scholarly journals An assessment of the quality indicators of operative and non-operative times in a public university hospital

2015 ◽  
Vol 13 (4) ◽  
pp. 594-599 ◽  
Author(s):  
Altair da Silva Costa Jr ◽  
Luiz Eduardo Villaça Leão ◽  
Maykon Anderson Pires de Novais ◽  
Paola Zucchi
Keyword(s):  
Standard Deviation ◽  
Operating Room ◽  
Operative Time ◽  
Patient Flow ◽  
Cross Sectional Study ◽  
Public University ◽  
Major Effect ◽  
University Hospital ◽  
Cross Sectional ◽  
Using Data

ABSTRACT Objective To assess the operative time indicators in a public university hospital. Methods A descriptive cross-sectional study was conducted using data from operating room database. The sample was obtained from January 2011 to January 2012. The operations performed in sequence in the same operating room, between 7:00 am and 5:00 pm, elective or emergency, were included. The procedures with incomplete data in the system were excluded, as well as the operations performed after 5:00 pm or on weekends or holidays. Results We measured the operative and non-operative time of 8,420 operations. The operative time (mean and standard deviation) of anesthesias and operations were 177.6±110 and 129.8±97.1 minutes, respectively. The total time of the patient in operative room (mean and standard deviation) was 196.8±113.2. The non-operative time, e.g., between the arrival of the patient and the onset of anesthesia was 14.3±17.3 minutes. The time to set the next patient in operating room was 119.8±79.6 minutes. Our total non-operative time was 155 minutes. Conclusion Delays frequently occurred in our operating room and had a major effect on patient flow and resource utilization. The non-operative time was longer than the operative time. It is possible to increase the operating room capacity by management and training of the professionals involved. The indicators provided a tool to improve operating room efficiency.

scholarly journals Assessment of operative times of multiple surgical specialties in a public university hospital

2017 ◽  
Vol 15 (2) ◽  
pp. 200-205 ◽  
Author(s):  
Altair da Silva Costa Jr
Keyword(s):  
Operating Room ◽  
Operative Time ◽  
Cross Sectional Study ◽  
Public University ◽  
University Hospital ◽  
Cross Sectional ◽  
Mean Values ◽  
Operating Room Planning ◽  
Duration Of Surgery ◽  
The Mean

ABSTRACT Objective To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. Results The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12±110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45±97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30±113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. Conclusion This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays.

Causes and Associated factors of Operation Cancellation at Cardiothoracic Ain-Shams University Hospital

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Shaymaa M El Bokl ◽  
Aisha M Aboul-Fotouh ◽  
Ehab S Habil ◽  
Ahmed A Saleh ◽  
Azza M Hassan
Keyword(s):  
Operating Room ◽  
Health Care Providers ◽  
Clinical Status ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Pareto Chart ◽  
Cancellation Rate

Abstract Background Cancellation of elective operations is a sensitive indicator of operating room management. It results in loss of time, resources and affects quality of care. Operating room cancellation of elective operations is defined as cases that appeared in the definitive operative room list that ultimately were not performed on that day. Objectives To measure cancellation rate at Cardiothoracic Ain-Shams University hospital, Egypt and to identify causes and factors associated to cancellations. Methods Cross-sectional study that included 254 operations in all operating rooms of Cardiothoracic Ain Shams university hospital which provides specialized tertiary level of care. Results The overall cancellation rate is 21.7%, The most frequent cause of cancellation is standby operations accounting for 29.4%. Pareto chart shows that vital few causes are “patient prepared as stand by”, “previous long operation”, “change in Patient’s clinical status”, “equipment failure” and “ICU bed unavailable”. These causes are responsible for 80% of cancellations. Conclusion and Recommendation The avoidable causes of the problem should be addressed. Policy changes are recommended as well as continuous documentation and analysis of cancellation and its causes. Periodic awareness lectures for health care providers are suggested.

scholarly journals Patient perceptions about anesthesia and anesthesiologists before and after surgical procedures

2011 ◽  
Vol 129 (4) ◽  
pp. 224-229 ◽  
Author(s):  
Fernanda Leite ◽  
Leopoldo Muniz da Silva ◽  
Sckarlet Ernandes Biancolin ◽  
Adriano Dias ◽  
Yara Marcondes Machado Castiglia
Keyword(s):  
Patient Characteristics ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Anesthetic Care ◽  
Correct Information ◽  
Before And After ◽  
Professional Care ◽  
Using Data ◽  
Patient Relationships

CONTEXT AND OBJECTIVE: Anesthesiologist-patient relationships are established preoperatively and intraoperatively. These are opportunities for providing correct information about anesthesia/anesthesiologists, thereby improving outcomes. The aim here was to evaluate patients' perceptions about anesthesiologists before anesthesia and to identify whether the anesthetic care would change such perceptions. DESIGN AND SETTING: Prospective cross-sectional study using data obtained in 2007-2008, at a tertiary university hospital. METHODS: 518 patients aged 16 years or over were interviewed before and after anesthesia exposure. A questionnaire was used to determine patient characteristics and perceptions of anesthesia/anesthesiologists. RESULTS: The patients were 16-89 years of age and 59.8% had attended elementary school. 79.1% said that anesthesiologists were specialized physicians. Anesthesiologists' roles were associated with loss of consciousness (35.5% pre-anesthesia; 43.5% post-anesthesia), pain relief (29.7% pre-anesthesia, 31.7% post-anesthesia), vital sign monitoring (17.6% pre-anesthesia, 35% post-anesthesia; P < 0.05); and drug administration (10.8% pre-anesthesia, 43.9% post-anesthesia; P < 0.05). The level of confidence in the physician was rated high (82.2% and 89.8% pre- and post-anesthesia, respectively; P < 0.05) or intermediate (5.8% and 6.6% pre- and post-anesthesia, respectively; P < 0.05). The care provided by anesthesiologists was classified as: elucidating (52.8%), encouraging (52.6%), neutral (10.2%) and careless (0.8%). CONCLUSION: Patients' perceptions of anesthesiologists' roles were fairly good, but improvements in this relationship still need to be pursued, to achieve better outcomes. Anesthetic care was important in providing information, confidence and reassurance among patients, regarding their perceptions. Anesthesiologists should not miss opportunities to provide excellent professional care for patients, thereby improving anesthesia outcomes and their image.

scholarly journals Use of the surgical safety checklist in the operating room: Operating room nurses’ perspectives

2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Oznur Gurlek Kisacik ◽  
Yeliz Cigerci
Keyword(s):  
Operating Room ◽  
Operating Rooms ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Team Collaboration ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Creative Commons ◽  
Operating Room Nurses

Objective: To determine the opinions of operating room nurses towards the Surgical Safety ChecklistTR (SSCTR) and to determine applications for using SSCTR in operating rooms. Methods: This descriptive and cross-sectional study was conducted with 102 nurses working in the operating rooms of a state hospital and a university hospital in the Afyonkarahisar province. Descriptive statistics method were used for data analysis. Results: It was found that all operating room nurses knew the SSCTR and that they had a positive opinion regarding the necessity of the SSCTR. However, most of the participants stated that the SSCTR was not applied effectively in the operating room. Conclusion: The results obtained from the study show that changes focusing on the development of a culture of patient safety (PS) and team collaboration in operating rooms must be made in order to apply SSCTR consistently and properly. doi: https://doi.org/10.12669/pjms.35.3.29 How to cite this:Kisacik OG, Cigerci Y. Use of the surgical safety checklist in the operating room: Operating room nurses’ perspectives. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.29 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Evaluation of the level of knowledge and compliance with standart precautions and the safety standard (NR-32) amongst physicians from a public university hospital, Brazil

2013 ◽  
Vol 16 (3) ◽  
pp. 786-797 ◽  
Author(s):  
Ehideé Isabel Gómez La-Rotta ◽  
Clerison Stelvio Garcia ◽  
Felipe Barbosa ◽  
Amanda Ferreira dos Santos ◽  
Gabriela Mazzarolo Marcondes Vieira ◽  
...  
Keyword(s):  
Health Workers ◽  
Cross Sectional Study ◽  
Public University ◽  
University Hospital ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
The Mean ◽  
The Individual ◽  
Mean Compliance

Brazil is the first country in the world to have broad coverage standard (NR-32) focused on protecting health workers exposed to biological risks. This study evaluated the degree of knowledge of the NR-32 Standard and the level of knowledge and compliance with the standard precautions. A cross-sectional study was conducted with 208 randomly selected health professionals; 93 of them were residents and 115 were physicians at a Brazilian Clinical Hospital. To collect information, the participants were interviewed and/or they completed semi-structured questionnaires divided into three domains: knowledge of the standard, knowledge of biosafety, and compliance with standard precautions. Cronbach's alpha was used to assess internal consistency of the scales of knowledge and compliance with values above +0.75 indicating excellent agreement. Multivariate linear regression was used to evaluate the predictors for compliance with NR-32, biosafety, and standard precautions. Mean knowledge of the NR-32 Standard was 2.2 (± 2.02) points (minimum 0 and maximum 7 points). The minimum expected mean was 5.25 points. The mean knowledge of biosafety was 12.31 (± 2.10) points (minimum 4 and maximum16 points). The minimum expected mean was 12.75 points. The mean compliance with standard precautions was 12.79 (± 2.6) points (minimum 6 and maximum 18 points). The minimum expected mean was 13.5 points. The individual means for using gloves, masks and goggles during procedures and for not recapping needles were 2.69, 2.27, 1.20 and 2.14, respectively. The factors associated with knowledge of the NR-32 were: greater knowledge amongst those who studied at a public university and who had knowledge of biosafety. The knowledge of the NR-32 Standard was low, but there was a good level of knowledge of biosafety issues. The compliance with standard precautions was acceptable in general, but was low for some of the evaluated precautions.

scholarly journals Specialized Training for Nursing in the Surgical Area, a Question of Quality

2020 ◽  
Author(s):  
María Desamparados Bernat Adell ◽  
María Sánchez Galán ◽  
Ana Folch Ayora ◽  
Pablo Salas Molina ◽  
Eladio Joaquín Collado Boira
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Cross Sectional Study ◽  
Employment Relationship ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nursing Competencies ◽  
Female Nurses ◽  
Practice Patient

This is an observational, descriptive and cross-sectional study that looks into nursing competencies within the surgical area and analyzes the influence of the variables age, years worked and employment relationship on the dependent variable nursing competencies. The Perceived Perioperative Competence Scale-Revised (PPCS-R) questionnaire was applied to nurses in the surgical area of the General University Hospital of Castellón. The variables were processed using ANOVA tests and Pearson’s correlations. A sample of 50 female nurses with a mean age of 41 ± 7.931 years was evaluated. Age and number of years worked were positively related to 11 items of the questionnaire. Regarding the employment relationship, significant differences were found, with the “permanent” employment relationship obtaining the highest mean score [1.040 (p = .018)]. Education and clinical experience were found to contribute to the development of practice. Patient safety was an essential aspect in managing the associated risk in the operating room (OR).

New visual field indices of disharmony for early diagnosis of glaucoma, alone or associated with conventional parameters

2018 ◽  
Vol 28 (5) ◽  
pp. 590-597
Author(s):  
Rodrigo Abreu-Gonzalez ◽  
Marta Gonzalez-Hernandez ◽  
Cristina Pena-Betancor ◽  
Paloma Rodriguez-Esteve ◽  
Manuel Gonzalez De La Rosa
Keyword(s):  
Optical Coherence Tomography ◽  
Standard Deviation ◽  
Visual Field ◽  
Early Diagnosis ◽  
Structural Data ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Mean Deviation ◽  
Optical Coherence ◽  
Cross Sectional

Purpose: To evaluate the specificity of new perimetric indices based on harmony, alone and in combination with structural data, for glaucoma detection. Methods: In this prospective observational cross-sectional study, one eye of 105 healthy subjects and 97 early and suspect glaucomas were sequentially included and examined with Cirrus optical coherence tomography, twice with OCULUS Smartfield perimeter (SPARK strategy) and twice with Humphrey Analyzer (24-2 SITA-Fast) at the Ophthalmology Department from the University Hospital La Candelaria. Disharmony in the visual field was evaluated including vertical threshold symmetry, threshold rank), and homogeneity (threshold standard deviation from its maximum) using the patient himself/herself as a reference. We also evaluated disharmony in combination with the mean deviation and the pattern standard deviation in a single index (mismatch) and various combinations of morphological and functional indices. Combinations used a new score based on values above certain critical cut-off levels of each index. Results: For 95% specificity, the highest sensitivities were as follows: vertical cup/disc ratio: 28.9%; SPARK threshold rank: 29.9%; and SITA-Fast threshold standard deviation: 28.9%. For the combined indices and 100% specificity, they were 5 SPARK indices mismatch: 10.3%; 5 SITA-Fast indices mismatch: 11.3%; 8 optical coherence tomography indices: 21.9%; 13 SPARK and optical coherence tomography indices: 27.8%; and 13 SITA-Fast and optical coherence tomography indices: 32.0%. Conclusion: Disharmony combined with normative value-based indices and/or optical coherence tomography indices is useful for very specific early diagnosis of glaucoma.

scholarly journals Prevalence and Reasons for Non-Follow-Up of Newborns with “Refer” Results on Initial Hearing Screening

2018 ◽  
Vol 32 (2) ◽  
pp. 17-21
Author(s):  
Kimberly Mae C. Ong ◽  
Teresa Luisa G. Cruz ◽  
Precious Eunice R. Grullo
Keyword(s):  
Otoacoustic Emissions ◽  
Cross Sectional Study ◽  
Public University ◽  
Health Condition ◽  
Hearing Screening ◽  
University Hospital ◽  
Cross Sectional ◽  
Infant Newborn ◽  
Newborn Hearing

Objective: To determine the prevalence rate of follow-up among infants who had a “refer” result on initial newborn hearing screening and to identify reasons for default by parents or guardians.   Method: Study Design:   Cross-sectional study Setting:             Tertiary public university hospital Participants:     79 parents or guardians whose newborns obtained a “refer” result on initial hearing screening were interviewed over the phone.   Results: Among those babies who had a “refer” result on initial hearing screening, 51% followed up for repeat testing. The most common reasons for non-follow up by parents or guardians include being busy, distance from the hospital and baby’s health condition.   Conclusions: The follow-up rate in this study is higher compared to previous figures (27%), but is still below target. The reasons for non-follow-up obtained suggest problems may exist on all levels of the healthcare system. Appropriate solutions to address these problems should be explored.   Keywords: neonatal screening, hearing loss, infant, newborn, hearing tests, otoacoustic emissions

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