ISSN 2146-8370
 

Other 


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 Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by DINESH DHAR
on Google
on Google Scholar
Article Statistics
 Viewed: 1393
Downloaded: 470
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: December 13, 2018]. 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 December 13, 2018]; 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





Most Viewed Articles
  • Conservative treatment of lateral epicondylitis: The impact of psychosocial factors on perceived treatment efficacy
    Thomas Isaac Sherman, Kayvon Reza Golshani, Kevin Emmerich, Ling Cai, Weiling Gu, Michael Kessler
    Prog Orthop Sci. 2015; 1(1): 1-8
    » Abstract & References » doi: 10.5455/pos.20150601113733

  • Sterno-Clavicular Joint Reconstruction Technique
    Michael Ting, Nicholas Kusnezov, John Dunn
    Prog Orthop Sci. 2015; 1(1): 24-26
    » Abstract & References » doi: 10.5455/pos.20150426105952

  • The use of mesenchymal stem cells (MSCs) for cartilage regeneration in knee osteoarthritis
    E. Carlos RODRIGUEZ-MERCHAN
    Prog Orthop Sci. 2015; 1(1): 27-30
    » Abstract & References » doi: 10.5455/pos.20150413025729

  • Fractures through a biphalangeal toe: a pitfall to avoid
    Leanne L Seeger, Warren Chang, Benjamin D Levine, Benjamin Plotkin, Kambiz Motamedi
    Prog Orthop Sci. 2015; 1(1): 9-10
    » Abstract & References » doi: 10.5455/pos.20150519104244

  • THE FUNCTIONAL MOVEMENT SCREENING TOOL DOES NOT PREDICT INJURY IN FOOTBALL
    Christopher Rusling, Kimberley L Edwards, Archan Bhattacharya, Adam Reed, Stuart Irwin, Andrew Boles, Alex Potts, Lisa Hodgson
    Prog Orthop Sci. 2015; 1(2): 41-46
    » Abstract & References » doi: 10.5455/pos.20150803113054

  • The Surgical Treatment of Patellar Subluxation in a Case of Kabuki Make-Up Syndrome
    Ismail Boyraz, Bunyamin Koc, Ozgur Aldemir, Hakan Sarman
    Prog Orthop Sci. 2015; 1(1): 31-33
    » Abstract & References » doi: 10.5455/pos.20150508050717

  • Minimally Invasive Technique for Curettage of Benign Bone Tumors using Endoscopic Technique
    Costantino Errani, Mohammadreza Chehrassan, Davide Maria Donati,Cesare Faldini.
    Prog Orthop Sci. 2015; 1(1): 15-18
    » Abstract & References » doi: 10.5455/pos.20150512040320

  • Health-related quality of life in twins with clubfoot
    Vilhelm Engell, Frank Damborg, Mikkel Andersen , Kirsten Kyvik , Karsten Thomsen , Søren Overgaard
    Prog Orthop Sci. 2015; 1(1): 11-14
    » Abstract & References » doi: 10.5455/pos.20150503010430

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

  • "Traumatic bilateral anterior glenohumeral dislocation .Should unsupervised training at local gym be allowed?"
    Hayat Ahmad Khan, Younis Kamal, Mohammad Ashraf Khan, Naseemul Gani, Munir Farooq, Adnan Zahoor
    Prog Orthop Sci. 2015; 1(1): 34-36
    » Abstract & References » doi: 10.5455/pos.20150519104717

  • Most Downloaded
  • Muscle herniation of the extremities: Two case report
    Oktay Belhan, Tevfik Yetis, Murat Gurger, Mehmet Kaya
    Prog Orthop Sci. 2016; 2(1): 4-7
    » Abstract & References » doi: 10.5455/pos.20160226123558

  • Conservative treatment of lateral epicondylitis: The impact of psychosocial factors on perceived treatment efficacy
    Thomas Isaac Sherman, Kayvon Reza Golshani, Kevin Emmerich, Ling Cai, Weiling Gu, Michael Kessler
    Prog Orthop Sci. 2015; 1(1): 1-8
    » Abstract & References » doi: 10.5455/pos.20150601113733

  • THE FUNCTIONAL MOVEMENT SCREENING TOOL DOES NOT PREDICT INJURY IN FOOTBALL
    Christopher Rusling, Kimberley L Edwards, Archan Bhattacharya, Adam Reed, Stuart Irwin, Andrew Boles, Alex Potts, Lisa Hodgson
    Prog Orthop Sci. 2015; 1(2): 41-46
    » Abstract & References » doi: 10.5455/pos.20150803113054

  • The use of mesenchymal stem cells (MSCs) for cartilage regeneration in knee osteoarthritis
    E. Carlos RODRIGUEZ-MERCHAN
    Prog Orthop Sci. 2015; 1(1): 27-30
    » Abstract & References » doi: 10.5455/pos.20150413025729

  • TOTAL HIP REPLACEMENT IN THE ACUTE MANAGEMENT OF ACETABULAR FRACTURES
    Giriraj Harshavardhan J.K., Ganesan Ram Ganesan, Jambu Nageswaran, Vijayaraghavan Phagal varthi
    Prog Orthop Sci. 2015; 1(2): 54-58
    » Abstract & References » doi: 10.5455/pos.20150920021932

  • Sterno-Clavicular Joint Reconstruction Technique
    Michael Ting, Nicholas Kusnezov, John Dunn
    Prog Orthop Sci. 2015; 1(1): 24-26
    » Abstract & References » doi: 10.5455/pos.20150426105952

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

  • Fractures through a biphalangeal toe: a pitfall to avoid
    Leanne L Seeger, Warren Chang, Benjamin D Levine, Benjamin Plotkin, Kambiz Motamedi
    Prog Orthop Sci. 2015; 1(1): 9-10
    » Abstract & References » doi: 10.5455/pos.20150519104244

  • LIPOMA OF THE RING FINGER IN A YOUNG FEMALE: CASE REPORT AND REVIEW OF LITERATURE
    Mohit Kumar Arora,Ela Madaan
    Prog Orthop Sci. 2016; 2(4): 37-39
    » Abstract & References » doi: 10.5455/pos.20161026022814

  • The Surgical Treatment of Patellar Subluxation in a Case of Kabuki Make-Up Syndrome
    Ismail Boyraz, Bunyamin Koc, Ozgur Aldemir, Hakan Sarman
    Prog Orthop Sci. 2015; 1(1): 31-33
    » Abstract & References » doi: 10.5455/pos.20150508050717

  • Most Cited Articles
  • THE FUNCTIONAL MOVEMENT SCREENING TOOL DOES NOT PREDICT INJURY IN FOOTBALL
    Christopher Rusling, Kimberley L Edwards, Archan Bhattacharya, Adam Reed, Stuart Irwin, Andrew Boles, Alex Potts, Lisa Hodgson
    Prog Orthop Sci. 2015; 1(2): 41-46
    » Abstract & References » doi: 10.5455/pos.20150803113054
    Cited : 4 times [Click to see citing articles]

  • Sterno-Clavicular Joint Reconstruction Technique
    Michael Ting, Nicholas Kusnezov, John Dunn
    Prog Orthop Sci. 2015; 1(1): 24-26
    » Abstract & References » doi: 10.5455/pos.20150426105952
    Cited : 1 time [Click to see citing article]

  • Conservative treatment of lateral epicondylitis: The impact of psychosocial factors on perceived treatment efficacy
    Thomas Isaac Sherman, Kayvon Reza Golshani, Kevin Emmerich, Ling Cai, Weiling Gu, Michael Kessler
    Prog Orthop Sci. 2015; 1(1): 1-8
    » Abstract & References » doi: 10.5455/pos.20150601113733
    Cited : 1 time [Click to see citing article]

  • TOTAL HIP REPLACEMENT IN THE ACUTE MANAGEMENT OF ACETABULAR FRACTURES
    Giriraj Harshavardhan J.K., Ganesan Ram Ganesan, Jambu Nageswaran, Vijayaraghavan Phagal varthi
    Prog Orthop Sci. 2015; 1(2): 54-58
    » Abstract & References » doi: 10.5455/pos.20150920021932
    Cited : 1 time [Click to see citing article]

  • Periarticular Liposomal Bupivicaine Injection Decreases Length of Stay, Pain Scores, and Opioid Usage After Total Knee Arthroplasty When Compared to Femoral Nerve Block
    Xander Parisky, Brian Gilmer, Jennifer Harkins, Michael Karch
    Prog Orthop Sci. 2017; 3(1): 1-4
    » Abstract » doi: 10.5455/pos.20170131055031
    Cited : 1 time [Click to see citing article]