ArticleDeutsches Arzteblatt international2013
Delays in starting morning operating lists: an analysis of more than 20,000 cases in 22 German hospitals.
Article in Deutsches Arzteblatt international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 31 citations in OpenAlex.
- Article
- Leveraging the potential of the German operating room benchmarking initiative for planning: A ready-to-use surgical process data set.Health care management science · 2024Article
- Root causes of first-case start time delays for elective surgical procedures: a prospective multicenter observational cohort study in Ethiopia.Patient safety in surgery · 2024Article
- [Modern OR management in tertiary care hospitals].Unfallchirurgie (Heidelberg, Germany) · 2022Article
- Getting going on time: reducing neurophysiology set-up times in order to contribute to improving surgery start and finish times.BMJ open quality · 2022Article
- [Delayed incision time of the first case : Analysis of incidences and causes and the effect of list planning instability].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Case delay in the OR morning start in hospitals of different size and academic status : Results from a German multicenter study to identify incidence and causes of delayed anesthesia ready time.Der Anaesthesist · 2021Article
- Article
- Timeliness of Operating Room Case Planning and Time Utilization: Influence of First and To-Follow Cases.Frontiers in medicine · 2017Article
- A robust and non-obtrusive automatic event tracking system for operating room management to improve patient care.Surgical endoscopy · 2016Article
- Correspondence (letter to the editor): Punctuality is an expression of respect.Deutsches Arzteblatt international · 2013Article
- Correspondence (letter to the editor): Target times are inconsistent.Deutsches Arzteblatt international · 2013Article
- Correspondence (letter to the editor): different specialties need to be considered.Deutsches Arzteblatt international · 2013Article
- Correspondence (reply): In reply.Deutsches Arzteblatt international · 2013Article
- Patient Transportation Delays and Effects on Operation Theatres' Efficiency: A Study for Problem Analysis and Remedial Measures.Anesthesia, essays and researchesArticle
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDelays in the start of the first operation of the day often lead to conflicts among the involved physicians and nurses. Data on such delays have already been published for individual hospitals, but robust comparative data from a large number of institutions have not been available till now.
methodsThe study is based on the operating room (OR) documentation of four surgical services (general surgery, trauma/orthopedic surgery, gynecology, and ear nose throat [ENT] surgery) in 22 German hospitals over a nine-month period. Three process points ("patient arrival in OR suite," "anesthesia ready," and "incision") were analyzed for the first operation of the day in each OR.
results21,357 operations in the first position were analyzed. The percentage of delays differed markedly for the three process points. The incision was delayed in more than 70% of the general surgical and trauma/orthopedic cases, but less often in gynecological (61 ± 24%) and ENT cases (42 ± 29%). The frequency of delays longer than 10 minutes was between 20% and 40%. The mean delay in delayed cases ranged from 14.1 ± 5.4 to 21.6 ± 8.2 minutes depending on the type of service and process point.
conclusionThe processes for the first operation of the day are not optimally structured in the hospitals whose cases were analyzed in this study. Delayed starts were common.
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