How often does the operating list follow the planned order? An analysis of elective maxillofacial operating lists

Islam, Shofiq; Taylor, Christopher J.; Ahmed, Siddiq; Ormiston, Ian W.; Hayter, J.P.

doi:10.1016/j.surge.2014.03.003

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…The figures for ENT surgery (53%) were very similar to the Islam et al (2015) study on maxillofacial surgery (49%). There was a crossover between the two specialties and the similarity in these results could show that there is a higher chance of altering the order of the list in ENT and maxillofacial procedures.…”

Section: Discussionsupporting

confidence: 79%

“…The percentage of times the list was changed (37.3%) compares to the Islam et al (2015) study of 49%. The most frequent changes were made during the team brief (69.0%), indicating the importance of this stage of the WHO checklist.…”

Section: Discussionmentioning

confidence: 89%

“…All this contributes to the challenges for the team to remain organised and safe. If this is the case the results from Islam et al (2015) are concerning as they have the potential to compromise patient safety.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Islam et al (2015) conducted a study on how often an elective maxillofacial operating list followed the planned order. This was the first and only study for this particular subject, and showed a gap in research of operating list management.…”

Section: Literature Reviewmentioning

confidence: 99%

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Changing operating lists on the day of surgery: a service evaluation

Walmsley¹,

Schmitgen²,

Carr³

et al. 2018

Journal of Perioperative Practice

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This study aims to explore how often the operating list is changed on the day of surgery and the reasons why this may occur. The purpose was to analyse the wider potential impact that changing the list on the day of surgery may have on patient safety, patient satisfaction and theatre efficiency. Survey data was collected across a multi-specialty elective operating department. The findings demonstrated that a significant change in operating lists occurred in 37.3% of sessions, for a variety of potentially avoidable reasons. We concluded that improved organisation and communication before the planned session could reduce the occurrence of changes, thereby increasing patient safety, theatre efficiency and potentially reducing incidents.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 89%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Changing operating lists on the day of surgery: a service evaluation

Walmsley¹,

Schmitgen²,

Carr³

et al. 2018

Journal of Perioperative Practice

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“…Waiting lists are considered as a non-price rationing mechanism for coping with excess demand. Long waiting times are associated with many adverse effects, including a higher risk of death and serious complications for patients, especially adults (5)(6)(7)(8)(9)(10). Consequently, waiting times for elective surgeries are a major policy concern in many countries, especially for health systems operated with public funds (11).…”

mentioning

confidence: 99%

Patient prioritisation methods to shorten waiting times for elective surgery: a systematic review of how to improve access to surgery

Rathnayake

Clarke²,

Jayasinghe

2021

Preprint

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Background: Concern about long waiting times for elective surgeries is not a recent phenomenon, but it has been heightened by the impact of the COVID-19 pandemic and its associated measures. One way to alleviate the problem might be to use prioritisation methods for patients on the waiting list and a wide range of research is available on such methods. However, significant variations and inconsistencies have been reported in prioritisation protocols from various specialties, institutions, and health systems. To bridge the evidence gap in existing literature, this comprehensive systematic review will synthesise global evidence on policy strategies with a unique insight to patient prioritisation methods to reduce waiting times for elective surgeries. This will provide evidence that might help with the tremendous burden of surgical disease that is now apparent in many countries because of operations that were delayed or cancelled due to the COVID-19 pandemic and inform policy for sustainable healthcare management systems. Methods: We searched PubMed, EMBASE, SCOPUS, Web of Science, and the Cochrane Library, with our most recent searches in January 2020. Articles published after 2013 on major elective surgery lists of adult patients were eligible, but cancer and cancer-related surgeries were excluded. Both randomised and non-randomised studies were eligible and the quality of studies was assessed with ROBINS-I and CASP tools. We registered the review in PROSPERO (CRD42019158455) and reported it in accordance with the PRISMA statement. Results: The electronic search in five bibliographic databases yielded 7543 records (PubMed, EMBASE, SCOPUS, Web of Science, and Cochrane) and 17 eligible articles were identified in the screening. There were four quasi-experimental studies, 11 observational studies and two systematic reviews. These demonstrated a moderate to low risk of bias in their research methods. Three studies tested generic approaches using common prioritisation systems for all elective surgeries in common. The other studies assessed specific prioritisation approaches for re-ordering the waiting list for a particular surgical specialty. Conclusions: Explicit prioritisation tools with a standardised scoring system based on clear evidence-based criteria are likely to reduce waiting times and improve equitable access to health care. Multiple attributes need to be considered in defining a fair prioritisation system to overcome limitations with local variations and discriminations. Collating evidence from a diverse body of research provides a single framework to improve the quality and efficiency of elective surgical care provision in a variety of health settings. Universal prioritisation tools with vertical and horizontal equity would help with re-ordering patients on waiting lists for elective surgery and reduce waiting times. Keywords: Patient prioritisation, elective surgery, waiting time, systematic review

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Perioperative time-management methods to reduce waiting times for elective surgery: a systematic review

Rathnayake

Clark

Jayasinghe

et al. 2022

British Journal of Healthcare Management

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Perioperative processes and adherence to scheduled times are crucial for efficient performance in operating theatres. This systematic review investigated the effects of efficient perioperative systems on the timeliness of upstream and downstream processes in surgical care pathways, looking at how these methods could reduce overall patient waiting times for elective surgery. The authors searched PubMed, EMBASE, SCOPUS, Web of Science and Cochrane databases for articles published after 1 January 2014. Both randomised and non-randomised studies were considered. A total of 7543 publications were screened, of which 20 were eligible for analysis. The studies varied widely in design, scope, reported outcomes and overall quality. Analysis demonstrated that a substantial amount of time could be saved through efficient scheduling and planning of perioperative processes, which could reduce overall patient waiting time for elective surgeries. Further evaluation with higher quality study designs and rigour is recommended for firmer conclusions.

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How often does the operating list follow the planned order? An analysis of elective maxillofacial operating lists

Cited by 5 publications

References 6 publications

Changing operating lists on the day of surgery: a service evaluation

Changing operating lists on the day of surgery: a service evaluation

Patient prioritisation methods to shorten waiting times for elective surgery: a systematic review of how to improve access to surgery

Perioperative time-management methods to reduce waiting times for elective surgery: a systematic review

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