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Improving theatre turnaround time.

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This summary is machine-generated.

Improving orthopaedic theatre efficiency can save millions. This project successfully halved theatre turnaround times by implementing process improvements, enhancing patient safety and theatre output.

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Area of Science:

  • Healthcare Management
  • Surgical Operations
  • Quality Improvement Science

Background:

  • The NHS Institute for Innovation and Improvement identified significant cost savings achievable through enhanced theatre efficiency.
  • Orthopaedic theatre turnaround times represent a key area for potential efficiency gains and cost reduction.

Purpose of the Study:

  • To improve orthopaedic theatre turnaround times without compromising patient safety.
  • To identify and implement effective strategies for reducing the time between surgical cases.

Main Methods:

  • Process mapping of all stages from dressing application to the next patient's skin incision.
  • Utilizing Plan-Do-Study-Act (PDSA) cycles to test and refine proposed improvements in a real-world theatre setting.
  • Collecting and analyzing run chart data and theatre team feedback to guide intervention adoption, adaptation, or rejection.

Main Results:

  • Implemented changes included: ODP completing paperwork during the previous case, a 15-minute patient readiness call, a dedicated cleaning team, and early patient summoning.
  • Mean theatre turnaround time was reduced from 66.5 minutes to 36.8 minutes, representing a near 50% decrease.
  • Improvements were sustained and successfully rolled out to an additional theatre.

Conclusions:

  • The implemented quality improvement project significantly reduced orthopaedic theatre turnaround times.
  • The strategies employed demonstrate the potential for substantial efficiency gains in surgical settings.
  • Further optimization and broader application across surgical specialities are anticipated.