Progress in Orthopedic Science

2019, Vol: 5, Issue: 1

5/1Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles

Required files to uploaded

Cover Letter
Title Page

« Previous Article

Other

Prog Orthop Sci. 2015; 1(1): 37-40

doi: 10.5455/pos.20150402065140

Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital

DINESH DHAR.

Abstract
Background: The operation theatre complex is an important pillar of any hospital and its optimum and efficient functioning reflects on the overall functioning of any busy hospital. There is no study done till date on the operation theatre utilization in Oman and its cost effectiveness. This audit is carried out on the utilization of orthopaedic trauma theatre which can be used as reference for other specialty operation theatres and overall theatre efficiency in our hospital.

Methods: Prospective audit was carried out over period of one year in department of orthopaedics,nizwa hospital and data collected from our hospital was analyzed. All the components of the operation theatre were taken into account to arrive at theatre utilization, end utilization and operating timing.

Results : 853 cases were electively operated upon during from Ist January 2011 to 31st December 2011 in orthopaedic operation theatre which was run for 261 days electively during that period. 74% cases started later than scheduled time with average of 22.8 min late start time. The total operating time(OT) was 81% of the total allocated theatre time(ATT) with a mean of 05:15 hrs. The total Surgical and anaesthesia time (63%) and (15%) respectively. Changeover time was 70.39 hrs(4%) with average of 22.6 min and no useful activity(NSU)amounted to total of 310.32hrs(18%)based on above calculations it amounted to end utilization(EU) of 94% and Operation theatre utilization(OUT) of 81.8% respectively.. 4.2% cases were cancelled for various reasons .
Conclusion: The various reasons for under utilization of the orthopaedic operation theatre are due to delay in starting list, increase changeover time, anaesthetic ,surgeon and administrative factors.The corrective measures which can be applied to improve this have been discussed.

Key words: Audit, orthopaedic theatre, utilization

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	Print this Article
	How to cite this article
	Citation Tools
	Related Records
	Articles by DINESH DHAR
	on Google
	on Google Scholar
	Article Statistics
	Viewed: 2430 Downloaded: 662 Cited: 0

REFERENCES

1. van As AB, Brey Z, Numanoglu A. Improving operating theatre efficiency in South Africa. S Afr Med J 2011;101:444, 446, 448. [Pubmed]

2. Jan F, Tabish S, Qazi S. Time utilization of operating rooms at a large teaching hospital. J Acad Hosp Adm 2003;15:1-6.

3. NHS Institute. The productive theatre-improving quality and efficiency in operating theatre. Available from: http://www.institute.nhs.uk/ quality_and_value/productivity_series/the_productive_operating_ theatre. html. wLast accessed on 2011 Feb 28].

4. Vinukondaiah K, Ananthakrishnan N, Ravishankar M. Audit of operation theatre utilization in general surgery. Natl Med J India 2000;13:118-21. [Pubmed]

5. Ricketts D, Hartley J, Patterson M, Harries W, Hitchin D. An orthopaedic theatre timings survey. Ann R Coll Surg Engl 1994;76:200-4. [Pubmed] [PMC Free Fulltext]

6. Durain P, Seagrave M, Neumann L. The usage of theatre time in elective orthopaedic surgery. Ann R Coll Surg Engl 2005;87:170-2. [DOI via Crossref]

7. Delaney CL, Davis N, Tamblyn P. Audit of the utilization of time in an orthopaedic trauma theatre. ANZ J Surg 2010;80:217-22. [DOI via Crossref] [Pubmed]

8. Tyler DC, Pasquariello CA, Chen CH. Determining optimum operating room utilization. Anesth Analg 2003;96:1114-21. [DOI via Crossref] [Pubmed]

9. Sandberg WS, Daily B, Egan M, Stahl JE, Goldman JM, Wiklund RA, et al. Deliberate perioperative systems design improves operating room throughput. Anesthesiology 2005;103:406-18. [DOI via Crossref] [Pubmed]

10. Audit Commission Operating Theatre. A Bulletin for Health Bodies. London: Audit Commission; 2002.

How to Cite this Article

Pubmed Style

DINESH DHAR. Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital. Prog Orthop Sci. 2015; 1(1): 37-40. doi:10.5455/pos.20150402065140

Web Style

DINESH DHAR. Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital. http://www.porthosci.com/?mno=47805 [Access: August 24, 2019]. doi:10.5455/pos.20150402065140

AMA (American Medical Association) Style

DINESH DHAR. Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital. Prog Orthop Sci. 2015; 1(1): 37-40. doi:10.5455/pos.20150402065140

Vancouver/ICMJE Style

DINESH DHAR. Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital. Prog Orthop Sci. (2015), [cited August 24, 2019]; 1(1): 37-40. doi:10.5455/pos.20150402065140

Harvard Style

DINESH DHAR (2015) Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital. Prog Orthop Sci, 1 (1), 37-40. doi:10.5455/pos.20150402065140

Turabian Style

DINESH DHAR. 2015. Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital. Progress in Orthopedic Science, 1 (1), 37-40. doi:10.5455/pos.20150402065140

Chicago Style

DINESH DHAR. "Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital." Progress in Orthopedic Science 1 (2015), 37-40. doi:10.5455/pos.20150402065140

MLA (The Modern Language Association) Style

DINESH DHAR. "Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital." Progress in Orthopedic Science 1.1 (2015), 37-40. Print. doi:10.5455/pos.20150402065140

APA (American Psychological Association) Style

DINESH DHAR (2015) Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital. Progress in Orthopedic Science, 1 (1), 37-40. doi:10.5455/pos.20150402065140

Contact Information

Your comments are very important to us

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access. The articles in Progress in Orthopedic Science are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

Copyright � 2019 Progress in Orthopedic Science All Rights Reserved. Subject to change without notice from or liability to Progress in Orthopedic Science. For best results, please use Internet Explorer or Google Chrome	Contact Information Your comments are very important to us We welcome your ideas, suggestions, comments, or questions. To reach Editorial Board please use one of the methods provided below. Email us at info[at]scopemed.com We will respond within 48 to 72 hours. Change of address or personal information? Please visit your account at www.ejmanager.com to update your information.