Audit of the Functioning of the Elective Neurosurgical Operation Theater in India: A Prospective Study and Review of Literature
| Autor: | Paritosh Pandey, Manish Ranjan, Amrit Kumar Saikia, Marie Claire, Kamath Sriganesh, Mohit Mittal |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Operating Rooms education Operative Time India Audit Neurosurgical Procedures Perioperative Care Teaching hospital medicine Operating time Humans Start time Surgical preparation Anesthesia induction Prospective Studies Prospective cohort study Hospitals Teaching Medical Audit business.industry General surgery Time Management Surgery Anesthesia induction time Elective Surgical Procedures Neurology (clinical) business |
| Zdroj: | World neurosurgery. 84(2) |
| ISSN: | 1878-8769 |
| Popis: | Background Knowledge about the utilization of the operation theater (OT) is essential to improve its efficiency. This study evaluated the neurosurgical operation theater utilization in a neurosciences teaching hospital. Methods Data collected included OT start time, delay in start, anesthesia induction time, surgical preparation time, anesthesia recovery time, operating time, time between cases, and theater closing time. Results Five hundred thirty-seven surgeries were performed during the study period. The percentage of time used for anesthesia induction, actual surgical procedure, recovery from anesthesia, and theater preparation between the two cases were 8%, 70%, 6% and 5%, respectively. Fourteen percent of scheduled cases were cancelled. On 220 occasions (70.51%), theater was over-run. Late start contributed to loss of 8370 minutes (140 hours) of theater time. Conclusions This study identified the proportion of time spent on each activity in the neurosurgical OT. This knowledge is likely to facilitate better planning of neurosurgical theater schedule and result in optimal utilization. |
| Databáze: | OpenAIRE |
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