiW_DErZn0BZYOmgb0JWrh11spRacli__WTadfEIehBc_XSudO55li0wFaIgJUbPswVCSBSUiJuT7FUItwhhVNL6ZXZCEEOcC7HIqmW_G_zeuC5fueLa9JCvx6EzWtl8HdUQQ25crly-2sGg4sT98L5_nb1olQ3w5nE_zX5--Xx9-a24Wn1dXl5cFcAojYWuqpJhVbWKA1EaylYgraqGKYbbjUgVXjcYCc0IZRRtGsFpVSlWNbSGktflafbpQXc3Nj1sNLg4KCt3g-nVcC-9MnJ-4sxWdn4vieCiFiIJvH8UGPzdCCHK3gQN1ioHfgySl8mqmiCeyLP_yFs_Di79TjLOy6qu2PSedw9QpyxI41qfuupJUl4QIjDBrCaJKo5QHbhkofUOWpPKM_7sCK935k4eQh-PQGltoDf6qOqH2YXERPgdOzWGIJfr73P2_IDdgrJxG7wdo_EuzMG3hwN5msTfRP2bGKRY7A0MUlvjpjz9gnsIT55iGYhEcj1ldIooTgKI8pvyD9PX158</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Wright, James G., MD, MHP</creator><creator>Roche, Ann, RN</creator><creator>Khoury, Antoine E., MD</creator><general>CMA Joule Inc</general><general>CMA Impact, Inc</general><general>Canadian Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>ISN</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M3G</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100601</creationdate><title>Improving On-Time Surgical Starts in an Operating Room</title><author>Wright, James G., MD, MHP ; Roche, Ann, RN ; Khoury, Antoine E., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e544t-c66351a6fa7e2ace3f80ca6b5a51fd8ace79b108c524540db87466a56b49e3793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Appointments and Schedules</topic><topic>Children</topic><topic>Children's hospitals</topic><topic>Efficiency</topic><topic>Efficiency, Organizational</topic><topic>Humans</topic><topic>Management</topic><topic>Operating rooms</topic><topic>Operating Rooms - organization & administration</topic><topic>Organizational Culture</topic><topic>Organizational Innovation</topic><topic>Studies</topic><topic>Surgery</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wright, James G., MD, MHP</creatorcontrib><creatorcontrib>Roche, Ann, RN</creatorcontrib><creatorcontrib>Khoury, Antoine E., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Gale In Context: Canada</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Family Health Database (Proquest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>CBCA Reference & Current Events</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian Journal of Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wright, James G., MD, MHP</au><au>Roche, Ann, RN</au><au>Khoury, Antoine E., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving On-Time Surgical Starts in an Operating Room</atitle><jtitle>Canadian Journal of Surgery</jtitle><addtitle>Can J Surg</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>53</volume><issue>3</issue><spage>167</spage><epage>170</epage><pages>167-170</pages><issn>0008-428X</issn><eissn>1488-2310</eissn><coden>CJSUAX</coden><abstract>Background Operating rooms are expensive to run, and hospitals strive to be efficient. The purpose of this study was to evaluate an initiative to improve starting on time in the operating room in an academic pediatric hospital. Methods We used an 8-step approach to transforming an organization. A multidisciplinary team defined on-time starts, identified reasons for delays and instituted changes, including improving the same-day admission process, instituting a huddle of operating room staff each morning and providing feedback about on-time starts to staff. Results The most common reasons for delay were surgeon and anesthesiologist unavailability and lack of preparedness of patients. The percentage of operations that began on time, defined as the patient being in the room, increased from about 6% to 60% over a 9-month period. Conclusion A targeted, multifaceted and multidisciplinary approach can increase the percentage of operations that begin on time in a pediatric hospital.</abstract><cop>Canada</cop><pub>CMA Joule Inc</pub><pmid>20507788</pmid><tpages>4</tpages></addata></record> |
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| ispartof | Canadian Journal of Surgery, 2010-06, Vol.53 (3), p.167-170 |
| issn | 0008-428X 1488-2310 |
| language | eng |
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| subjects | Appointments and Schedules Children Children's hospitals Efficiency Efficiency, Organizational Humans Management Operating rooms Operating Rooms - organization & administration Organizational Culture Organizational Innovation Studies Surgery Time Factors |
| title | Improving On-Time Surgical Starts in an Operating Room |
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