Contributing Factors to Operating Room Delays Identified from an Electronic Health Record: A Retrospective Study
The operating room (OR) is considered a major cost center and revenue generator for hospitals. Multiple factors contribute to OR delays and impact patient safety, patient satisfaction scores, and hospital financial performance. Reducing OR delays allows better utilization of OR resources and staffin...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2022/8635454 |
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| author | Scott M. Pappada Thomas J. Papadimos Sadik Khuder Sean T. Mack Peyton Z. Beachy Andrew B. Casabianca |
| author_facet | Scott M. Pappada Thomas J. Papadimos Sadik Khuder Sean T. Mack Peyton Z. Beachy Andrew B. Casabianca |
| author_sort | Scott M. Pappada |
| collection | DOAJ |
| description | The operating room (OR) is considered a major cost center and revenue generator for hospitals. Multiple factors contribute to OR delays and impact patient safety, patient satisfaction scores, and hospital financial performance. Reducing OR delays allows better utilization of OR resources and staffing and improves patient satisfaction while decreasing operating costs. Accurate scheduling can be the basis to achieve these goals. The objective of this initial study was to identify factors not normally documented in the electronic health record (EHR) that may contribute to or be indicators of OR delays. Materials and Methods. A retrospective data analysis was performed analyzing 67,812 OR cases from 12 surgical specialties at a small university medical center from 2010 through the first quarter of 2017. Data from the hospital’s EHR were exported and subjected to statistical analysis using Statistical Analysis System (SAS) software (SAS Institute, Cary, NC). Results. Statistical analysis of the extracted EHR data revealed factors that were associated with OR delays including, surgical specialty, preoperative assessment testing, patient body mass index, American Society of Anesthesiologists (ASA) physical status classification, daily procedure count, and calendar year. Conclusions. Delays hurt OR efficiency on many levels. Identifying those factors may reduce delays and better accommodate the needs of surgeons, staff, and patients thereby leading to improved patient’s outcomes and patient satisfaction. Reducing delays can decrease operating costs and improve the financial position of the operating theater as well as that of the hospital. Anesthesiology teams can play a key role in identifying factors that cause delays and implementing mitigating efficiencies. |
| format | Article |
| id | doaj-art-832000307a0e468fa8592e80c55e1d9f |
| institution | Kabale University |
| issn | 1687-6970 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-832000307a0e468fa8592e80c55e1d9f2025-02-03T05:49:21ZengWileyAnesthesiology Research and Practice1687-69702022-01-01202210.1155/2022/8635454Contributing Factors to Operating Room Delays Identified from an Electronic Health Record: A Retrospective StudyScott M. Pappada0Thomas J. Papadimos1Sadik Khuder2Sean T. Mack3Peyton Z. Beachy4Andrew B. Casabianca5University of Toledo College of Medicine and Life SciencesUniversity of Toledo College of Medicine and Life SciencesUniversity of Toledo College of Medicine and Life SciencesUniversity of Toledo College of Medicine and Life SciencesUniversity of Toledo College of Medicine and Life SciencesUniversity of Toledo College of Medicine and Life SciencesThe operating room (OR) is considered a major cost center and revenue generator for hospitals. Multiple factors contribute to OR delays and impact patient safety, patient satisfaction scores, and hospital financial performance. Reducing OR delays allows better utilization of OR resources and staffing and improves patient satisfaction while decreasing operating costs. Accurate scheduling can be the basis to achieve these goals. The objective of this initial study was to identify factors not normally documented in the electronic health record (EHR) that may contribute to or be indicators of OR delays. Materials and Methods. A retrospective data analysis was performed analyzing 67,812 OR cases from 12 surgical specialties at a small university medical center from 2010 through the first quarter of 2017. Data from the hospital’s EHR were exported and subjected to statistical analysis using Statistical Analysis System (SAS) software (SAS Institute, Cary, NC). Results. Statistical analysis of the extracted EHR data revealed factors that were associated with OR delays including, surgical specialty, preoperative assessment testing, patient body mass index, American Society of Anesthesiologists (ASA) physical status classification, daily procedure count, and calendar year. Conclusions. Delays hurt OR efficiency on many levels. Identifying those factors may reduce delays and better accommodate the needs of surgeons, staff, and patients thereby leading to improved patient’s outcomes and patient satisfaction. Reducing delays can decrease operating costs and improve the financial position of the operating theater as well as that of the hospital. Anesthesiology teams can play a key role in identifying factors that cause delays and implementing mitigating efficiencies.http://dx.doi.org/10.1155/2022/8635454 |
| spellingShingle | Scott M. Pappada Thomas J. Papadimos Sadik Khuder Sean T. Mack Peyton Z. Beachy Andrew B. Casabianca Contributing Factors to Operating Room Delays Identified from an Electronic Health Record: A Retrospective Study Anesthesiology Research and Practice |
| title | Contributing Factors to Operating Room Delays Identified from an Electronic Health Record: A Retrospective Study |
| title_full | Contributing Factors to Operating Room Delays Identified from an Electronic Health Record: A Retrospective Study |
| title_fullStr | Contributing Factors to Operating Room Delays Identified from an Electronic Health Record: A Retrospective Study |
| title_full_unstemmed | Contributing Factors to Operating Room Delays Identified from an Electronic Health Record: A Retrospective Study |
| title_short | Contributing Factors to Operating Room Delays Identified from an Electronic Health Record: A Retrospective Study |
| title_sort | contributing factors to operating room delays identified from an electronic health record a retrospective study |
| url | http://dx.doi.org/10.1155/2022/8635454 |
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