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Non-operating room anesthesia workflow (NORA) implementation to improve start times in interventional radiology
Justin S Routman1, Benjamin K Tran2, Brooke R Vining3
1Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL.
Current Problems in Diagnostic Radiology
|March 29, 2024
Summary
Implementing timetable targets significantly improved on-time first case starts in Non-OR Anesthesia (NORA) settings. This boosts efficiency, room utilization, and financial returns by reducing costs and improving throughput.
Area of Science:
- Anesthesiology
- Healthcare Management
- Operational Efficiency
Background:
- Non-OR Anesthesia (NORA) is increasingly common in high-volume facilities.
- Optimizing efficiency in NORA settings remains a challenge.
- On-time first start percentage is a key indicator of efficient patient flow.
Purpose of the Study:
- To assess the impact of timetable targets on first case on-time first start percentage in NORA.
- To determine if structured scheduling improves NORA operational efficiency.
Main Methods:
- Retrospective analysis of 124 anesthesia-supported first start cases (Oct 2022 - Apr 2023).
- Evaluation of timetable target implementation on case start times.
- Statistical analysis using Student's t-tests and ANOVA with Tukey Kramer for pairwise comparisons (p < 0.05).
Main Results:
- Average patient arrival to room time improved from 7:49 AM to 7:40 AM (p < 0.05).
- Average procedure start time improved from 8:31 AM to 8:20 AM (p < 0.01).
- On-time starts increased from 17% to 48% (p < 0.01), excluding Tuesdays.
Conclusions:
- Novel timetable targets significantly improved first case start times in NORA.
- Efficiency gains lead to increased room utilization and case throughput.
- Improvements contribute to increased revenue, decreased costs, and better ROI.
