Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany.
- Morgenegg R Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland.
- Heinze F Department of Health Economics, Marienhospital, Vechta, Germany.
- Wieferich K Department of Health Economics, Marienhospital, Vechta, Germany.
- Schiffer R Department of Health Economics, Marienhospital, Vechta, Germany.
- Stueber F Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland.
- Luedi MM Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland.
- Doll D Department of Surgery, Marienhospital, Vechta, Germany.
- 2018-01-27
Published in:
- Sultan Qaboos University medical journal. - 2017
Germany
Operating Room
Patient Care Management
Quality Control
Strategic Planning
Time Management
organization and administration
Chi-Square Distribution
Elective Surgical Procedures
Germany
Hospitals, Rural
Humans
Operating Rooms
Retrospective Studies
Time Factors
English
Objectives
While several factors have been shown to influence operating room (OR) turnaround times, few comparisons of planned and actual OR turnaround times have been performed. This study aimed to compare planned and actual OR turnaround times at a large rural hospital in Northern Germany.
Methods
This retrospective study examined the OR turnaround data of 875 elective surgery cases scheduled at the Marienhospital, Vechta, Germany, between July and October 2014. The frequency distributions of planned and actual OR turnaround times were compared and correlations between turnaround times and various factors were established, including the time of day of the procedure, patient age and the planned duration of the surgery.
Results
There was a significant difference between mean planned and actual OR turnaround times (0.32 versus 0.64 hours; P <0.001). In addition, significant correlations were noted between actual OR turnaround times and the time of day of the surgery, patient age, actual duration of the procedure and staffing changes affecting the surgeon or the medical specialty of the surgery (P <0.001 each). The quotient of actual/planned OR turnaround times ranged from 1.733-3.000.
Conclusion
Significant discrepancies between planned and actual OR turnaround times were noted during the study period. Such findings may be potentially used in future studies to establish a tool to improve OR planning, measure OR management performance and enable benchmarking.
While several factors have been shown to influence operating room (OR) turnaround times, few comparisons of planned and actual OR turnaround times have been performed. This study aimed to compare planned and actual OR turnaround times at a large rural hospital in Northern Germany.
Methods
This retrospective study examined the OR turnaround data of 875 elective surgery cases scheduled at the Marienhospital, Vechta, Germany, between July and October 2014. The frequency distributions of planned and actual OR turnaround times were compared and correlations between turnaround times and various factors were established, including the time of day of the procedure, patient age and the planned duration of the surgery.
Results
There was a significant difference between mean planned and actual OR turnaround times (0.32 versus 0.64 hours; P <0.001). In addition, significant correlations were noted between actual OR turnaround times and the time of day of the surgery, patient age, actual duration of the procedure and staffing changes affecting the surgeon or the medical specialty of the surgery (P <0.001 each). The quotient of actual/planned OR turnaround times ranged from 1.733-3.000.
Conclusion
Significant discrepancies between planned and actual OR turnaround times were noted during the study period. Such findings may be potentially used in future studies to establish a tool to improve OR planning, measure OR management performance and enable benchmarking.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.18295/squmj.2017.17.04.007
- PMID 29372083
- Persistent URL
- https://sonar.ch/global/documents/185094
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