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Operation of a Benchtop Bioreactor
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A Plan-Do-Study-Act Cycle to Enhance Operational Efficiency in a Newly Established Paediatric Cardiac Operating Room.
Maryam Ali1, Shazia Mohsin1, Muneer Amanullah1
1Sindh Institute of Urology and Transplantation (SIUT), Division of Cardio-thoracic Sciences, Karachi, Sindh, 74000, Pakistan.
Interdisciplinary Cardiovascular and Thoracic Surgery
|January 27, 2026
Summary
Quality improvement initiatives significantly boosted paediatric cardiac operating room efficiency. Key performance indicators like First Case On-Time Start (FCOTS) and Turnover Time (TOT) improved, while Case Cancellation Rate decreased.
Area of Science:
- Pediatric Cardiac Surgery
- Quality Improvement Science
- Healthcare Operations Management
Background:
- Newly established pediatric cardiac operating rooms face challenges in efficiency.
- Key performance indicators (KPIs) like First Case On-Time Start (FCOTS), Turnover Time (TOT), and Case Cancellation Rate are critical for OR efficiency.
Purpose of the Study:
- To enhance operating room efficiency in a new pediatric cardiac OR.
- To improve FCOTS, reduce TOT, and decrease Case Cancellation Rate through targeted interventions.
Main Methods:
- A quality improvement project utilizing Plan-Do-Study-Act (PDSA) methodology.
- Root Cause Analysis (Fishbone, 5 Whys) to identify and address performance gaps.
- Tracking of weekly performance using control charts and feedback sessions.
Main Results:
- First Case On-Time Start (FCOTS) compliance improved from 50% to 91%.
- Mean Turnover Time (TOT) decreased from 34 to 27 minutes.
- Case Cancellation Rate significantly dropped from 30% to 7%.
Conclusions:
- Targeted quality improvement interventions can substantially enhance pediatric operating room efficiency.
- KPI-driven QI models are effective and scalable, particularly in resource-limited settings.
Keywords:
case cancellation ratefirst case on-time startlow- and middle-income countriesoperating room efficiencyquality improvementturnover timeMore Related Videos
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