Operating Room Efficiency and Service Time Analysis in a Secondary Hospital in Thailand
Article Sidebar
Main Article Content
Abstract
Introduction: Effective time management in the operating room is essential, as it helps reduce hospital costs, enhances patient safety and satisfaction, and improves the performance of both anesthesia and surgical teams. This study aims to examine the service process time for patients undergoing surgery during office hours at Chomthong Hospital. Specifically, it seeks to analyze the efficiency of the operating room using various indicators and to identify the factors that influence the duration of these service processes. Methods: A prospective descriptive study was recorded the service process time and factors that influence the duration during office hours since, 1 April 2024 to 30 June 2024. Results: The median case time was 40 min (range: 5 to 420 min). The optimization index (OPI), resistance index (RI), operating room utilization (OUT), and overload index (OVI) were 165.9%, 40.1%, 58.7 ± 27.1, and -96.9%, respectively. The case time was statistically significantly associated with anesthesia-controlled time, surgeon-controlled time, and between-case time. Conclusion: The operating room at Chom Thong Hospital is underutilized relative to its capacity. Effective management of the operating room requires multidisciplinary collaboration to address issues across various processes. Solutions should prioritize patient safety and staff capabilities, while also focusing on improving systems through the use of a database.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Martin L, Langell J. Improving on-time surgical starts: the impact of implementing pre-OR timeouts and performance pay. J Surg Res. 2017;219:222-5.
Wright JG, Roche A, Khoury AE. Improving on-time surgical starts in an operating room. Can J Surg. 2010;53:167-70.
Stepaniak PS, Mannaerts GHH, de Quelerij M, de Vries G. The effect of the operating room coordinator’s risk appreciation on operating room efficiency. Anesth Analg. 2009;108:1249-56.
Ubiali A, Perger P, Rochira A, et al. Operating room efficiency measurement made simple by a single metric. Ann Ig. 2021;33:100-2.
Park HS, Kim SH, Bong MR, et al. Optimization of the operating room scheduling process for improving efficiency in a tertiary hospital. J Med Syst. 2020;44:171.
Deachathai N. Service process time and efficiency during official hours in Hua-Hin operating room. Reg 4-5 Med J. 2021;40:1-18.
Zafar SU, Khan FA, Khan M. Standardization of anaesthesia ready time and reasons of delay in induction of anaesthesia. J Pak Med Assoc. 2006;56:112-5.
Nepote MHA, Monteiro IU, Hardy E. Association between operational indexes and the utilization rate of a general surgery center. Rev Lat Am Enfermagem. 2009;17:529-34.
Tyler DC, Pasquariello CA, Chen CH. Determining optimum operating room utilization. Anesth Analg. 2003;96:1114-21.
Akavipat P. The study of service process time in neurosurgical operating theatre. Thai J Anesthesiol. 2015;41:203-17.
Delaney CL, Davis N, Tamblyn P. Audit of the utilization of time in an orthopaedic trauma theatre. ANZ J Surg. 2010;80:217-22.
Deachathai MN. Service process time and efficiency during official hours in Hua-Hin operating room. Reg 4-5 Med J. 2021;40:1-18.
Thongrong C. Efficiency of anesthesia service during official hours in Srinagarind Hospital Srinagarind Med J. 2011;26:174-82.
Tuwatananurak JP, Zadeh S, Xu X, et al. Machine learning can improve estimation of surgical case duration: a pilot study. J Med Syst. 2019;43:44.
Puffer RC, Mallory GW, Burrows AM, Curry TB, Clarke MJ. Patient and procedural factors that influence anesthetized, nonoperative time in spine surgery. Global Spine J. 2016;6:447-51.
Luedi MM, Kauf P, Mulks L, Wieferich K, Schiffer R, Doll D. Implications of patient age and ASA physical status for operating room management decisions. Anesth Analg. 2016;122:1169-77.
Ghisi D, Fanelli A, Tosi M, Nuzzi M, Fanelli G. Monitored anesthesia care. Minerva Anestesiol. 2005;71:533-8.
Aljaffary A, AlAnsari F, Alatassi A, AlSuhaibani M, Alomran A. Assessing the precision of surgery duration estimation: a retrospective study. J Multidiscip Healthc. 2023;16:1565-76.
Caggiano NM, Avery DM, Matullo KS. The effect of anesthesia type on nonsurgical operating room time. J Hand Surg Am. 2015;40:1202-9.e1.
Jeang A, Chiang AJ. Economic and quality scheduling for effective utilization of operating rooms. J Med Syst. 2012;36:1205-22.
Ferrari LR, Micheli A, Whiteley C, Chazaro R, Zurakowski D. Criteria for assessing operating room utilization in a free-standing children’s hospital. Paediatr Anaesth. 2012;22:696-706.
Marjamaa R, Vakkuri A, Kirvelä O. Operating room management: why, how and by whom? Acta Anaesthesiol Scand. 2008;52:596-600.
