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Theatre time utilisation in elective orthopaedic surgery.

J Sultan¹, C P Charalambous

¹Trauma and OrthopaedicsSurgery, NHS North Western Deanery. jawad.sultan@gmail.com

Journal of Perioperative Practice

|December 20, 2012

Summary

This study found that only 54% of elective orthopaedic operating theatre time was used for surgery. Significant time was lost to anaesthesia, patient preparation, and scheduling delays, impacting overall theatre efficiency.

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Area of Science:

Orthopaedic Surgery
Operating Theatre Management
Healthcare Efficiency

Background:

Optimizing operating theatre utilization is crucial for healthcare systems.
Elective orthopaedic surgery lists are a significant component of surgical scheduling.
Understanding time utilization patterns can identify areas for improvement.

Purpose of the Study:

To prospectively analyze theatre time utilization in elective orthopaedic surgery.
To identify specific activities consuming theatre time and quantify their duration.
To pinpoint sources of inefficiency in surgical scheduling and workflow.

Main Methods:

Prospective review of 41 elective orthopaedic cases over 10 weeks.
Detailed tracking of theatre time allocation for various surgical phases.

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Calculation of percentage utilization for operating, anaesthesia, patient preparation, and delays.

Main Results:

Only 54.0% of total theatre time was dedicated to the surgical procedure.
Anaesthesia accounted for 12.0% of theatre time.
Patient positioning and draping utilized 9.3% of the time.
List delays and turnover time represented 25% of the total theatre time.

Conclusions:

Significant opportunities exist to improve operating theatre efficiency in elective orthopaedics.
Addressing delays and optimizing turnover times are key to increasing surgical utilization.
Further investigation into workflow and scheduling protocols is recommended to enhance resource allocation.