Transforming operating theatre services with medical leadership

AbstractBackground:Many ENT conditions can be treated in the emergency clinic on an ambulatory basis. Our clinic traditionally had been run by foundation year two and specialty trainee doctors (period one). However, with perceived increasing inexperience, a dedicated registrar was assigned to support the clinic (period two). This study compared admission and discharge rates for periods one and two to assess if greater registrar input affected discharge rate; an increase in discharge rate was used as a surrogate marker of efficiency.Method:Data was collected prospectively for patients seen in the ENT emergency clinic between 1 August 2009 and 31 July 2011. Time period one included data from patients seen between 1 August 2009 and 31 July 2010, and time period two included data collected between 1 August 2010 and 31 July 2011.Results:The introduction of greater registrar support increased the number of patients that were discharged, and led to a reduction in the number of children requiring the operating theatre.Conclusion:The findings, which were determined using clinic outcomes as markers of the quality of care, highlighted the benefits of increasing senior input within the ENT emergency clinic.

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ENT operating theatre efficiency

Bulletin of The Royal College of Surgeons of England ◽

10.1308/003588414x13814021679672 ◽

2014 ◽

Vol 96 (7) ◽

pp. e1-e4

Author(s):

T Galm ◽

T Doshi ◽

I Ahmad

Keyword(s):

National Health Service ◽

Health Service ◽

National Health ◽

Operating Theatre ◽

Labour Government ◽

A Priority

Productivity and efficiency has now become a priority for all National Health Service (NHS) organisations. The Conservative-Liberal Democrat coalition has increased efficiency cuts by 3% in addition to the 15–20 billion pounds already made under Labour government. 1

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ULTRAVIOLET LIGHT IN THE OPERATING THEATRE

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1965.tb72248.x ◽

1965 ◽

Vol 1 (22) ◽

pp. 813-814

Keyword(s):

Ultraviolet Light ◽

Operating Theatre

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764 Human Factors in Operative Theatres During the Covid-19 Pandemic: A Cross-sectional Analysis of Operating Theatre Staff Experiences in a Regional Centre

British Journal of Surgery ◽

10.1093/bjs/znab134.084 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

L E Murchison ◽

R Anbarasan ◽

A Mathur ◽

M Kulkarni

Keyword(s):

Human Factors ◽

Online Survey ◽

Situational Awareness ◽

Negative Impact ◽

High Stress ◽

Operating Theatre ◽

Free Text ◽

Cross Sectional ◽

Chi Squared ◽

Theatre Staff

Abstract Introduction In the already high-risk, high-stress environment of the operating theatre, operating during Covid-19 has brought its own unique challenges. Communication, teamwork and anxiety related new operating practices secondary to Covid-19 are hypothesised to have a negative impact on patient care. Method We conducted a single-centre online survey of operating theatre staff from 22nd June–6th July 2020. Respondents completed 18 human factors questions related to COVID-19 precautions including communication, teamwork, situational awareness, decision making, stress, fatigue, work environment and organisational culture. Questions consisted of yes/no responses, multiple choice and Likert items. Kruskall-Wallis tests, Chi-Squared, Mann Whitney U tests, Spearman’s correlation coefficient, lambda and Cramer’s V tests were used. Free-text responses were also reviewed. Results 116 theatre staff responded. Visual (90.5%), hearing/ understanding (96.6%) difficulties, feeling faint/lightheaded (66.4%) and stress (47.8%) were reported. Decreased situational awareness was reported by 71.5% and correlated with visors (r = 0.27 and p = 0.03) and FFP2/3 mask usage (r = 0.29 and p = 0.01). Reduced efficiency of theatre teams was reported by 75% of respondents and 21.5% felt patient safety was at greater risk due to Covid-19 precautions in theatre. Conclusions Organisational adjustments are required, and research focused on development of fit-for-purpose personal protective equipment (PPE).

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The impact of preferences for clinical and managerial leadership roles on the willingness to apply for a medical leadership position: Analysis of gender differences among a sample of German senior physicians

Health Services Management Research ◽

10.1177/09514848211010258 ◽

2021 ◽

pp. 095148482110102

Author(s):

Florian Liberatore ◽

Julia Schätzle ◽

Henrik Räwer ◽

Kia Homayounfar ◽

Jörg Lindenmeier

Keyword(s):

Structural Equation ◽

Medical Profession ◽

Equation Modeling ◽

Mentoring Programs ◽

Leadership Roles ◽

University Hospitals ◽

Managerial Leadership ◽

Clinical Leadership ◽

Medical Leadership ◽

The Impact

Background The hybrid role (clinical and managerial leadership tasks) of physicians in medical leadership positions (MLPs) is a driver of the attractiveness of these positions. The increasing feminization of the medical profession makes gender-related preferences for hybrid roles relevant. Purpose The current study uses the (EPL) career aspirations framework to analyze the (gender-related) effects that efficacy beliefs, motivations, and preferences for clinical leadership and managerial leadership have on the willingness of chief physicians to apply for an MLP. Methodology: A survey of senior physicians in German university hospitals yielded a sample size of N = 496. The resulting data were analyzed using a structural equation modeling approach. Findings The results confirm the low preference for MLPs among senior physicians, which is mainly affected by preferences for managerial leadership tasks. Female senior physicians perceive the position of an MLP to be less attractive than their male counterparts do, and female physicians’ willingness to apply for an MLP is concurrently driven by their preferences for clinical leadership and managerial leadership tasks. Practical implications: Mentoring programs could boost female senior physicians’ preparedness for MLPs. Further, flexibility in fulfilling managerial leadership tasks could be promoted to make MLPs more attractive to women.

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