Abstract
This study examined effects of scheduling errors on operating room efficiency and surgeon procedure heterogeneity on the rate of incorrectly scheduled cases. Operative cases in an academic center over 11 months were categorized as correctly or incorrectly scheduled. Surgeon heterogeneity was the number of unique procedures performed. Delays were greater for misbooked first cases (median 9 minutes late (interquartile range [IQR] 2-24) vs 4 (IQR 0-13), P <.01). For subsequent cases, turnover time was longer if misbooked (47 minutes (IQR 33-69) vs 39 (IQR 28-55), P <.01). Overall, the difference between actual and scheduled length was greater for misbooked cases (26 minutes (IQR −15 to +79) vs 6 (IQR −17 to +38), P <.01). Highest heterogeneity surgeons had higher risk of incorrect scheduling compared with the lowest (odds ratio = 1.97, 95% confidence interval [1.34-2.98], P <.01). Scheduling errors led to delays in first starts, unexpectedly longer cases, and prolonged turnovers. Highest heterogeneity surgeons were at greatest risk for misbooking.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 584-588 |
| Number of pages | 5 |
| Journal | American Journal of Medical Quality |
| Volume | 31 |
| Issue number | 6 |
| DOIs | |
| State | Published - Nov 1 2016 |
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Keywords
- efficiency
- operating rooms
- operative time
- staffing and scheduling
Cite this
Operating Room Inefficiencies Attributable to Errors in Surgical Case Scheduling and Surgeon Procedure Heterogeneity. / Pariser, Joseph J.; Diamond, Alanna J.; Christianson, Laura W.; Mitchell, Brian A.; Langerman, Alexander.
In: American Journal of Medical Quality, Vol. 31, No. 6, 01.11.2016, p. 584-588.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Operating Room Inefficiencies Attributable to Errors in Surgical Case Scheduling and Surgeon Procedure Heterogeneity
AU - Pariser, Joseph J.
AU - Diamond, Alanna J.
AU - Christianson, Laura W.
AU - Mitchell, Brian A.
AU - Langerman, Alexander
PY - 2016/11/1
Y1 - 2016/11/1
N2 - This study examined effects of scheduling errors on operating room efficiency and surgeon procedure heterogeneity on the rate of incorrectly scheduled cases. Operative cases in an academic center over 11 months were categorized as correctly or incorrectly scheduled. Surgeon heterogeneity was the number of unique procedures performed. Delays were greater for misbooked first cases (median 9 minutes late (interquartile range [IQR] 2-24) vs 4 (IQR 0-13), P <.01). For subsequent cases, turnover time was longer if misbooked (47 minutes (IQR 33-69) vs 39 (IQR 28-55), P <.01). Overall, the difference between actual and scheduled length was greater for misbooked cases (26 minutes (IQR −15 to +79) vs 6 (IQR −17 to +38), P <.01). Highest heterogeneity surgeons had higher risk of incorrect scheduling compared with the lowest (odds ratio = 1.97, 95% confidence interval [1.34-2.98], P <.01). Scheduling errors led to delays in first starts, unexpectedly longer cases, and prolonged turnovers. Highest heterogeneity surgeons were at greatest risk for misbooking.
AB - This study examined effects of scheduling errors on operating room efficiency and surgeon procedure heterogeneity on the rate of incorrectly scheduled cases. Operative cases in an academic center over 11 months were categorized as correctly or incorrectly scheduled. Surgeon heterogeneity was the number of unique procedures performed. Delays were greater for misbooked first cases (median 9 minutes late (interquartile range [IQR] 2-24) vs 4 (IQR 0-13), P <.01). For subsequent cases, turnover time was longer if misbooked (47 minutes (IQR 33-69) vs 39 (IQR 28-55), P <.01). Overall, the difference between actual and scheduled length was greater for misbooked cases (26 minutes (IQR −15 to +79) vs 6 (IQR −17 to +38), P <.01). Highest heterogeneity surgeons had higher risk of incorrect scheduling compared with the lowest (odds ratio = 1.97, 95% confidence interval [1.34-2.98], P <.01). Scheduling errors led to delays in first starts, unexpectedly longer cases, and prolonged turnovers. Highest heterogeneity surgeons were at greatest risk for misbooking.
KW - efficiency
KW - operating rooms
KW - operative time
KW - staffing and scheduling
UR - http://www.scopus.com/inward/record.url?scp=84994338499&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84994338499&partnerID=8YFLogxK
U2 - 10.1177/1062860615606517
DO - 10.1177/1062860615606517
M3 - Article
C2 - 26395127
AN - SCOPUS:84994338499
VL - 31
SP - 584
EP - 588
JO - American journal of medical quality : the official journal of the American College of Medical Quality
JF - American journal of medical quality : the official journal of the American College of Medical Quality
SN - 1062-8606
IS - 6
ER -