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Updated: May 11, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
06:48

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Dedicated operating room for emergency surgery improves access and efficiency.

Marilyn Heng1, James G Wright

  • 1The Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ont., Canada.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|May 28, 2013
PubMed
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A dedicated operating room (OR) for emergency surgeries reduced wait times and cancellations. This improved patient access to care and optimized surgical scheduling for both emergency and elective procedures.

Area of Science:

  • Healthcare Management
  • Surgical Operations
  • Patient Flow Optimization

Background:

  • Scheduling conflicts between emergency and elective surgeries lead to prolonged waits and cancellations.
  • A dedicated operating room (OR) was implemented to address these scheduling challenges in a pediatric hospital.

Purpose of the Study:

  • To evaluate the impact of a dedicated OR for emergency procedures on surgical scheduling and patient care.
  • To assess improvements in operating room utilization, wait times, and case completion rates.

Main Methods:

  • A comparative analysis of a 6-month pre-implementation period (2009) and a 6-month post-implementation period (2010).
  • Evaluation of operating room usage, patient wait times, adherence to access targets, off-hours surgeries, cancellations, overruns, and length of stay.

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Main Results:

  • Wait times for priority 3 emergency patients decreased by over an hour (11h 8m to 10h 5m).
  • The proportion of priority 3 patients receiving surgery within 12 hours increased from 52% to 58%.
  • Elective surgery cancellations decreased significantly (1.5% to 0.7%), with a substantial reduction in overrun minutes.

Conclusions:

  • A dedicated OR for emergency cases enhances the quality of care by reducing cancellations and overruns.
  • Implementation of a dedicated OR improved timely access to care for emergency patients within targeted timeframes.