Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Seoul, Songpa-gu, 05505, South Korea.
Office for Operating Room Schedule Management, Department of Nursing, Asan Medical Center, Seoul, Republic of Korea.
J Med Syst. 2020 Aug 15;44(9):171. doi: 10.1007/s10916-020-01644-0.
Efficient operating room (OR) scheduling can improve OR utilization and reduce costs. We hypothesize that the scheduling office (ORSO) leading the modification scheduling process could increase OR utilization rate. Using retrospective data from a single tertiary hospital in two consecutive calendar years, we compared OR utilization rate, the number of daily cases and cumulative operative time in the pre- and post-implementation of scheduling process alteration. We operated about 100,609 cases in the OR during the study period. Daytime utilization rate increased from 85.6% to 89.4% (P < 0.001); overall OR utilization rate from 115.1% to 117.6% (P = 0.019); daily case numbers from 229.9 ± 7.3 to 239.6 ± 7.6 (P = 0.0.14); and cumulative operation time of total and daytime cases from 611.7 case-hour/day to 624.5 case-hour/day (P = 0.013) and from 510.8 case-hour/day to 533.8 case-hour/day (P < 0.001), respectively. Evening/night time case-hour significantly decreased from 100.9 case-hour/day to 90.7 case-hour/day (P < 0.001). The optimization of the scheduling process and coordination by the office during regular workhours resulted in enhanced OR efficiency. The OR scheduling office can act as a control tower to make OR management more flexible, which can improve efficiency and carry financial benefits in tertiary hospitals.
高效的手术室（OR）排班可以提高手术室利用率并降低成本。我们假设调度办公室（ORSO）主导修改排班流程可以提高手术室利用率。我们使用一家三级医院连续两年的回顾性数据，比较了排班流程改变前后的手术室利用率、每日手术例数和累计手术时间。在研究期间，我们在手术室进行了约 100609 例手术。白天利用率从 85.6%提高到 89.4%（P<0.001）；整体手术室利用率从 115.1%提高到 117.6%（P=0.019）；每日手术例数从 229.9±7.3 例增加到 239.6±7.6 例（P=0.14）；白天和全天手术的累计手术时间从 611.7 病例小时/天增加到 624.5 病例小时/天（P=0.013）和从 510.8 病例小时/天增加到 533.8 病例小时/天（P<0.001）。晚上/夜间手术例小时数从 100.9 例小时/天显著减少到 90.7 例小时/天（P<0.001）。在正常工作时间内，调度流程的优化和办公室的协调使手术室效率得到提高。手术室调度办公室可以作为一个控制塔，使手术室管理更加灵活，从而提高效率并为三级医院带来经济效益。
