ating room is precious and costly. Each
facility calculates the cost-per-minute
differently, but all OR minutes are at
a premium. The less time spent on
non-patient focused activity, the greater
the return in revenue for the facility.
Plus, improving the OR turnover time
can help generate increased revenue
by allowing for even one more surgical
procedure in the OR suite per day.
Another incentive might be reduced
staff overtime. Staff might work overtime
to finish the last procedure; the
minutes needed to complete a procedure become very costly when multiplied
by the number of staff and the number
of OR suites a facility may have.
How can facilities best understand
if they are operating efficiently, or
if they could use some improvement? What measures exist for
OR turnover benchmarks?
Today most facilities have an OR
IT system that will help to track all
aspects of the surgical day.
The turnover time should be reviewed
to pinpoint areas of maximum efficiency, as well as areas that need
to be improved. This data should be
analyzed to baseline the current state
and to understand the outliers. From
there, decisions can be made based
on analytical data rather than anecdotal opinions.
Are there solutions to help
with this safety and efficiency
•;Effective utilization of the OR
schedule and an understanding
of who is doing what, when.
•;Ensure equipment is readily available,
often through utilization of kitted or
bundled supplies, based on the
physician’s preference items.
•;Ongoing assessment of processes
to ensure a standardized clinical
How can staff ensure quality and
safety is not compromised when
trying to quickly turnover the OR
from one procedure to the next?
An effective way to ensure quality and
safety is to standardize clinical practice.
When the same processes are followed routinely, it is easier to recognize
when there is something out of sync.
It is varying physician and clinician
preferences that can lead to lapses in
following the standard protocol.
Bundled supplies support patient
quality, patient safety, and room
turnover efficiency by providing the
right products at the right time. Opening one procedure pack rather than
introducing 20 or more separate items
to the sterile field greatly reduces the
chance of inadvertent and unnoticed
breaks in sterile technique. In addition,
ensuring the right equipment is in the
room at the beginning of the procedure
reduces the amount of time the patient
is required to be under anesthetic. The
time savings garnered in using bundled
supplies is an added benefit to the
improved patient safety.
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