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Improving on-time start for iMRI neurosurgeries
Natascha Fherzinah Rustom Ghadiali1, Darren Koh, Kuok Wei Chia
1Department of Anaesthesiology, Singapore General Hospital, Singapore.
Background:
In the Singapore General Hospital, intraoperative MRI (iMRI) neurosurgery is a multi-disciplinary process that involves staff from multiple departments. However, a baseline analysis showed that only 10.5% of iMRI neurosurgeries start on time, resulting in unnecessary waste of resources. The project aimed to improve the percentage of on-time start iMRI neurosurgeries to 100% within nine months.
Materials And Methods:
Clinical Practice Improvement methodology was used. The project involves four phases: Diagnostic, in which a baseline analysis is conducted; Intervention, in which problem areas are identified; Implementation, in which potential solutions are implemented; and sustaining, in which strategies to sustain gains are discussed.
Results:
The percentage of on-time start cases gradually increased to 100% in eight months, and was sustained above 85% in the following five months.
Conclusion:
This project serves as a successful demonstration of how quality improvement can be effected in a complex, multidisciplinary workflow, which is the norm for many hospital procedures.
