ArticleCanadian journal of surgery. Journal canadien de chirurgie2013
Dedicated operating room for emergency surgery improves access and efficiency.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quantification of emergency operating theatre process performance: a systematic review of clinical studies.British journal of anaesthesia · 2026Pooled it
- [What does one need to optimize the suture to turnover time?]Chirurgie (Heidelberg, Germany) · 2026Review
- Mild acute biliary pancreatitis: still a surgical disease. A post-hoc analysis of the MANCTRA-1 international study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Improving quality of care in traumatic spinal column/spinal cord injuries (TSC/SCI) in Iran: a policy brief.Spinal cord series and cases · 2024Article
- The Specialized Donor Care Facility Model Improves Operating Room Efficiency.Annals of thoracic surgery short reports · 2024Article
- The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey.Updates in surgery · 2024Article
- Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital.Health SA = SA Gesondheid · 2024Article
- Identifying Trauma Patients in Need for Emergency Surgery in the Prehospital Setting: The Prehospital Prediction of In-Hospital Emergency Treatment (PROPHET) Study.Journal of clinical medicine · 2023Article
- The Effectiveness of Dedicated Trauma Operation Theatre and Trauma Intensive Care Unit on the Outcomes of Patients with Traumatic Brain Injury after Emergency Neurosurgery.The Malaysian journal of medical sciences : MJMS · 2022Article
- Factors influencing surgical management of acute appendicitis in a large university hospital without a dedicated emergency theatre.Irish journal of medical science · 2020Article
- Article
- Association of delay of urgent or emergency surgery with mortality and use of health care resources: a propensity score-matched observational cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Observational
- Informal regionalization of pediatric fracture care in the Greater Toronto Area: a retrospective cross-sectional study.CMAJ open · 2017Article
- Operational strategies to manage non-elective orthopaedic surgical flows: a simulation modelling study.BMJ open · 2017Article
- Operation room management in Korea: results of a survey.Korean journal of anesthesiology · 2016Article
- How many operating rooms are needed to manage non-elective surgical cases? A Monte Carlo simulation study.BMC health services research · 2015Article
- Impact of changed management policies on operating room efficiency.BMC health services research · 2014Article
- A Retrospective Analysis of Intervention for Testicular Torsion: Searching for a Hallmark of High Reliability.Pediatric quality & safetyArticle
- RAG time: rapid access general surgery - a shared-care protocol to convert after-hours inpatient to daytime outpatient surgery.Canadian journal of surgery. Journal canadien de chirurgieArticle
- Macula-Sparing Rhegmatogenous Retinal Detachment: Is Emergent Surgery Necessary?Journal of ophthalmic & vision researchArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundScheduling emergency cases among elective surgeries often results in prolonged waits for emergency surgery and delays or cancellation of elective cases. We evaluated the benefits of a dedicated operating room (OR) for emergency procedures available to all surgical services at a large children's hospital.
methodsWe compared a 6-month period (January 2009 to June 2009) preimplementation with a 6-month period (January 2010 to June 2010) postimplementation of a dedicated OR. We evaluated OR use, wait times, percentage of cases done within and outside of access targets, off-hours surgery, cancellations, overruns and length of stay.
resultsPreimplementation, 1069 of the 5500 surgeries performed were emergency cases. Postimplementation, 1084 of the 5358 surgeries performed were emergency cases. Overall use of the dedicated OR was 53% (standard deviation 25%) postimplementation. Excluding outliers, the average wait time for priority 3 emergency patients decreased from 11 hours 8 minutes to 10 hours 5 minutes (p = 0.004). An increased proportion of priority 3 patients, from 52% to 58%, received surgery within 12 hours (p = 0.020). There was a 9% decrease in the proportion of priority 3 cases completed during the evening and night (p < 0.001). The elective surgical schedule benefited from the dedicated OR, with a significant decrease in cancellations (1.5% v. 0.7%, p < 0.001) and an accumulated decrease of 5211 minutes in overrun minutes in elective rooms. The average hospital stay after emergency surgery decreased from 16.0 days to 14.7 days (p = 0.12) following implementation of the dedicated OR.
conclusionA dedicated OR for emergency cases improved quality of care by decreasing cancellations and overruns in elective rooms and increasing the proportion of priority 3 patients who accessed care within the targeted time.
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