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
Development of Non-Hodgkin's Lymphoma in a Child with Hyper-Ige Syndrome
This paper reports development of non-Hodgkin’s lymphoma in a 7'/2-year-old patient with hyper IgE syndrome. This rare primary immunodeficiency syndrome is characterized by markedly elevated serum IgE levels, chronic a...
Metabolic Syndrome and Its Components Secondary analysis of the World Health Survey, Oman
Objectives: Te study aimed to describe the prevalence of metabolic syndrome (MS) and its components among Omani adults. Methods: Te 2008 Oman World Health Survey dataset was used to determine the national prevalence of...
Haemostatic Parameters in Patients with Behçet’s Disease
Objectives: Tis study aimed to evaluate the cause of thrombosis in Behçet’s disease (BD) patients, since abnormalities in coagulation and fbrinolytic parameters have shown contradictory results. Methods: Haemostatic...
Appearance of Renal Replacement Lipomatosis on Computed Tomography Rare pseudotumour
Papillary Carcinoma of theThyroid Presenting Primarily as Cervical Lymphadenopathy An approach to management
Papillary carcinoma of thyroid usually presents as a palpable thyroid mass. Tis could be associated with pain, hoarseness, stridor or dysphagia. Rarely, it presents solely as cervical lympadenopthy in the presence of an...