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- W2893711482 abstract "Abstract In support of system-wide improvement efforts, the Massachusetts General Hospital (MGH) recently spearheaded initiatives to increase utilization of its operating rooms (OR). Simultaneously, the demand for additional OR block time by surgical services increased as the volume of patients needing surgery rose. The hospital sought strategies to increase capacity in order to meet this demand. While much has been written about increasing on-time starts and reducing turnover times, the utility of these strategies can be limited at large quaternary medical centers where acuity is high and case lengths are long. Retrospective analysis of gaps in the surgery schedule provides a realistic and accurate measurement of additional cases that could be performed, and in turn, quantifies potential increases in net margin. This analysis can enable perioperative leadership to identify non-random variability in their schedule and prospectively redesign their system to accommodate additional demand. Through this analysis, the hospital identified over 2000 gaps per year of greater than 210 min in the surgical schedule that could be utilized for additional cases, representing more than $2 million in incremental net margin. Moreover, these cases could be accommodated within existing fixed operational capacity without negatively impacting operations. This analysis was extended to other academic medical centers and community hospitals in the health system, where capacity to accommodate over 8000 additional cases per year was identified." @default.
- W2893711482 created "2018-10-05" @default.
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- W2893711482 date "2018-09-01" @default.
- W2893711482 modified "2023-09-24" @default.
- W2893711482 title "Optimizing the use of operating rooms through retrospective gap analysis" @default.
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- W2893711482 doi "https://doi.org/10.1016/j.pcorm.2018.09.003" @default.
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