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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Improving operating room efficiency via an interprofessional approach.

Jeffrey S Bender1, Teodora O Nicolescu2, Susan B Hollingsworth3

  • 1Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City, OK, USA.

American Journal of Surgery
|March 16, 2015
PubMed
Summary
This summary is machine-generated.

Implementing a lean, Six Sigma program significantly improved operating room (OR) efficiency, increasing on-time starts, case volume, and revenue while reducing costs and staff turnover.

Keywords:
EfficiencyInterprofessionalOperating roomPerformanceSix SigmaUtilization

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Area of Science:

  • Healthcare Management
  • Operations Research
  • Quality Improvement

Background:

  • Declining third-party payer reimbursements necessitate improved hospital operating room (OR) efficiency.
  • ORs represent a significant revenue source for hospitals, making efficiency crucial.

Purpose of the Study:

  • To evaluate the impact of a 3-year lean, Six Sigma program on OR utilization and performance.

Main Methods:

  • A facility-wide approach was implemented in January 2011, involving interprofessional teams and an OR Governance Committee.
  • The program focused on examining and optimizing all aspects of OR use.

Main Results:

  • Outpatient readiness for surgery increased from 59% to 95%; first case on-time starts improved from 32% to 73%.
  • Block utilization rose from 68% to 74%, actual room utilization from 56% to 68%, and case volume by 9%.
  • Personnel costs decreased by 14% due to reduced overtime, and annual voluntary OR staff turnover dropped from 28% to 11%. Annual revenues increased by over 10%.

Conclusions:

  • A coordinated initiative to enhance OR performance yielded substantial improvements in patient access and case efficiency.
  • The program led to better staff satisfaction and positive financial outcomes for the hospital.