• J Eval Clin Pract · Apr 2015

    Factors determining the smooth flow and the non-operative time in a one-induction room to one-operating room setting.

    • Jan P Mulier, Liesje De Boeck, Michel Meulders, Jeroen Beliën, Jan Colpaert, and Annabel Sels.
    • Department of Anesthesiology, Intensive Care and Reanimation, Department of Anesthesiology, AZ Sint-Jan Brugge-Oostende, Bruges, Belgium; Department of Cardiovascular Sciences, Anesthesiology and Algology, KU Leuven, Leuven, Belgium.
    • J Eval Clin Pract. 2015 Apr 1; 21 (2): 205-14.

    Rationale, Aims And ObjectivesWhat factors determine the use of an anaesthesia preparation room and shorten non-operative time?MethodsA logistic regression is applied to 18 751 surgery records from AZ Sint-Jan Brugge AV, Belgium, where each operating room has its own anaesthesia preparation room. Surgeries, in which the patient's induction has already started when the preceding patient's surgery has ended, belong to a first group where the preparation room is used as an induction room. Surgeries not fulfilling this property belong to a second group. A logistic regression model tries to predict the probability that a surgery will be classified into a specific group. Non-operative time is calculated as the time between end of the previous surgery and incision of the next surgery. A log-linear regression of this non-operative time is performed.ResultsIt was found that switches in surgeons, being a non-elective surgery as well as the previous surgery being non-elective, increase the probability of being classified into the second group. Only a few surgery types, anaesthesiologists and operating rooms can be found exclusively in one of the two groups. Analysis of variance demonstrates that the first group has significantly lower non-operative times. Switches in surgeons, anaesthesiologists and longer scheduled durations of the previous surgery increases the non-operative time. A switch in both surgeon and anaesthesiologist strengthens this negative effect. Only a few operating rooms and surgery types influence the non-operative time.ConclusionThe use of the anaesthesia preparation room shortens the non-operative time and is determined by several human and structural factors.© 2014 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons, Ltd.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…