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Published on: October 25, 2017
Reducing Preoperative Waiting-time in a Pediatric Eye Operation Theater by Optimizing Process Flow: A Pilot Quality
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.
Objective:
To decrease the preoperative area waiting-time for children posted for eye surgery.
Methods:
A pilot quality improvement project was conducted in a single paediatric eye operation theatre in our tertiary-care hospital. Operation theatre process flow was analyzed, baseline data was collected, and two Plan-Do-Study-Act cycles were performed on consecutive days. Average and maximal waiting-time were recorded across six operation theatre days.
Results:
The average and maximal waiting time at baseline were 221 and 390 minutes, respectively. After two rapid Plan-Do-Study-Act cycles, these were reduced to 29 (87% reduction) and 52 minutes (87% reduction) from baseline, respectively, and could subsequently be sustained.
Conclusion:
Preoperative waiting time in ophthalmic operation theatre was significantly reduced by simple process flow optimization, thereby improving quality of care.
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