Efficiency Status of the Elective Non-Cardiac Surgery Operating Rooms of the Department of Surgery of the Philippine General Hospital

Lapitan, Marie Carmela; Buckley, Brian S; Abalajon, Donna Dy; Cruz, Patricia Lorna O.; Raymundo, Maria Eliza M.

doi:10.47895/amp.v47i4.1258

Cited by 3 publications

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“…The investigators conducted a secondary analysis of the data collected in a cross sectional survey of randomly selected elective surgical cases from October 2011 to January 2012, that looked into the efficiency status of the operating room under the Department of Surgery of the PGH. 3 The survey included operations in both the Private Service (performed by consultant/attending surgeons) and the Charity service (performed by surgery residents). The survey excluded cases done by other surgical departments, i.e.…”

Section: Methodsmentioning

confidence: 99%

Benchmarking Anesthesia-Controlled Times at a Tertiary General Hospital in the Philippines

Cruz¹,

Prudente²,

Lapitan³

2015

Acta Med Philipp

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Section: Methodsmentioning

confidence: 99%

Benchmarking Anesthesia-Controlled Times at a Tertiary General Hospital in the Philippines

Cruz¹,

Prudente²,

Lapitan³

2015

Acta Med Philipp

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“…Furthermore, 54.3% of late starts were caused by the tardiness of surgeons. 9 This study is limited because the exact time of arrival of the patients, surgeons, and nurses was not noted since it was not feasible for a single observer to collect them.…”

Section: Benchmarkingmentioning

confidence: 99%

“…Efficiency requires maximizing the use of time by reducing wasted and unused time and increasing output for a set level of input. [8][9][10][11] Many factors influence how time is used in the operating room, such as surgical scheduling accuracy, starting on time, minimizing procedure time variation, turnover time, inter-operative delays, among others. [12][13][14][15] These parameters can be taken through direct observation or a previous recording of the different processes, such as a review of records or closed-circuit television.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, delays were most apparent during patient entry until the start of anesthesia, especially for first cases. 9 In another study done in the Department of Obstetrics and Gynecology, processes were compared before and during the OR complex renovation. Results showed no improvement in efficiency parameters even after having revised policies.…”

Section: Introductionmentioning

confidence: 99%

“…Efficiency Parameters That Were Calculated from the Operating Room Milestones with Their Corresponding Equations and Definitions9,15,18 Percentage of first cases with an in-room start time that started before or at the scheduled start (6:30 a.m.) PST, procedure start time; PIR, patient in room; SPS, surgical preparation start; SPE, surgical preparation end; PFT, procedure finish time; POR, patient out of room.…”

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confidence: 99%

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<p>Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital</p>

Umali

Castillo

2020

OPTH

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Purpose Operating room processes must be efficient to boost profitability and minimize cost while retaining surgical care quality. This study aims to assess operating room efficiency for resident-performed elective phacoemulsification surgeries done under local anesthesia by measuring different key performance indicators and comparing this with international benchmark data. Patients and Methods This is a prospective cross-sectional study done in the Department of Ophthalmology of the Philippine General Hospital, the National University Hospital. The operating room milestones were noted and recorded by a single third-party observer in randomly selected operating rooms from April to June 2019. Results Fifty-six phacoemulsification cases in randomly selected rooms fulfilling both inclusion and exclusion criteria were observed. None of the cases started on or before the scheduled 6:30 a.m. cutting time, with an average of 34 (SD 8.53) minutes late. Entry lag was above the median, while exit lag and turnover time were above the 95th percentile compared to benchmarking data. Segment analysis also showed an increased entry lag (35.11% vs 21.5%), significantly higher than benchmarks (t: 10.99, df: 55, p<0.01). Comparison with proposed targets in other studies also showed an increased time for entry lag. Conclusion This study determined that entry lag is the performance indicator that should be addressed to improve efficiency. A multidisciplinary approach and group goal-setting are needed to implement changes in the operating room.

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Operating Room Efficiency for General Anesthesia Cases in the Department of Ophthalmology in a Public Tertiary Hospital

Umali¹,

Castillo²

2021

Acta Med Philipp

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Objective. To determine operating room efficiency for elective ophthalmologic surgeries requiring general anesthesia in a public tertiary institution based on standard efficiency parameters. Methods. Prospective observational cross-sectional study of randomly selected elective cases requiring general anesthesia from April 2019 to June 2019 in the Department of Ophthalmology of the Philippine General Hospital. A single third-party observer recorded operating room milestones from which efficiency parameters were determined and compared with local and international guidelines and efficiency benchmarks. Results. A total of fifty cases from the Retina, Plastic, Orbit, Glaucoma, and Motility services were observed. None started on the specified start time of 6:30 a.m., with surgeries starting an average of 52 ± 11.90 minutes after. Across subspecialties, median surgical preparation time was statistically significant (χ2: 12.01, p: 0.02), with the Retina and Orbit services having the most extended duration. Across age groups, pediatric cases had lower mean anesthesia preparation times (t: 2.15, df: 48, p: 0.04) and median trans-out lag times (χ2: 4.56, p: 0.03) than adults. Overall, more than 60% of cases reached targets for induction and surgical lag time. Turnaround for adult and pediatric patients was 75 ± 22.77 minutes and 71 ± 14.91 minutes, respectively. Benchmarking analysis showed that the first case on time, entry lag, and exit lag were below the 50th percentile while the room turnover time was above the 95th percentile. Conclusion. Ensuring efficiency requires a multidisciplinary team approach. This research can guide administrators in determining interventions to increase operating room efficiency.

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Efficiency Status of the Elective Non-Cardiac Surgery Operating Rooms of the Department of Surgery of the Philippine General Hospital

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Cited by 3 publications

References 0 publications

Benchmarking Anesthesia-Controlled Times at a Tertiary General Hospital in the Philippines

Benchmarking Anesthesia-Controlled Times at a Tertiary General Hospital in the Philippines

<p>Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital</p>

Operating Room Efficiency for General Anesthesia Cases in the Department of Ophthalmology in a Public Tertiary Hospital

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