Improving Operating Room Efficiency

被引:76
作者
Lee, Daniel J. [1 ,2 ]
Ding, James [1 ]
Guzzo, Thomas J. [1 ]
机构
[1] Univ Penn, Div Urol, Perelman Sch Med, Philadelphia, PA 19104 USA
[2] Perelman Ctr Adv Med, 3400 Civ Ctr Blvd,West Pavil 314 Floor, Philadelphia, PA 19104 USA
关键词
Operating room efficiency; Operating room costs; Six sigma; Lean; Cost efficiency; SURGERY; COSTS; TIME; CANCELLATION; IMPACT; TEAM; PERFORMANCE; RESECTION; CLOSURE; DESIGN;
D O I
10.1007/s11934-019-0895-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of Review Operating rooms are critical financial centers for hospital systems, with surgical care representing about a third of all health care spending. However, not all of the costs are appropriate or necessary, as there are sometimes significant inefficiencies in how operating rooms are utilized. Recent Findings Recent innovations utilizing patient-centered data, systems principles from manufacturing industries, and enhanced communication processes have made significant improvements in improving operating room efficiency. Summary By focusing on improving communication, standardizing processes, and embracing a learning health system with innovations, significant improvements in operating room efficiency can be seen to improve outcomes and costs for the health system and patient.
引用
收藏
页数:8
相关论文
共 73 条
[1]   Cancellation of Surgeries: Integrative Review [J].
Al Talalwah, Narmeen ;
McIltrot, Kimberly H. .
JOURNAL OF PERIANESTHESIA NURSING, 2019, 34 (01) :86-96
[2]   On the day of surgery: how long does preventable disruption prolong the patient journey? [J].
Al-Hakim, Latif ;
Gong, Xiao Yan .
INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE, 2012, 25 (04) :322-+
[3]  
[Anonymous], 2010, National health statistics reports
[4]  
[Anonymous], NQF END MEAS SURG PR
[5]   Elective surgical case cancellation in the Veterans Health Administration system: identifying areas for improvement [J].
Argo, Joshua L. ;
Vick, Catherine C. ;
Graham, Laura A. ;
Itani, Kamal M. F. ;
Bishop, Michael J. ;
Hawn, Mary T. .
AMERICAN JOURNAL OF SURGERY, 2009, 198 (05) :600-606
[6]  
Basto J, 2019, HEALTHC AMST
[7]   Improving operating room efficiency via an interprofessional approach [J].
Bender, Jeffrey S. ;
Nicolescu, Teodora O. ;
Hollingsworth, Susan B. ;
Murer, Krystal ;
Wallace, Kristina R. ;
Ertl, William J. .
AMERICAN JOURNAL OF SURGERY, 2015, 209 (03) :447-450
[8]   Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre [J].
Bethune, Robert ;
Sasirekha, Govindarajulu ;
Sahu, Ajay ;
Cawthorn, Simon ;
Pullyblank, Anne .
POSTGRADUATE MEDICAL JOURNAL, 2011, 87 (1027) :331-334
[9]   Comparing Open Radical Cystectomy and Robot-assisted Laparoscopic Radical Cystectomy: A Randomized Clinical Trial [J].
Bochner, Bernard H. ;
Dalbagni, Guido ;
Sjoberg, Daniel D. ;
Silberstein, Jonathan ;
Paz, Gal E. Keren ;
Donat, S. Machele ;
Coleman, Jonathan A. ;
Mathew, Sheila ;
Vickers, Andrew ;
Schnorr, Geoffrey C. ;
Feuerstein, Michael A. ;
Rapkin, Bruce ;
Parra, Raul O. ;
Herr, Harry W. ;
Laudone, Vincent P. .
EUROPEAN UROLOGY, 2015, 67 (06) :1042-1050
[10]   Cost savings in the operating room [J].
Brodsky, JB .
ANESTHESIOLOGY, 1998, 88 (03) :834-834