Theater Cost Is £16/Minute So What Are You Doing Just Standing There?

Volpin, Andrea; Khan, Osman H; Haddad, Fares S.

doi:10.1016/j.arth.2015.08.008

Cited by 39 publications

(19 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Operating room (OR) inefficiency is a common and well recognised source of financial waste within health services [1] . Currently, the National Health Service (NHS) is facing an unprecedented financial crisis with a projected deficit of £2billion by the end of financial year 2015/16 [2] .…”

Section: Introductionmentioning

confidence: 99%

The cost of trauma operating theatre inefficiency

Ang

Sabharwal

Johannsson

et al. 2016

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

The National Health Service (NHS) is currently facing a financial crisis with a projected deficit of £2billion by the end of financial year 2015/16. As operating rooms (OR) are one of the costliest components in secondary care, improving theatre efficiency should be at the forefront of efforts to improve health service efficiency. The objectives of this study were to characterize the causes of trauma OR delays and to estimate the cost of this inefficiency.A 1-month prospective single-centre study in St. Mary's Hospital. Turnaround time (TT) was used as the surrogate parameter to measure theatre efficiency. Factors including patient age, ASA score and presence of surgical and anaesthetic consultant were evaluated to identify positive or negative associations with theatre delays. Inefficiency cost was calculated by multiplying the time wasted with staff capacity costs and opportunity costs, found to be £24.77/minute.The commonest causes for increased TT were delays in sending for patients (50%) and problems with patient transport to the OR (31%). 461 min of delay was observed in 12 days, equivalent to loss of £951.58/theatre/day. Non-statistically significant trends were seen between length of delays and advancing patient age, ASA score and absence of either a senior clinician or an anaesthetic consultant. Interestingly, the trend was not as strong for absence of an anaesthetic consultant.This study found delays in operating TT to represent a sizable cost, with potential efficiency savings based on TT of £347,327/theatre/year. Further study of a larger sample is warranted to better evaluate the identified trends.

show abstract

Section: Introductionmentioning

confidence: 99%

The cost of trauma operating theatre inefficiency

Ang

Sabharwal

Johannsson

et al. 2016

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…To compare the overall costs, the mean time needed for each access type was multiplied by the factor 20, according to estimated operating room running costs of V20 per minute. 16 The total price for open vs surgical cutdown was also extrapolated to represent bilateral percutaneous or open access. In case of bilateral cutdown, an extra small surgical tray with a selection of six arterial clamps is usually opened additionally.…”

mentioning

confidence: 99%

Successful percutaneous access for endovascular aneurysm repair is significantly cheaper than femoral cutdown in a prospective randomized trial

Uhlmann

Walter

Taher

et al. 2018

Journal of Vascular Surgery

View full text Add to dashboard Cite

Our data confirm proposed potential benefits attributable to the minimally invasive nature of pEVAR while demonstrating cost-effectiveness despite the additional cost of closure devices. Taking into account pEVAR failures still does not increase pEVAR costs over cEVAR. Further considering reduced postoperative pain and wound complications, the technique deserves consideration in suitable patients.

show abstract

“…This may not only increase the risk of patient complications due to contamination and infection, 27,28 or adverse cardiovascular, genitourinary, pulmonary events, 29,30 but also poses a significant economic burden for hospitals. 31 At the institution in which this investigation was performed, for example, a minute in the operating room costs approximately $112. Therefore, an extra 40 minutes of surgical time amounts to an extra $4,480 per case.…”

Section: Discussionmentioning

confidence: 99%

Obesity Is Associated with Significant Morbidity after Multiligament Knee Surgery

et al. 2019

View full text Add to dashboard Cite

The objective was to report the effect of obesity, utilizing a body mass index (BMI) threshold of 35 kg/m2, on outcomes and complications of multiple ligament knee injury (MLKI). It was hypothesized that obese patients would have longer intraoperative times and hospital length of stay, greater estimated blood loss, and higher rates of wound infection requiring irrigation and debridement (I&D) and revision ligament surgery. A retrospective review was performed on 143 individuals who underwent surgery for an MLKI between 2011 and 2018 at a single academic center. Patients were included if there was a plan for potential surgical repair/reconstruction of two or more ligaments. Patients with prior surgery to the affected knee or intra-articular fracture requiring reduction and fixation were excluded. Comparisons between obese and nonobese patients were made using two-sample t-test and either chi-square or Fisher's exact test for continuous and categorical variables, respectively. Significance was set at p < 0.05. Of 108 patients meeting inclusion criteria, 83 had BMI < 35 kg/m2 and 25 had BMI ≥ 35 kg/m2. Obese patients sustained higher rates of MLKI due to ultralow velocity mechanisms (28.0 vs. 1.2%; p = 0.0001) and higher rates of concomitant lateral meniscus injury (48.0 vs. 25.3%; p = 0.04). Among patients undergoing single-staged surgery, obese patients had significantly longer duration of surgery (219.8 vs. 178.6 minutes; p = 0.02) and more wound infections requiring I&D (20.0 vs. 4.8%; p = 0.03). In contrast, nonobese patients had higher rates of arthrofibrosis requiring manipulation under anesthesia and/or arthrolysis (25.3 vs. 0%; p = 0.003). Obese patients undergoing surgery of an MLKI have longer operative times, greater rates of wound infection requiring I&D, and lower rates of arthrofibrosis. Surgeons may consider these results when counseling patients on their postoperative course and risk for complications. Future research might focus on strategies to reduce complication rates in obese patients with MLKI. This is a Level III, retrospective comparative study.

show abstract

Theater Cost Is £16/Minute So What Are You Doing Just Standing There?

Cited by 39 publications

References 11 publications

The cost of trauma operating theatre inefficiency

The cost of trauma operating theatre inefficiency

Successful percutaneous access for endovascular aneurysm repair is significantly cheaper than femoral cutdown in a prospective randomized trial

Obesity Is Associated with Significant Morbidity after Multiligament Knee Surgery

Contact Info

Product

Resources

About