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Applying a Process Improvement Approach to Optimize Operating Room Turnover in Urology.

Emily Huang1, Suyog Iswalkar2, Sharlyn Leh2

  • 1Houston Methodist Hospital, Houston, TX 77030.

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Optimizing operating room (OR) turnover time through process improvement can significantly reduce costs. Implementing changes like earlier housekeeping calls and efficient room setup can save $1559 per turnover.

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Area of Science:

  • Healthcare Operations
  • Process Improvement
  • Ambulatory Surgery

Background:

  • Operating room (OR) turnover time is a critical factor in surgical center efficiency.
  • Delays in OR turnover can impact patient throughput and increase costs.

Purpose of the Study:

  • To apply a process improvement approach to optimize OR turnover time.
  • To identify specific opportunities for reducing OR turnover duration.

Main Methods:

  • Defined OR turnover as the time from patient departure to room readiness.
  • Observed and timed each step of the turnover process.
  • Calculated potential financial implications using $1 per second as OR "rent".

Main Results:

  • Baseline OR turnover times ranged from 31:45 to 42:49 minutes:seconds.
  • Identified four key areas for improvement, including housekeeping coordination and setup procedures.
  • Projected financial benefits of $1559 per turnover, equating to $2,025,000 annual savings per OR.

Conclusions:

  • Process improvement techniques effectively identified opportunities to enhance OR turnover.
  • Optimizing OR turnover can lead to substantial financial benefits for surgical centers.