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Operating room data management: improving efficiency and safety in a surgical block

BACKGROUND: European Healthcare Systems are facing a difficult period characterized by increasing costs and spending cuts due to economic problems. There is the urgent need for new tools which sustain Hospitals decision makers work. This project aimed to develop a data recording system of the surgic...

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Autores principales: Agnoletti, Vanni, Buccioli, Matteo, Padovani, Emanuele, Corso, Ruggero M, Perger, Peter, Piraccini, Emanuele, Orelli, Rebecca Levy, Maitan, Stefano, Dell’Amore, Davide, Garcea, Domenico, Vicini, Claudio, Montella, Teresa Maria, Gambale, Giorgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3606357/
https://www.ncbi.nlm.nih.gov/pubmed/23496977
http://dx.doi.org/10.1186/1471-2482-13-7
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author Agnoletti, Vanni
Buccioli, Matteo
Padovani, Emanuele
Corso, Ruggero M
Perger, Peter
Piraccini, Emanuele
Orelli, Rebecca Levy
Maitan, Stefano
Dell’Amore, Davide
Garcea, Domenico
Vicini, Claudio
Montella, Teresa Maria
Gambale, Giorgio
author_facet Agnoletti, Vanni
Buccioli, Matteo
Padovani, Emanuele
Corso, Ruggero M
Perger, Peter
Piraccini, Emanuele
Orelli, Rebecca Levy
Maitan, Stefano
Dell’Amore, Davide
Garcea, Domenico
Vicini, Claudio
Montella, Teresa Maria
Gambale, Giorgio
author_sort Agnoletti, Vanni
collection PubMed
description BACKGROUND: European Healthcare Systems are facing a difficult period characterized by increasing costs and spending cuts due to economic problems. There is the urgent need for new tools which sustain Hospitals decision makers work. This project aimed to develop a data recording system of the surgical process of every patient within the operating theatre. The primary goal was to create a practical and easy data processing tool to give hospital managers, anesthesiologists and surgeons the information basis to increase operating theaters efficiency and patient safety. METHODS: The developed data analysis tool is embedded in an Oracle Business Intelligence Environment, which processes data to simple and understandable performance tachometers and tables. The underlying data analysis is based on scientific literature and the projects teams experience with tracked data. The system login is layered and different users have access to different data outputs depending on their professional needs. The system is divided in the tree profile types Manager, Anesthesiologist and Surgeon. Every profile includes subcategories where operators can access more detailed data analyses. The first data output screen shows general information and guides the user towards more detailed data analysis. The data recording system enabled the registration of 14.675 surgical operations performed from 2009 to 2011. RESULTS: Raw utilization increased from 44% in 2009 to 52% in 2011. The number of high complexity surgical procedures (≥120 minutes) has increased in certain units while decreased in others. The number of unscheduled procedures performed has been reduced (from 25% in 2009 to 14% in 2011) while maintaining the same percentage of surgical procedures. The number of overtime events decreased in 2010 (23%) and in 2011 (21%) compared to 2009 (28%) and the delays expressed in minutes are almost the same (mean 78 min). The direct link found between the complexity of surgical procedures, the number of unscheduled procedures and overtime show a positive impact of the project on OR management. Despite a consistency in the complexity of procedures (19% in 2009 and 21% in 2011), surgical groups have been successful in reducing the number of unscheduled procedures (from 25% in 2009 to 14% in 2011) and overtime (from 28% in 2009 to 21% in 2011). CONCLUSIONS: The developed project gives healthcare managers, anesthesiologists and surgeons useful information to increase surgical theaters efficiency and patient safety. In difficult economic times is possible to develop something that is of some value to the patient and healthcare system too.
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spelling pubmed-36063572013-03-23 Operating room data management: improving efficiency and safety in a surgical block Agnoletti, Vanni Buccioli, Matteo Padovani, Emanuele Corso, Ruggero M Perger, Peter Piraccini, Emanuele Orelli, Rebecca Levy Maitan, Stefano Dell’Amore, Davide Garcea, Domenico Vicini, Claudio Montella, Teresa Maria Gambale, Giorgio BMC Surg Correspondence BACKGROUND: European Healthcare Systems are facing a difficult period characterized by increasing costs and spending cuts due to economic problems. There is the urgent need for new tools which sustain Hospitals decision makers work. This project aimed to develop a data recording system of the surgical process of every patient within the operating theatre. The primary goal was to create a practical and easy data processing tool to give hospital managers, anesthesiologists and surgeons the information basis to increase operating theaters efficiency and patient safety. METHODS: The developed data analysis tool is embedded in an Oracle Business Intelligence Environment, which processes data to simple and understandable performance tachometers and tables. The underlying data analysis is based on scientific literature and the projects teams experience with tracked data. The system login is layered and different users have access to different data outputs depending on their professional needs. The system is divided in the tree profile types Manager, Anesthesiologist and Surgeon. Every profile includes subcategories where operators can access more detailed data analyses. The first data output screen shows general information and guides the user towards more detailed data analysis. The data recording system enabled the registration of 14.675 surgical operations performed from 2009 to 2011. RESULTS: Raw utilization increased from 44% in 2009 to 52% in 2011. The number of high complexity surgical procedures (≥120 minutes) has increased in certain units while decreased in others. The number of unscheduled procedures performed has been reduced (from 25% in 2009 to 14% in 2011) while maintaining the same percentage of surgical procedures. The number of overtime events decreased in 2010 (23%) and in 2011 (21%) compared to 2009 (28%) and the delays expressed in minutes are almost the same (mean 78 min). The direct link found between the complexity of surgical procedures, the number of unscheduled procedures and overtime show a positive impact of the project on OR management. Despite a consistency in the complexity of procedures (19% in 2009 and 21% in 2011), surgical groups have been successful in reducing the number of unscheduled procedures (from 25% in 2009 to 14% in 2011) and overtime (from 28% in 2009 to 21% in 2011). CONCLUSIONS: The developed project gives healthcare managers, anesthesiologists and surgeons useful information to increase surgical theaters efficiency and patient safety. In difficult economic times is possible to develop something that is of some value to the patient and healthcare system too. BioMed Central 2013-03-11 /pmc/articles/PMC3606357/ /pubmed/23496977 http://dx.doi.org/10.1186/1471-2482-13-7 Text en Copyright ©2013 Agnoletti et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Correspondence
Agnoletti, Vanni
Buccioli, Matteo
Padovani, Emanuele
Corso, Ruggero M
Perger, Peter
Piraccini, Emanuele
Orelli, Rebecca Levy
Maitan, Stefano
Dell’Amore, Davide
Garcea, Domenico
Vicini, Claudio
Montella, Teresa Maria
Gambale, Giorgio
Operating room data management: improving efficiency and safety in a surgical block
title Operating room data management: improving efficiency and safety in a surgical block
title_full Operating room data management: improving efficiency and safety in a surgical block
title_fullStr Operating room data management: improving efficiency and safety in a surgical block
title_full_unstemmed Operating room data management: improving efficiency and safety in a surgical block
title_short Operating room data management: improving efficiency and safety in a surgical block
title_sort operating room data management: improving efficiency and safety in a surgical block
topic Correspondence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3606357/
https://www.ncbi.nlm.nih.gov/pubmed/23496977
http://dx.doi.org/10.1186/1471-2482-13-7
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