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Analysis of neuro-theatre utilisation and reasons for cancellation to improve efficiency and productivity

Sharouf, Feras, Baig Mirza, A., Moosajee, Vazira, Plummer, S., Bhatti, I. and Zaben, Malik 2017. Analysis of neuro-theatre utilisation and reasons for cancellation to improve efficiency and productivity. Journal of Perioperative Practice 27 (4) , pp. 82-86.

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Abstract

Aim: In neurosurgery, much emphasis has recently been placed on theatre cancellation and time utilization as a key hospital management performance indicator. We sought to evaluate our unit’s theatre throughput efficiency, and identify the causes of elective surgery cancellations. Methods: We retrospectively audited all scheduled elective neurosurgical procedures over a period of 9 months. Results: Mean theatre utilization time was 47.0%. The common causes of cancellations were lack of theatre time (32%), non-availability of beds in recovery room (18.6%), and insufficient preoperative patient preparation (5.5%). Discussion: Inefficiencies were noted in turnover of patients and inaccurate prediction of operative time. Our theatre utilization time is consistent with available literature, however cancellations of elective surgery waste valuable operative time and resources. Conclusions: A multi- dimensional approach must be taken to improve theatre utilization and reduce cancellation rates. A pre-assessment clinic has been introduced in order to reduce cancellation rates.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Neuroscience and Mental Health Research Institute (NMHRI)
Publisher: Association for Perioperative Practice
ISSN: 1750-4589
Date of First Compliant Deposit: 23 November 2017
Date of Acceptance: 1 August 2016
Last Modified: 23 May 2018 17:53
URI: http://orca.cf.ac.uk/id/eprint/106956

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