Assessment of operative times of multiple surgical specialties in a public university hospital

Author:

Costa Jr Altair da Silva1

Affiliation:

1. Hospital Israelita Albert Einstein, Brazil; Universidade Federal de São Paulo, Brazil; Universidade Federal de São Paulo, Brazil

Abstract

ABSTRACT Objective To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. Results The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12±110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45±97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30±113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. Conclusion This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference16 articles.

1. Size and distribution of the global volume of surgery in 2012;Weiser TG;Bull World Health Organ,2016

2. Most frequent operating room procedures performed in U.S. Hospitals, 2003-2012: statistical Brief #186. 2014 Dec. Healthcare Cost and Utilization Project (HCUP);Fingar KR,2006

3. An assessment of the quality indicators of operative and non-operative times in a public university hospital;Costa Jr. AS;einstein (São Paulo),2015

4. Use of indicators in surgical center management;Duarte IG;Rev Adm Saude,2006

5. Use of lean and six sigma methodology to improve operating room efficiency in a high-volume tertiary-care academic medical center;Cima RR;J Am Coll Surg,2011

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