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• W2152709098 abstract "The purpose of this study was to assess the direct and indirect relationships between first-case tardiness (or late start), turnover time, underused operating room (OR) time, and raw utilization, as well as to determine which indicator had the most negative impact on OR utilization to identify improvement potential. Furthermore, we studied the indirect relationships of the three indicators of nonoperative time on OR utilization, to recognize possible trickle down effects during the day.(Multiple) linear regression analysis and mediation effect analysis were applied to a data set from all eight University Medical Centers in the Netherlands. This data set consisted of 190,071 OR days (on which 623,871 surgical cases were performed).Underused OR time at the end of the day had the strongest influence on raw utilization, followed by late start and turnover time. The relationships between the three nonoperative time indicators were negligible. The impact of the partial indirect effects of nonoperative time indicators on raw utilization were statistically significant, but relatively small. The trickle down effect that late start can cause resulting in an increased delay as the day progresses, was not supported by our results.The study findings clearly suggest that OR utilization can be improved by focusing on the reduction of underused OR time at the end of the day. Improving the prediction of total procedure time, improving OR scheduling by, for example, altering the sequencing of operations, changing patient cancellation policies, and flexible staffing of ORs adjusted to patient needs, are means to reduce nonoperative time." @default.
• W2152709098 created "2016-06-24" @default.
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• W2152709098 date "2015-03-01" @default.
• W2152709098 modified "2023-10-09" @default.
• W2152709098 title "Enhancement opportunities in operating room utilization; with a statistical appendix" @default.
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• W2152709098 doi "https://doi.org/10.1016/j.jss.2014.10.044" @default.
• W2152709098 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25479906" @default.
• W2152709098 hasPublicationYear "2015" @default.
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