Service Process Time and Efficiency during Official Hours in Hua-Hin Operating Room
Keywords:
operating utilization rate, optimization index, overload index, resistance indexAbstract
Objective: Appropriate use of the operating room can increase safety, quality, and patient satisfaction. The plan to improve the method of OR management needs to be materialized. This improvement requires basic information and factors which can bring the results. The researcher was required to study the service process time and their factors, as well as the efficiency of the service process time during the official hours in Hua-Hin Hospital’s operating room.
Methods: A descriptive study was conducted by observing and recording the service process time since, 3 months in total. The data were also used to evaluate the efficiency of the operating room by using various indexes, altogether with seeking for the various factors which affected the service process time in the OR. The statistical data were analyzed by SPSS version 18.
Results: The median of case time was 83 (-74, 507) min. Optimization index (OPI), Resistance index (RI), and operating room utilization (OUT) were 129.5%, 89.9% and 83.8% respectively. Overload index (OVI) was -14.2 showed that the OR was under-used. The amount of case time was inaccordance with the anesthesia-controlled time, surgeon-controlled time, and between-case time with statistical significance.
Conclusion: Hua-Hin operating rooms have under-use of their capabilities. The management here needs a multi-disciplinary team, and the members of the team have an awareness of problems. The leaders are able to well communicate with others and manage time. There are also appropriate managements of personnel as well as the management of scheduling the surgical time in a practical way. However, although the systematic organization might help reducing the service process time, the amount of the service process time reduced is not the indicator of efficiency. Rather, it depends on the quality of the service and the ability of each personnel performance.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
