Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital

Maria Isabel N Umali, Teresita R Castillo Department of Ophthalmology and Visual Sciences, University of the Philippines Manila, Philippine General Hospital, Manila, PhilippinesCorrespondence: Maria Isabel N UmaliAsian Eye Institute, 8/F Phinma Plaza, Hidalgo Drive, Rockwell, Makati City 1200, Phili...

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Autores principales:	Umali MIN, Castillo TR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	phacoemulsification health services administration benchmarking observational study Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/fcf51e506f1447939588298590f1ff69
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spelling	oai:doaj.org-article:fcf51e506f1447939588298590f1ff692021-12-02T08:52:00ZEfficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital1177-5483https://doaj.org/article/fcf51e506f1447939588298590f1ff692020-10-01T00:00:00Zhttps://www.dovepress.com/efficiency-of-operating-room-processes-for-elective-cataract-surgeries-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Maria Isabel N Umali, Teresita R Castillo Department of Ophthalmology and Visual Sciences, University of the Philippines Manila, Philippine General Hospital, Manila, PhilippinesCorrespondence: Maria Isabel N UmaliAsian Eye Institute, 8/F Phinma Plaza, Hidalgo Drive, Rockwell, Makati City 1200, PhilippinesTel +63 917 539 0045Email isabelumali.md@gmail.com Purpose: Operating room processes must be efficient to boost profitability and minimize cost while retaining surgical care quality. This study aims to assess operating room efficiency for resident-performed elective phacoemulsification surgeries done under local anesthesia by measuring different key performance indicators and comparing this with international benchmark data.Patients and Methods: This is a prospective cross-sectional study done in the Department of Ophthalmology of the Philippine General Hospital, the National University Hospital. The operating room milestones were noted and recorded by a single third-party observer in randomly selected operating rooms from April to June 2019.Results: Fifty-six phacoemulsification cases in randomly selected rooms fulfilling both inclusion and exclusion criteria were observed. None of the cases started on or before the scheduled 6:30 a.m. cutting time, with an average of 34 (SD 8.53) minutes late. Entry lag was above the median, while exit lag and turnover time were above the 95th percentile compared to benchmarking data. Segment analysis also showed an increased entry lag (35.11% vs 21.5%), significantly higher than benchmarks (t: 10.99, df: 55, p< 0.01). Comparison with proposed targets in other studies also showed an increased time for entry lag.Conclusion: This study determined that entry lag is the performance indicator that should be addressed to improve efficiency. A multidisciplinary approach and group goal-setting are needed to implement changes in the operating room.Keywords: phacoemulsification, health services administration, benchmarking, observational studyUmali MINCastillo TRDove Medical Pressarticlephacoemulsificationhealth services administrationbenchmarkingobservational studyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 3527-3533 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	phacoemulsification health services administration benchmarking observational study Ophthalmology RE1-994
spellingShingle	phacoemulsification health services administration benchmarking observational study Ophthalmology RE1-994 Umali MIN Castillo TR Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital
description	Maria Isabel N Umali, Teresita R Castillo Department of Ophthalmology and Visual Sciences, University of the Philippines Manila, Philippine General Hospital, Manila, PhilippinesCorrespondence: Maria Isabel N UmaliAsian Eye Institute, 8/F Phinma Plaza, Hidalgo Drive, Rockwell, Makati City 1200, PhilippinesTel +63 917 539 0045Email isabelumali.md@gmail.com Purpose: Operating room processes must be efficient to boost profitability and minimize cost while retaining surgical care quality. This study aims to assess operating room efficiency for resident-performed elective phacoemulsification surgeries done under local anesthesia by measuring different key performance indicators and comparing this with international benchmark data.Patients and Methods: This is a prospective cross-sectional study done in the Department of Ophthalmology of the Philippine General Hospital, the National University Hospital. The operating room milestones were noted and recorded by a single third-party observer in randomly selected operating rooms from April to June 2019.Results: Fifty-six phacoemulsification cases in randomly selected rooms fulfilling both inclusion and exclusion criteria were observed. None of the cases started on or before the scheduled 6:30 a.m. cutting time, with an average of 34 (SD 8.53) minutes late. Entry lag was above the median, while exit lag and turnover time were above the 95th percentile compared to benchmarking data. Segment analysis also showed an increased entry lag (35.11% vs 21.5%), significantly higher than benchmarks (t: 10.99, df: 55, p< 0.01). Comparison with proposed targets in other studies also showed an increased time for entry lag.Conclusion: This study determined that entry lag is the performance indicator that should be addressed to improve efficiency. A multidisciplinary approach and group goal-setting are needed to implement changes in the operating room.Keywords: phacoemulsification, health services administration, benchmarking, observational study
format	article
author	Umali MIN Castillo TR
author_facet	Umali MIN Castillo TR
author_sort	Umali MIN
title	Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital
title_short	Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital
title_full	Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital
title_fullStr	Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital
title_full_unstemmed	Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital
title_sort	efficiency of operating room processes for elective cataract surgeries done by residents in a national university hospital
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/fcf51e506f1447939588298590f1ff69
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Efficiency of Operating Room Processes for Elective Cataract Surgeries Done by Residents in a National University Hospital

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