First-case tardiness reduction in a tertiary academic medical center operating room: A lean six sigma perspective

2016 ◽  
Vol 5 ◽  
pp. 7-12 ◽  
Author(s):  
Pedro Ramos ◽  
Eloisa Bonfá ◽  
Patrícia Goulart ◽  
Marion Medeiros ◽  
Nélson Cruz ◽  
...  
Keyword(s):  
Operating Room ◽  
Six Sigma ◽  
Medical Center ◽  
Academic Medical Center ◽  
Lean Six Sigma ◽  
First Case ◽  
Academic Medical

A Successful Organized Effort to Improve Operating Room First-Case Starts in a Tertiary Academic Medical Center

2020 ◽  
pp. 000313482095143
Author(s):  
Melissa M. J. Chua ◽  
Keith Lewis ◽  
Yi-An Huang ◽  
Mary Fingliss ◽  
Alik Farber
Keyword(s):  
Operating Room ◽  
Medical Center ◽  
Academic Medical Center ◽  
Or Efficiency ◽  
Patient Dissatisfaction ◽  
Real Time Measurement ◽  
First Case ◽  
Academic Medical ◽  
Improve Operating Room ◽  
Operational Plan

Background Operating room (OR) inefficiency drives up cost, decreases revenue, and leads to surgeon, staff, and patient dissatisfaction. Given a low mean first-case start rate in our tertiary academic medical center, we developed a process to improve first-case start rates in an effort to increase OR efficiency. Methods A working group of the OR Executive Committee was constituted to develop and implement a multistep operational plan. This plan was predicated on a sensible staggered start framework, coordination of stakeholder responsibilities, a visual preoperative Stop/Go checklist tool, real-time measurement, and feedback. Results Within 11 days of implementation, 95% of first-start OR cases were tracked to start on time. Throughout the observation period (May 2015-July 2016), the goal of a daily mean 80% on-time start rate was either met or exceeded. Conclusions Implementation of an organized collaborative effort led to dramatic improvements in first OR case on-time rates. Such improvement in OR utilization may lead to an increase in staff and patient satisfaction and cost reduction.

scholarly journals Returns to Operating Room After Neurosurgical Procedures in a Tertiary Care Academic Medical Center: Implications for Health Care Policy and Quality Improvement

Neurosurgery ◽  
2018 ◽  
Vol 84 (6) ◽  
pp. E392-E401
Author(s):  
Panagiotis Kerezoudis ◽  
Amy E Glasgow ◽  
Mohammed Ali Alvi ◽  
Robert J Spinner ◽  
Fredric B Meyer ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Operating Room ◽  
Health Care Policy ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Neurosurgical Procedures ◽  
Care Policy ◽  
Academic Medical

Assessing the Workplace Culture and Learning Climate in the Inpatient Operating Room Suite at an Academic Medical Center

2019 ◽  
Vol 76 (3) ◽  
pp. 644-651
Author(s):  
Pedro Tanaka ◽  
Natalya Hasan ◽  
Anita Tseng ◽  
Chinh Tran ◽  
Alex Macario ◽  
...  
Keyword(s):  
Operating Room ◽  
Medical Center ◽  
Academic Medical Center ◽  
Workplace Culture ◽  
Learning Climate ◽  
Academic Medical

Successful strategies for the reduction of operating room turnover times in a tertiary care academic medical center

2014 ◽  
Vol 187 (2) ◽  
pp. 403-411 ◽  
Author(s):  
Bhavani S. Kodali ◽  
Dennie Kim ◽  
Ronald Bleday ◽  
Hugh Flanagan ◽  
Richard D. Urman
Keyword(s):  
Operating Room ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Academic Medical

Impact of First-Case Start Time on Interventional Endoscopy Unit Efficiency at a Tertiary Academic Medical Center

2014 ◽  
Vol 109 ◽  
pp. S649
Author(s):  
Yaseen Perbtani ◽  
Robert Summerlee ◽  
Dennis Yang ◽  
Alejandro Suarez ◽  
Manas Shukla ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Interventional Endoscopy ◽  
Start Time ◽  
Endoscopy Unit ◽  
First Case ◽  
Academic Medical
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