Process Improvement Approach to Investigate Low Block Utilization of Operating Rooms: A Case Study

نویسنده

  • Omar Ashour
چکیده

Lean principles and statistical analysis have been successfully implemented to hospitals and healthcare systems. These principles among other process improvement principles aim to detect and eliminate wastes in the system and its processes. In this paper, lean and statistical analysis were applied to systematically investigate the causes of low operating room (OR) block utilization and recommend solutions to improve the utilization. The study was carried out at a tertiary hospital in Pennsylvania. Root cause analysis has identified the main reasons of delays that impact utilization, i.e., waiting in OR after surgery is done due to bed unavailability, delays in preoperative process due to IV insertion difficulty and unavailable beds, and scheduling problems such as late first case starts and unrealistic surgery schedules. Countermeasures were developed, reevaluating the current scheduling practice and developing a scheduling tool are believed to be the best countermeasures in terms of ease of implementation and impact.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

HEART assessment of human error by the hospital operating rooms staff Imam Hussein (AS) and provide solutions Golpayegan city prioritized

Considering the importance of medical care and especially occupations in the operating room for the improvement of illnesses as well as the preservation of life, the consequences of failure and failure to perform the duties of the staff of these centers will be irreparable, so the findings of this study can be a useful guide to reduce Errors in operating room staff. Methods: This study was per...

متن کامل

The Effect of Scheduling on Operating Room Utilization at an Affiliated Hospital of Shahid Sadoughi University of Medical Sciences in Yazd

Introduction: Resource management and efficiency analysis assist the hospitals in controlling the expenses and optimum utilization. Operating room (OR) is a critical department in a hospital and its performance highly affects the financial resources. The current study tried to measure OR utilization at a University Hospital of Shahid Sadoughi University of Medical Sciences in Yazd. Methods: Th...

متن کامل

Compliance With Infection Control Guidelines in the Operating Rooms

Introduction: Compliance with the safety standards in the operating rooms, as one of the most complex work environments in the health care systems, is very important. One of the safety measures is the infection control standard.  Objective: This study aimed to investigate compliance with infection control standards in the operating rooms of teaching hospitals in Rasht City, Iran. Materials an...

متن کامل

Integrated Block Sharing: A Win-Win Strategy for Hospitals and Surgeons

W e consider the problem of balancing two competing objectives in the pursuit of efficient management of operating rooms in a hospital: providing surgeons with predictable, reliable access to the operating room and maintaining high utilization of capacity. The common solution to the first problem (in practice) is to grant exclusive " block time, " in which a portion of the week in an operating ...

متن کامل

Improvement of operating room performance using a multi-objective mathematical model and data envelopment analysis: A case study

Surgical theater is one of the most expensive hospital sources that a high percentage of hospital admissions are related to it. Therefore, efficient planning and scheduling of the operating rooms (ORs) is necessary to improve the efficiency of any healthcare system. Therefore, in this paper, the weekly OR planning and scheduling problem is addressed to minimize the waiting time of elective pati...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2016