Example of cost calculations for an operating room and a post-anaesthesia care unit

Raft, Julien; Millet, F.; Meistelman, Claude

doi:10.1016/j.accpm.2014.11.002

Cited by 66 publications

(30 citation statements)

References 17 publications

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“…Regarding intraoperative costs of surgeries, all common charges (e.g., surgical drapes, sutures, sterilization) were considered as common costs for all procedures. Costs related to operating room time were based on the evaluation performed by Raft et al (6), who calculated costs per minute at 10 Euros. The cost of one hospital day (in a standard service and/ or intensive care unit) was based on the evaluation of the hospital's administration department.…”

Section: Methodsmentioning

confidence: 99%

Which method of distal pancreatectomy is cost-effective among open, laparoscopic, or robotic surgery?

Rodriguez¹,

Méméo²,

Leon³

et al. 2018

Hepatobiliary Surg. Nutr

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Background: The aim of this study was to analyze the clinical and economic impact of robotic distal pancreatectomy, laparoscopic distal pancreatectomy, and open distal pancreatectomy. Methods: All consecutive patients who underwent distal pancreatic resection for benign and malignant diseases between January 2012 and December 2015 were prospectively included. Cost analysis was performed; all charges from patient admission to discharge were considered. Results: There were 21 robotic (RDP), 25 laparoscopic (LDP), and 43 open (ODP) procedures. Operative time was longer in the RDP group (RDP =345 minutes, LDP =306 min, ODP =251 min, P=0.01). Blood loss was higher in the ODP group (RDP =192 mL, LDP =356 mL, ODP =573 mL, P=0.0002). Spleen preservation was more frequent in the RDP group (RDP =66.6%, LDP =61.9%, ODP =9.3%, P=0.001). The rate of patients with Clavien-Dindo > grade III was higher in the ODP group (RDP =0%, LDP =12%, ODP =23%, P=0.01), especially for non-surgical complications, which were more frequent in the ODP group (RDP =9.5%, LDP =24%, ODP =41.8%, P=0.02). Length of hospital stay was increased in the ODP group (ODP =19 days, LDP =13 days, RDP =11 days, P=0.007). The total cost of the procedure, including the surgical procedure and postoperative course was higher in the ODP group (ODP =30,929 Euros, LDP =22,150 Euros, RDP =21,219 Euros, P=0.02). Conclusions: Cost-effective results of RDP seem to be similar to LDP with some better short-term outcomes.

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Section: Methodsmentioning

confidence: 99%

Which method of distal pancreatectomy is cost-effective among open, laparoscopic, or robotic surgery?

Rodriguez¹,

Méméo²,

Leon³

et al. 2018

Hepatobiliary Surg. Nutr

View full text Add to dashboard Cite

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“…Current estimations on the costs of a conventional OR report a great variety, ranging from $7 to over $100 per minute. 13,14 The variety can be explained by differences in study design such as the inclusion of different cost categories eg, expensive implants, medical devices, robotics, and site differences as being a (non) teaching hospital, the number of available ORs, the occupancy rate and healthcare system (country-specific). These site characteristics can especially have an influence as OR costs are mainly evaluated top-down.…”

Section: Introductionmentioning

confidence: 99%

Understanding the Costs of Surgery: A Bottom-Up Cost Analysis of Both a Hybrid Operating Room and Conventional Operating Room

Patel¹,

Lindenberg

Rovers³

et al. 2020

Int J Health Policy Manag

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Background: Over the past decade, many hospitals have adopted hybrid operating rooms (ORs). As resources are limited, these ORs have to prove themselves in adding value. Current estimations on standard OR costs show great variety, while cost analyses of hybrid ORs are lacking. Therefore, this study aims to identify the cost drivers of a conventional and hybrid OR and take a first step in evaluating the added value of the hybrid OR. Methods: A comprehensive bottom-up cost analysis was conducted in five Dutch hospitals taking into account: construction, inventory, personnel and overhead costs by means of interviews and hospital specific data. The costs per minute for both ORs were calculated using the utilization rates of the ORs. Cost drivers were identified by sensitivity analyses. Results: The costs per minute for the conventional OR and the hybrid OR were €9.45 (€8.60-€10.23) and €19.88 (€16.10- €23.07), respectively. Total personnel and total inventory costs had most impact on the conventional OR costs. For the hybrid OR the costs were mostly driven by utilization rate, total inventory and construction costs. The results were incorporated in an open access calculation model to enable adjustment of the input parameters to a specific hospital or country setting. Conclusion: This study estimated a cost of €9.45 (€8.60-€10.23) and €19.88 (€16.10-€23.07) for the conventional and hybrid OR, respectively. The main factors influencing the OR costs are: total inventory costs, total construction costs, utilization rate, and total personnel costs. Our analysis can be used as a basis for future research focusing on evaluating value for money of this promising innovative OR. Furthermore, our results can inform surgeons, and decision and policy-makers in hospitals on the adoption and optimal utilization of new (hybrid) ORs.

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“…Signs of not well‐planned teamwork were frequent in OTNs’ statements; for example, when delays occurred in the preparation of a patient resulting in delays in the surgical operating list (Riise et al, ; Sohrakoff et al, ) and leaving the OTNs feeling, they had poor preconditions for delivering the best nursing care. Delays and last minute cancellations in an operating theatre are expensive for the hospital and the patient (Girotto et al, ; Raft, Millet, & Meistelman, ; Wong, Khu, Kaderali, & Bernstein, ). Extended anaesthetic times are a significant source of delays, as patients’ health situations have become more complex in recent decades, illustrating the importance of better staff planning and allocation of resources (Kamat & Parker, ).…”

Section: Discussionmentioning

confidence: 99%

Prerequisites for safe intraoperative nursing care and teamwork—Operating theatre nurses’ perspectives: A qualitative interview study

Sandelin

Kalman

Gustafsson

2019

Journal of Clinical Nursing

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Aim To describe operating theatre nurses’ experience of preconditions for safe intraoperative nursing care and teamwork. Background Surgical interventions are often needed for patients’ well‐being and survival from health problems. Adequate information to professionals responsible within the surgical organisation is of importance for patient safety in connection to the surgery. The members in the surgical team need correct information about the patients’ health and planned care. The information is mainly transferred by computerised systems that do not necessarily provide all information needed. Method A qualitative descriptive design was chosen. Narrative interviews were carried out with 16 experienced operating theatre nurses in four different hospitals in rural and urban areas in Sweden. The data were analysed using qualitative content analysis. The study complied with criteria to Consolidated Criteria for Reporting Qualitative Research (COREQ). Result Operating theatre nurses strived to get adequate information about the patients’ care, the surgical intervention and the equipment to be well prepared for intraoperative nursing care. The information from the computerised systems was described as fragmented and obliged the operating theatre nurses to demand a preoperative dialogue between the members of the surgical team. Professional collegial teamwork and committed leadership were considered to enhance patient safety. Conclusion From the operating theatre nurses’ perspective, prerequisites for intraoperative safe nursing care and teamwork depend upon a preoperative dialogue between the members in the surgical team for collegial teamwork, obtaining a reliable preoperative overall picture based on adequate information transfer, and the support of a committed first‐line manager. Relevance to clinical practice The operating theatre nurses need a reliable preoperative overall picture in advance, to be able to be well prepared for the patients’ surgery. The overall picture should be based on adequate data about the patients’ health status and needs, details about the surgical intervention and prescriptions.

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Example of cost calculations for an operating room and a post-anaesthesia care unit

Cited by 66 publications

References 17 publications

Which method of distal pancreatectomy is cost-effective among open, laparoscopic, or robotic surgery?

Which method of distal pancreatectomy is cost-effective among open, laparoscopic, or robotic surgery?

Understanding the Costs of Surgery: A Bottom-Up Cost Analysis of Both a Hybrid Operating Room and Conventional Operating Room

Prerequisites for safe intraoperative nursing care and teamwork—Operating theatre nurses’ perspectives: A qualitative interview study

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