Strategies to Improve Start Time in the Operating Theatre: a Systematic Review

被引：28

作者：

Halim, Usman A. ^{[1
]}

Khan, Mohammed A. ^{[2
]}

Ali, Adam M. ^{[3
]}

机构：

[1] Manchester Univ NHS Fdn Trust, Wythenshawe Hosp, Acad Surg Unit, Southmoor Rd, Manchester M23 9LT, Lancs, England

[2] Univ Manchester, Fac Biol Med & Hlth, Oxford Rd, Manchester M13 9PL, Lancs, England

[3] Hillingdon Hosp NHS Fdn Trust, Dept Trauma & Orthopaed Surg, Pield Heath Rd, Uxbridge UB8 3NN, Middx, England

来源：

JOURNAL OF MEDICAL SYSTEMS | 2018年 / 42卷 / 09期

关键词：

Surgery; Theatre; Operating room; Start time; Efficiency; ROOM EFFICIENCY; SURGERY; PATIENT; DELAYS; LIST;

D O I：

10.1007/s10916-018-1015-5

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Operating theatres represent a significant cost burden for healthcare providers around the world. Theatre start time is widely acknowledged as an important target for efficiency savings. However, there is uncertainty surrounding the effectiveness of strategies to improve start time, and questions regarding the barriers to their implementation. We conducted a systematic review of bibliographic databases to identify primary research papers assessing the effect of interventions on theatre start time. Two hundred and nine papers were found from electronic literature search with 14 being included in the final review. Financial incentives, educational approaches, system-based techniques, communication, the 'golden patient' initiative and 'the productive operating theatre' scheme have all been shown to improve start time. However, questions remain over which is the most effective, the longevity of their effects and whether the results can be extrapolated beyond the context in which they were studied. We summarise the key approaches reported in the literature and identify areas for future research. This is of use to clinicians and hospital managers seeking to improve efficiency and achieve cost savings.

引用

页数：11

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