Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 4
Abstract
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. Tis study aimed to compare planned and actual OR turnaround times at a large rural hospital in Northern Germany. Methods: Tis retrospective study examined the OR turnaround data of 875 elective surgery cases scheduled at the Marienhospital, Vechta, Germany, between July and October 2014. Te 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: Tere was a signifcant difference between mean planned and actual OR turnaround times (0.32 versus 0.64 hours; P <0.001). In addition, signifcant correlations were noted between actual OR turnaround times and the time of day of the surgery, patient age, actual duration of the procedure and stafng changes affecting the surgeon or the medical specialty of the surgery (P <0.001 each). Te quotient of actual/planned OR turnaround times ranged from 1.733–3.000. Conclusion: Signifcant discrepancies between planned and actual OR turnaround times were noted during the study period. Such fndings may be potentially used in future studies to establish a tool to improve OR planning, measure OR management performance and enable benchmarking.
Authors and Affiliations
Regula Morgenegg| Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland, Franziska Heinze| Department of Health Economics, Marienhospital, Vechta, Germany, Katharina Wieferich| Department of Health Economics, Marienhospital, Vechta, Germany, Ralf Schiffer| Department of Health Economics, Marienhospital, Vechta, Germany, Frank Stueber| Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland, Markus M. Luedi| Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland, Dietrich Doll| Department of Surgery, Marienhospital, Vechta, Germany
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- EP ID EP14818
- DOI 10.18295/squmj.2017.17.04.007
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