First-Case Operating Room Delays: Patterns Across Urban Hospitals of a Single Health Care System

Bauer, Cary B.; Greer, Danielle M.; Wyst, Kiley B. Vander; Kamelle, Scott

doi:10.17294/2330-0698.1265

Cited by 28 publications

(32 citation statements)

References 15 publications

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“…In this study, the prevalence rate of delay in surgery start time is within the worldwide range in the previous published reports. [ 15 16 ] Delay in surgery start time, a prevailing problem in developing countries, cuts across hospitals in Nigeria. [ 16 17 18 ] It has led to several cancellations with attendant low output and increased morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

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Delay of surgery start time: Experience in a Nigerian teaching hospital

et al. 2020

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Section: Discussionmentioning

confidence: 99%

“…This is similar to what Cox Bauer et al . [ 15 ] observed when they retrospectively studied 5,598 first cases done in three urban hospitals in Wisconsin, USA. They noted that in one of the hospitals under study, 98% of cases done were delayed.…”

Section: Discussionmentioning

confidence: 99%

Delay of surgery start time: Experience in a Nigerian teaching hospital

et al. 2020

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“…The providers should be driven to improve their organizational effectiveness through the analysis of the organizational model present to determine the types of delay and take actions aimed at the specific organizational and logistical causes that represent a barrier to early surgery. In this regard, the literature already offers strategies to remove the most commonly documented causes of operational delay, such as education, peer review, and multidisciplinary approaches [30], which are included in successful strategies for reducing physician-caused delay, including the surgeon and anaesthesiologist [29].…”

Section: Discussionmentioning

confidence: 99%

OUP accepted manuscript

2018

Int Journal for Quality in Health Care

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Objective To analyse the trajectories of hip-fracture surgery rates within 2 days of admission to the hospital and the ratios of procedures initiated within the same day (day 0) and the following day (days 0-1) to procedures performed on the 2nd day. To study the association between socioeconomic , health input variables and early surgery. Design A pooled, cross-sectional, time series analysis was used to evaluate secondary data from 15 European countries, during 2000/2013. Results The rate of patients aged ≥65 years that were operated on within 2 days of hip-fracture has changed over time with an EU average annual increase of 0.42% (95% IC = 0.25, 0.59; P < 0.001) and with a significant linear trend. Multiple slopes from all the countries compete with this result. In contrast, the ratios of procedures initiated within the same day (day 0) and the following day (days 0-1) compared to procedures performed on the 2nd day are constant. No association was found between the rate of patients treated within 2 days of admission and demographic structure, health expenditure, health resources. However, the rate of patients treated within 2 days of admission is significantly associated with surgical volumes. Conclusions As the early surgery rate is growing, policy makers should be encouraged to undertake further policies to support the quality of care, and the providers should be driven to improve their organizational effectiveness by taking actions aimed at acting on specific organizational and logistical causes that represent a barrier to early surgery.

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“…In this issue of the Journal of Patient-Centered Research and Reviews, Cox Bauer et al provide an elegant and interesting initial foray into the causes for delay of first-case operating room start times. 1 Among the study's main findings were that 88% of first-ofthe-day scheduled surgical cases were delayed, and despite late arrival of the patient to the hospital 65% of the time, almost 60% of delayed cases had no listed reason for the delay. A number of potential predictor variables were explored for inclusion in fixed-effects logistic regression models, and key time intervals were investigated.…”

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confidence: 98%