• Burns · Nov 2017

    Operating efficiency of an emergency Burns theatre: An eight month analysis.

    • Arvind Mohan, Christopher Lutterodt, and Jorge Leon-Villapalos.
    • Chelsea & Westminster Hospital, 369 Fulham Road, Chelsea, London SW10 9NH, United Kingdom. Electronic address: arvind_383@hotmail.com.
    • Burns. 2017 Nov 1; 43 (7): 1435-1440.

    BackgroundThe efficient use of operating theatres is important to insure optimum cost-benefit for the hospital. We used the emergency Burns theatre as a model to assess theatre efficiency at our institution.MethodsData was collected retrospectively on every operation performed in the Burns theatre between 01/04/15 and 30/11/15. Each component of the operating theatre process was considered and integrated to calculate values for surgical/anaesthetic time, changeover time and ultimately theatre efficiency.ResultsA total of 426 operations were carried out over 887h of allocated theatre time (ATT). Actual operating time represented 67.7%, anaesthetic time 8.8% and changeover time 14.2% of ATT. The average changeover time between patients was 30.1min. Lists started on average 27.7min late each day. There were a total of 5.8h of overruns and 9.6h of no useful activity. Operating theatre efficiency was 69.3% for the 8 month period.ConclusionOur study highlights areas where theatre efficiency can be improved. We suggest various strategies to improve this that may be applied universally.Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

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