Dedicated operating room for emergency surgery generates more utilization, less overtime, and less cancellations.

Autor: van Veen-Berkx E; Department of Operating Rooms, Erasmus University Medical Center Rotterdam, s-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands. Electronic address: e.berkx@erasmusmc.nl., Elkhuizen SG; Department of Health Care Logistics, Institute for Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands., Kuijper B; Department of Hospital & Health Care, Logex, Amsterdam, The Netherlands., Kazemier G; Department of Surgery, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2016 Jan; Vol. 211 (1), pp. 122-8. Date of Electronic Publication: 2015 Aug 12.
DOI: 10.1016/j.amjsurg.2015.06.021
Abstrakt: Background: Two approaches prevail for reserving operating room (OR) capacity for emergency surgery: (1) dedicated emergency ORs and (2) evenly allocating capacity to all elective ORs, thereby creating a virtual emergency team. Previous studies contradict which approach leads to the best performance in OR utilization.
Methods: Quasi-experimental controlled time-series design with empirical data from 3 university medical centers. Four different time periods were compared with analysis of variance with contrasts.
Results: Performance was measured based on 467,522 surgical cases. After closing the dedicated emergency OR, utilization slightly increased; overtime also increased. This was in contrast to earlier simulated results. The 2 control centers, maintaining a dedicated emergency OR, showed a higher increase in utilization and a decrease in overtime, along with a smaller ratio of case cancellations because of emergency surgery.
Conclusion: This study shows that in daily practice a dedicated emergency OR is the preferred approach in performance terms regarding utilization, overtime, and case cancellations.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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