The “Operating Room Surgical Activity” (ORSA) study: a snap-shot international survey on the global management of the operating theatres for emergency surgery. When to persist is diabolical…

Simone, Belinda De; Agnoletti, Vanni; Rosato, Chiara; Kaafarani, Haytham M.A.; Stahel, Philip F.; Collaborative, ORSA; Catena, Rodolfo; Catena, Fausto

doi:10.21203/rs.3.rs-2414302/v1

Cited by 3 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management of the OT requires the coordination of human and material resources in such a way that surgery can be performed safely, efficiently and cost effectively (Hassan et al 2021 :23). Shortage of OT personnel that are surgeons, anaesthetist, professional nurses and junior nurses affects the use of an OR, which leads to patients delay, complication and increased length of stay and significant dissatisfaction for patients and relative (De Simone et al 2023 .). According to Moons et al ( 2019 ) Operating rooms, in particular, are a costly burden to the hospital as the cost of surgical supplies accounts for 40% – 60% of total hospital supply expenditures.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, patients requiring emergency surgery are admitted to the hospital to receive initial resuscitation on arrival, but for some reasons, their procedures are delayed for surgery as expected and are later booked as elective surgeries (Kajja et al 2014 :2). The study conducted in Canada revealed implications of delayed surgery, either in elective cases or in emergency cases, including a higher risk for complications such as nosocomial infections, worsening of the condition, increased length of stay and significant dissatisfaction for patients and relatives (Heng et al 2012) supported by De Simone et al 2023 . The findings are similar to what is observed in South Africa.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital

Ramokopelwa,

Moeta

2024

Health SA Gesondheid

View full text Add to dashboard Cite

Background: The operating theatre (OT) complex of hospitals represents areas of considerable expenditure with regard to costs and requires maximum use to ensure optimum cost benefit for both patients and the hospital. Inefficient use of an operating theatre room (OTR) may result in hospital wasteful expenditure and frustrations for patients owing to surgery delays, cancellations and prolonged hospitalisation while waiting.Aim: The aim of the study was to explore and describe using a consensus method, factors impacting the use of an emergency orthopaedic theatre that can be optimised in a selected public hospital in Gauteng province.Setting: The study was conducted by a professional nurse and orthopaedic surgeon working in the theatre of a selected public hospital in Gauteng province.Method: A qualitative, explorative and descriptive design was adopted. Data were collected using a nominal group technique (NGT) among professional nurses and orthopaedic surgeons. Data analysis was done through cross-analysis where participants reached a consensus on the voted ideas from the group.Results: Consensus was reached and three main themes emerged: (1) inadequate resources; (2) poor organisation and (3) communication.Conclusion: The optimal use of an emergency orthopaedic theatre is influenced by the availability of resources being human and material, good organisation and clear communication.Contribution: The study has demonstrated that a variety of factors needs to be considered to optimise the use of an orthopaedic emergency theatre. The management of an OT requires a concerted effort from the nurses and doctors.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital

Ramokopelwa,

Moeta

2024

Health SA Gesondheid

View full text Add to dashboard Cite

show abstract

“…In most situations, the operating rooms do not reach target utilization and hence the optimal allocation of surgeries to operating rooms is required to improve operating room utilization and cost saving. Thus, operating room planning and scheduling has attracted the attention of many researchers [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

An Outer Approximation Method for Scheduling Elective Surgeries with Sequence Dependent Setup Times to Multiple Operating Rooms

2023

View full text Add to dashboard Cite

In this paper, operating room planning and scheduling problems have been studied. In operating room planning, the allocation of patients to operating rooms and their sequencing are critical in determining the performance of operating rooms. In this paper, three surgery scheduling decisions are considered, including the number of operating rooms to open, the allocation of surgeries to operating rooms, and the sequencing of surgeries in allocated operating rooms. All the surgeries under consideration are elective, and surgery durations are considered deterministic. Further, it is considered that the surgeries have different specialties, and each operating room can accommodate a particular specialty of surgeries, i.e., heterogeneous operating rooms are considered in the current study. Before performing a surgery, setup time is required for operating room turnover and sterilization, and it is considered sequence dependent. A mixed integer nonlinear programming (MINLP) model is developed to minimize the overtime costs of operating rooms for allocation and surgery sequencing with sequence dependent setup times. An outer approximation (OA) method is proposed to solve the problem near optimally. Experiments are conducted to compare the performance of the proposed OA method with the standard mixed integer nonlinear programming model. Computational results show the efficiency of the proposed OA method. Later, a case data from a case hospital is collected and a case study is solved.

show abstract

The new timing in acute care surgery (new TACS) classification: a WSES Delphi consensus study

Simone¹,

Coccolini²,

Saverio³

et al. 2023

World J Emerg Surg

Self Cite

View full text Add to dashboard Cite

Background Timely access to the operating room for emergency general surgery (EGS) indications remains a challenge across the globe, largely driven by operating room availability and staffing constraints. The “timing in acute care surgery” (TACS) classification was previously published to introduce a new tool to triage the timely and appropriate access of EGS patients to the operating room. However, the clinical and operational effectiveness of the TACS classification has not been investigated in subsequent validation studies. This study aimed to improve the TACS classification and provide further consensus around the appropriate use of the new TACS classification through a standardized Delphi approach with international experts. Methods This is a validation study of the new TACS by a selected international panel of experts using the Delphi method. The TACS questionnaire was designed as a web-based survey. The consensus agreement level was established to be ≥ 75%. The collective consensus agreement was defined as the sum of the percentage of the highest Likert scale levels (4–5) out of all participants. Surgical emergency diseases and correlated clinical scenarios were defined for each of the proposed classes. Subsequent rounds were carried out until a definitive level of consensus was reached. Frequencies and percentages were calculated to determine the degree of agreement for each surgical disease. Results Four polling rounds were carried out. The new TACS classification provides 6 colour-code classes correlated to a precise timing to surgery, defined scenarios and surgical condition. The WHITE colour-code class was introduced to rapidly (within a week) reschedule cancelled or postponed surgical procedures. Haemodynamic stability is the main tool to stratify patients for immediate surgery or not in the presence of sepsis/septic shock. Fifty-one surgical diseases were included in the different colour-code classes of priority. Conclusion The new TACS classification is a comprehensive, simple, clear and reproducible triage system which can be used to assess the severity of the patient and the surgical disease, to reduce the time to access to the operating room, and to manage the emergency surgical patients within a “safe” timeframe. By including well-defined surgical diseases in the different colour-code classes of priority, validated through a Delphi consensus, the new TACS improves communication among surgeons, between surgeons and anaesthesiologists and decreases conflicts and waste and waiting time in accessing the operating room for emergency surgical patients. Graphical Abstract

show abstract

The “Operating Room Surgical Activity” (ORSA) study: a snap-shot international survey on the global management of the operating theatres for emergency surgery. When to persist is diabolical…

Cited by 3 publications

References 26 publications

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital

An Outer Approximation Method for Scheduling Elective Surgeries with Sequence Dependent Setup Times to Multiple Operating Rooms

The new timing in acute care surgery (new TACS) classification: a WSES Delphi consensus study

Contact Info

Product

Resources

About