Effect of implication of time management principles on efficiency parameters in the cardiac catheterization laboratory
Journal Title: Healthline - Year 2013, Vol 4, Issue 1
Abstract
Context: With the increasing incidence of Coronary Artery disease in developing countries and availability of fewer resources and manpower, optimal Operating Room management is the key factor for patient care. Aims: To evaluate the effect of time management principles on efficiency parameters in the cardiac cath-lab. Methods and Material: Prospective interventional study was carried out on patients admitted for procedures at the cath lab amongst eight cardiologists during April 2009 to June 2009. The control period was from January 2009 to March 2009. Parameters like start time tardiness, case cancellation rate, turn over time, waiting time of the operator in the waiting area of the cath-lab and patients’ waiting since hospitalization for operative slot was evaluated after the implementation of time management steps and compared with control group. Unpaired t-test was used for statistical analysis. P< 0.05 was considered as statistically significant. Results: Total number of the patients were 430 (Mean + SD, 73.75+83.63) and 590 (75+52.59) for study group and for control group respectively. Implementation of operating room (OR) management principles resulted in improvement of OR efficiency parameters reaching statistically significant reduction in start-time tardiness (P=0.023), case cancellation rate (P=0.031), turnover time (P=0.0113) and patient waiting time (P=0.025) while reduction in cardiologist waiting time did not reach statistically significant level (P=0.15). Conclusion: Implementation of OR management principles in cath-lab resulted in improvement of most of the efficiency parameters in patient management.
Authors and Affiliations
Kamal Sharma, Anchal Jindal
Keywords
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