Analysis of operating room efficiency between a hospital-owned ambulatory surgical center and hospital outpatient department
| Autor: | Waqaar Diwan, Herb A. Phelan, Audra T. Clark, Luis R. Taveras, Holly B. Cunningham, Jonathan B. Imran, Steven E. Wolf, Tarik D. Madni, Ali A. Mokdad, YPaul P. Goldenmerry, Michael W. Cripps |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Operating Rooms medicine.medical_specialty Outpatient Clinics Hospital Surgicenters Operative Time System evaluation Efficiency Organizational Hospitals University 03 medical and health sciences Outpatient procedures 0302 clinical medicine Humans Outpatient clinic Medicine Retrospective Studies Procedure time 030222 orthopedics business.industry 030208 emergency & critical care medicine General Medicine Turnover time Ambulatory Surgical Procedures General Surgery Ambulatory Emergency medicine Surgery Hop (telecommunications) business |
| Zdroj: | The American Journal of Surgery. 218:809-812 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2019.04.017 |
| Popis: | Ambulatory surgery centers (ASCs) are frequently utilized; however some ambulatory procedures may be performed in hospital outpatient departments (HOPs). Our aim was to compare operating room efficiency between our ASC and HOP.We reviewed outpatient general surgery procedures performed at our ASC and HOP. Total case time was divided into five components: ancillary time, procedure time, exit time, turnover time, and nonoperative time.Overall, 220 procedures were included (114 ASC, 106 HOP). Expressed in minutes, the mean turnover time (29.8 ± 9.6 vs. 24.5 ± 12.7; p 0.01), ancillary time (32.2 ± 7.0 vs. 22.2 ± 4.5; p 0.01), procedure time (77.4 ± 44.9 vs. 56.2 ± 23.0 p 0.01), exit time (11.8 ± 4.4 vs. 8.5 ± 4.3; p 0.01), and nonoperative time (62.9 ± 21.9 vs. 48.7 ± 15.0; p 0.01) were longer at the HOP than at the ASC.ASC outpatient procedures are more efficient than those performed at our HOP. A system evaluation of our HOP operating room efficiency is necessary. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect