• Nurs RSA · Mar 1994

    Monitoring the cost-effective use of operating theatres.

    • A M Bruwêr.
    • Nurs RSA. 1994 Mar 1; 9 (3): 21-3.

    AbstractThis study was undertaken to evaluate the utilisation of operating theatres in an academic 2000 bed hospital in order to assess nursing manhours. The incidence of operations performed over a 4 year period, differentiating between cold and emergency cases, was mapped. The theatre list (booked cases) was checked against actual operations performed, identifying an 8% cancellation incidence. This was further analysed using specialisation and reasons for cancellations as indicators. Further analyses per theatre were done, using 3 indicators, i.e. scheduled, anaesthetic and surgical times. These showed +/- a 20% difference between anaesthetic and surgical time and was identified as an area for remedial action. The final analysis showed that more nursing manhours (100%) were made provision for than the scheduled theatre time required. It was suggested that the present nursing allocation system to theatres be reconsidered.

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