Impact of ENT resource nurses in improving operating room efficiency

Journal of Otolaryngology - Head & Neck Surgery - Tập 49 Số 1 - 2020
Kaishan Aravinthan1, Connor Holmes1, Sreejit Parameswaran Nair1, Anil Sharma1, Russell Murphy1
1Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, S7N 5E5, Canada

Tóm tắt

Abstract Background Operating room (OR) efficiency is related to minutes spared from surgical time and has been linked to the make up of surgical teams and operating room workplace. The research on the efficiency of surgical nursing staff members is scant. The current study evaluates the effect of ENT trained OR resource nurses on the efficiency of operating time during ENT procedures. Methods Five hundred seventy-three ENT surgery cases from 4 surgeons were retrospectively reviewed. Two hundred forty-two cases had ENT OR nursing staff and 331 cases had non-ENT OR nursing staff. Requested operative times (ROT) and true operative times (TOT) were analyzed. The difference between the TOT and ROT was used to measure operating time efficiency. Results Cases with ROT < 30 min (M = -1.19, SD = 5.01) required 3.34 min less than planned for when an ENT nurse was present compared to those with non-ENT nursing staff which required on average 2.15 min (M = 2.15, SD = 5.68) longer than ROT. Furthermore, cases with ROT > 30 min (M = -4.32, SD = 10.85) required 10.85 min less than planned for when an ENT nurse was present. Conversely with non-ENT nursing staff cases with a ROT > 30 min required on average 6.53 min (M = 6.53, SD = 11.85) longer than ROT. Conclusion ENT resource nurses were shown to improve OR efficiency in cases less than 30 min and greater than 30 min. Cases that were greater than 30 min showed the largest increase in efficiency. Specialized ENT nursing staff improved efficiency during common ENT surgeries. Graphical abstract

Từ khóa


Tài liệu tham khảo

Tankard K, Acciavatti TD, Vacanti JC, Heydarpour M, Beutler SS, Flanagan HL, et al. Contributors to operating room underutilization and implications for hospital administrators. Health Care Manag (Frederick). 2018;37(2):118–28.

Wright JG, Roche A, Khoury AE. Improving on-time surgical starts in an operating room. Can J Surg. 2010;53(3):167–70.

Truong A, Tessler MJ, Kleiman SJ, Bensimon M. Late operating room starts: experience with an education trial. Can J Anaesth. 1996;43(12):1233–6.

Roberts S, Saithna A, Bethune R. Improving theatre efficiency and utilisation through early identification of trauma patients and enhanced communication between teams. BMJ Qual Improv Rep. 2015;4(1):u206641.w2670. https://doi.org/10.1136/bmjquality.u206641.w2670.

Grozdanovic D, Grozdanovic M. Research on key indicators in modern surgical practice assessment: ergonomic approach. Surg Innov. 2018;25(4):323–32.

Radford M, Abbassi A, Williamson A, Johnston P. Redefining perioperative advanced practice. The nurse specialist in anaesthesia and emergency surgery. Part I. defining the problem and providing a solution. Br J Perioper Nurs. 2003;13(11):468–71.

Radford M, Abbassi A, Williamson A, Johnston P. Redefining perioperative advanced practice. Scope of practice: measuring impact and sustainability. Br J Perioper Nurs. 2003;13(12):504–7 10-1.

Bruckenthal P, Simpson MH. The role of the perioperative nurse in improving surgical Patients' clinical outcomes and satisfaction: beyond medication. AORN J. 2016;104(6S):S17–22.

De Regge M, Gemmel P, Duyck P, Claerhout I. A multilevel analysis of factors influencing the flow efficiency of the cataract surgery process in hospitals. Acta Ophthalmol. 2016;94(1):31–40.

Dimick JB. Importance of teamwork in the operating room: comment on "working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time". Arch Surg. 2010;145(12):1170.

Avery DM 3rd, Matullo KS. The efficiency of a dedicated staff on operating room turnover time in hand surgery. J Hand Surg Am. 2014;39(1):108–10.

Ashraf N, Awad Z, Jayaraj S. Against the clock: estimating theatre time in ENT: our experience in 1266 patients. Clin Otolaryngol. 2012;37(1):71–5.

Association of Anesthesia Clinical Directors (AACD). Glossary of times used for scheduling and monitoring of diagnostic and therapeutic procedures. AORN J. 1997;66(4):601–6.

Brenn BR, Reilly JS, Deutsch ES, Hetrick MH, Cook SC. Analysis of efficiency of common otolaryngology operations: comparison of operating room vs short procedure room in a pediatric tertiary hospital. Arch Otolaryngol Head Neck Surg. 2003;129(4):435–7.

Thông tin
Thông tin xuất bản

Journal of Otolaryngology - Head & Neck Surgery

Tập 49 Số 1

Thông tin tác giả