Dedicated operating room for emergency surgery generates more utilization, less overtime, and less cancellations - 14/12/15
, Sylvia G. Elkhuizen, Ph.D. b, Bart Kuijper, M.Sc. c, Geert Kazemier, M.D., Ph.D. dfor the
Dutch Operating Room Benchmarking Collaborative
Abstract |
Background |
Two approaches prevail for reserving operating room (OR) capacity for emergency surgery: (1) dedicated emergency ORs and (2) evenly allocating capacity to all elective ORs, thereby creating a virtual emergency team. Previous studies contradict which approach leads to the best performance in OR utilization.
Methods |
Quasi-experimental controlled time-series design with empirical data from 3 university medical centers. Four different time periods were compared with analysis of variance with contrasts.
Results |
Performance was measured based on 467,522 surgical cases. After closing the dedicated emergency OR, utilization slightly increased; overtime also increased. This was in contrast to earlier simulated results. The 2 control centers, maintaining a dedicated emergency OR, showed a higher increase in utilization and a decrease in overtime, along with a smaller ratio of case cancellations because of emergency surgery.
Conclusion |
This study shows that in daily practice a dedicated emergency OR is the preferred approach in performance terms regarding utilization, overtime, and case cancellations.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Two approaches for reserving OR capacity were evaluated. |
• | Performance was measured in this multicenter study comprising 467,522 surgical cases. |
• | A dedicated emergency OR generates more utilization, less overtime, and less cancellations. |
Keywords : Emergency surgery, Operating room capacity, Operating room utilization
Plan
| The authors declare no conflicts of interest. |
|
| Disclosure of Funding: National Institutes of Health, Wellcome Trust, Howard Hughes Medical Institute, and any other organizations: no funding received. |
Vol 211 - N° 1
P. 122-128 - janvier 2016 Retour au numéro
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