Ophthalmic surgery, lasers & imaging retina · 2025
Improving Operating Room Access and Utilization at an Academic Ophthalmology Department.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Azzouz Lyna, Ghoraba Hashem, Heidenreich Reese D, Baumal Caroline, Do Diana V
Аннотация
BACKGROUND AND OBJECTIVE: A quality improvement project was conducted to improve operating room (OR) access and utilization for elective ophthalmic cases at a university-affiliated eye center.
PATIENTS AND METHODS: This prospective, interventional case series assessed OR utilization across three ORs during a baseline 3-month period. Case scheduling protocols were reviewed, and key drivers of inefficiency were identified. Targeted interventions were implemented to address these barriers.
RESULTS: During the baseline period, a mean of 290 surgeries were performed monthly. Scheduling delays were attributed to the lack of standardized order forms for special preoperative/operative needs, untimely completion of special preoperative tests, poor communication regarding open OR times, and inadequate enforcement of an established 14-day block time release. Following interventions, OR utilization increased by 20% and average monthly case volume rose to 350, adding approximately 60 surgeries per month. These improvements were accompanied by a more than twofold increase in use of the standardized EPIC surgical order with laterality (from 39 to 97 cases per month), demonstrating measurable adoption of workflow changes.
CONCLUSIONS: Targeted, multidisciplinary interventions improved OR utilization by 20%. Quality improvement projects enhance patient access and optimize the use of institutional resources.
PATIENTS AND METHODS: This prospective, interventional case series assessed OR utilization across three ORs during a baseline 3-month period. Case scheduling protocols were reviewed, and key drivers of inefficiency were identified. Targeted interventions were implemented to address these barriers.
RESULTS: During the baseline period, a mean of 290 surgeries were performed monthly. Scheduling delays were attributed to the lack of standardized order forms for special preoperative/operative needs, untimely completion of special preoperative tests, poor communication regarding open OR times, and inadequate enforcement of an established 14-day block time release. Following interventions, OR utilization increased by 20% and average monthly case volume rose to 350, adding approximately 60 surgeries per month. These improvements were accompanied by a more than twofold increase in use of the standardized EPIC surgical order with laterality (from 39 to 97 cases per month), demonstrating measurable adoption of workflow changes.
CONCLUSIONS: Targeted, multidisciplinary interventions improved OR utilization by 20%. Quality improvement projects enhance patient access and optimize the use of institutional resources.