Reducing Preoperative Waiting-time in a Pediatric Eye Operation Theater by Optimizing Process Flow: A Pilot Quality

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Parijat Chandra1, Ruchir Tewari2, Yangchen Dolma2

  • 1Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India. Correspondence to: Dr Parijat Chandra, Additional Professor of Ophthalmology, Room No 373, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India. parijatchandra@gmail.com.

Indian Pediatrics
|October 23, 2018
PubMed

Insights

Reducing preoperative waiting times for pediatric eye surgery significantly improves patient care. Simple process flow optimization in operating theaters cut average wait times by 87%.

Area of Science:

  • Pediatric Ophthalmology
  • Quality Improvement Science
  • Healthcare Operations Management

Background:

  • Long preoperative waiting times in pediatric eye surgery can negatively impact patient experience and care quality.
  • Optimizing operating theatre workflow is crucial for efficient healthcare delivery.

Purpose of the Study:

  • To significantly decrease preoperative waiting times for children undergoing eye surgery.
  • To enhance the overall quality of care in a pediatric ophthalmic operating theater.

Main Methods:

  • A pilot quality improvement project was implemented in a single pediatric eye operation theater.
  • Process flow analysis and data collection were performed, followed by two Plan-Do-Study-Act cycles.
  • Waiting times were measured over six operation theater days to assess impact.

Main Results:

  • Baseline average and maximal waiting times were 221 and 390 minutes, respectively.
  • Following two Plan-Do-Study-Act cycles, average waiting time reduced to 29 minutes (87% decrease) and maximal waiting time to 52 minutes (87% decrease).
  • These reductions were sustained post-intervention.

Conclusions:

  • Simple process flow optimization effectively reduced preoperative waiting times in ophthalmic operating theaters.
  • This optimization led to a significant improvement in the quality of care for pediatric surgical patients.
Abstract

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