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ANZ J Surg. 2010 Apr;80(4):217-22. doi: 10.1111/j.1445-2197.2009.05043.x.

Audit of the utilization of time in an orthopaedic trauma theatre.

Author information

1
Flinders Medical Centre, Bedford Park, SA 5042, Australia. chris.delaney@health.sa.gov.au

Abstract

BACKGROUND:

The efficient use of operating theatres is important to ensure optimum cost-benefit for the hospital and to clear waiting lists. This audit uses the orthopaedic trauma theatre as a model to assess the theatre efficiency at our institution.

METHODS:

We performed a retrospective audit using data gathered from the operating theatre database at our institution. We considered each component of the operating theatre process and integrated them to give a combined value for surgical and anaesthetic time (end utilization) and total theatre efficiency (operating theatre utilization).

RESULTS:

Results showed that relative to the standards set, changeover time and start times were sub-standard, with consistently prolonged changeovers and late starts. End utilization and operating theatre utilization were 78.8 and 81%, against a standard of 77 and 85-90%, respectively. However, these figures may be misleading due to sub-standard performance in changeover time and other variables.

CONCLUSIONS:

We have highlighted inefficiency in the orthopaedic trauma theatre at our institution and suggest various strategies to improve this that may be applied universally.

[Indexed for MEDLINE]

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