Factors influencing peri-operative delays in neurosurgery operating theatres: a prospective study

Chaganty, Saisunder Shashank; Sharma, Himanshu

doi:10.1016/j.pcorm.2021.100160

Cited by 3 publications

(4 citation statements)

References 43 publications

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“…The findings also indicated that reduced waiting times (CWT and OWT) increased patient satisfaction. Since access to health care services is one of the main determinants of patient satisfaction [ 8 , 21 , 25 , 26 , 27 ], our results confirmed previous studies which demonstrated that reductions in waiting times positively affected patient satisfaction [ 3 , 8 , 28 , 29 , 30 , 31 , 32 ]. Although the direct effect of CWT on satisfaction was non-significant, the results showed that the total effect of CWT was significant and indirect, as it negatively and significantly influenced OWT.…”

Section: Discussionsupporting

confidence: 89%

“…Previous studies have shown a significant relationship between reductions in waiting times for health services, consultations, and interventions and increased patient satisfaction [3,8,[28][29][30]. Similarly, previous studies have established that reducing perioperative delays can be an opportunity to improve the quality of care provided and, therefore, patient satisfaction [31,32]. One of the causes of delays in surgical procedures is delays in carrying out preoperative consultations, such as anesthesiology and cardiology [33].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Patient Satisfaction through the Effect of Healthcare Spending on Waiting Times for Consultations and Operations

et al. 2022

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In recent years, public authorities have invested large amounts of public money in trying to reduce waiting times for consultations and operations with the aim of improving the quality of the healthcare system. Our research aims to analyze the effect of these investments on patient satisfaction through the mediating relationship of waiting times for consultations and operations, as well as from a gender perspective. By studying a series of key indicators of the Spanish healthcare system and applying partial least squares structural equation modelling (PLS-SEM), the findings show that the model explains 12.10% of the variance in consultant waiting times, 51.90% in operation waiting times, and 27.00% in patient satisfaction. We found that increased public spending leads to increased patient satisfaction by reducing waiting times. However, no gender-based differences were found. The results provide exciting implications for theory and practice, indicating how policymakers can orient their strategies towards improving patient satisfaction.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Analysis of Patient Satisfaction through the Effect of Healthcare Spending on Waiting Times for Consultations and Operations

et al. 2022

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“… 8 There is sparsity in audits evaluating neurosurgical OT time utilization relative to other surgical specialties from the international literature. 9 10 The limited neurosurgical OT publications are from the developed Western countries 10 11 12 with only one well-conducted study from India, 9 our neighbor LMIC country that is most comparable to us concerning the issues facing neurosurgery in public sector hospitals. A comprehensive literature search shows that there are no audits inspecting neurosurgical OT utilization in Pakistan.…”

Section: Introductionmentioning

confidence: 99%

“…Recognizing such perioperative delays is fundamental to developing solutions for improving OT efficiency in any surgical specialty. 8 9 10 11 13 It is therefore essential for neurosurgery departments in each country to audit their own OT utilization as the issues faced and areas required for quality improvement are likely to be uniquely different from region to region.…”

Section: Introductionmentioning

confidence: 99%

Prospective Elective Neurosurgical Theater Utilization Audit in Pakistan: Problems in a Public Tertiary Care Hospital and Proposed Solutions from Lower-Middle-Income Country

et al. 2022

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Background and Objective In lower-middle-income countries such as Pakistan, public hospitals provide free healthcare but suffer from poor management and misgovernance, negatively impacting service provision. One aspect of this is operating theater time (OTT) utilization. In a 1,600-bed hospital with a 22 million catchment population, we noticed significant delays and inadequate OTT efficiency at the neurosurgery department of Jinnah Hospital, Lahore, Punjab, Pakistan. This audit aimed to analyze the neurosurgical OTT utilization, identify delays, and highlight managerial deficiencies and areas for improvement while comparing our workflow with contemporary international literature. Materials and Methods We prospectively audited OTT utilization at the neurosurgical department. All elective surgeries from January to April 2021 were included to identify delays concerning patient transfer, anesthesia team arrival, preparation and intubation time, operative time, and anesthesia extubation time. Results Fifty-six per cent of OTT was utilized operating. Sources of delay included the delayed arrival of anesthesia team (4.7%) and the delay in transferring patients to OT (9.7%). Anesthesia intubation and preparation time accounted for 23% of OT utilization and was significantly longer than the comparable international studies. Extubation time accounted for 5.7% of OT utilization. The issues surrounding transfer delays and prolonged anesthesia time were discussed, with strategies to address them developed with close vital input from our anesthesia colleagues and ward staff. Conclusion Gross delays relatively simple in nature were identified due to poor management and less than ideal interspecialty coordination. Most delays were avoidable and can be addressed by proper planning, optimization of patient transfer and resources, and, most importantly, improved communication between surgeons, anesthetists, and ward staff. This can ensure optimal use of theater time and benefit all specialties, including ancillary staff, and, most importantly, the patient. A reaudit is warranted to assess the impact of interventions on OTT utilization.

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Value stream mapping in the preparation of patients for surgery A study of a private hospital in Turkey

Koc,

Alpar,

Simsek

et al. 2024

Perioperative Care and Operating Room Management

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Factors influencing peri-operative delays in neurosurgery operating theatres: a prospective study

Cited by 3 publications

References 43 publications

Analysis of Patient Satisfaction through the Effect of Healthcare Spending on Waiting Times for Consultations and Operations

Analysis of Patient Satisfaction through the Effect of Healthcare Spending on Waiting Times for Consultations and Operations

Prospective Elective Neurosurgical Theater Utilization Audit in Pakistan: Problems in a Public Tertiary Care Hospital and Proposed Solutions from Lower-Middle-Income Country

Value stream mapping in the preparation of patients for surgery A study of a private hospital in Turkey

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