Evaluating the two-table surgery policy : an alternative policy to improve operating room performance

Boersma, T. (2015) Evaluating the two-table surgery policy : an alternative policy to improve operating room performance.

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Abstract:We have compared the one-table surgery policy to the two-table surgery policy. In the latter policy one surgeon consecutively performs surgeries in two operating rooms. Dutch national guidelines require that the surgeon is present during the time-out and sign-out procedure (pre- and post-surgery safety check). We have evaluated the two-table surgery policy including and excluding these guidelines. With a simulation model we have shown that the two-table surgery policy including guidelines increases the average number of patients each surgeon treats but does not improve other performance indicators. This policy can therefore be used when surgeon availability is scarce. The two-table surgery policy excluding guidelines further increases the average number of patients each surgeon treats. Moreover, the number of patients treated increases when using one anaesthetist in each operating room and cost efficiency may be improved for surgeries up to 40 minutes. This policy shows best relative performance for surgeries up to 20 minutes with low variability. We recommend to consider alternative task allocations during the time-out and sign-out procedure so that the efficiency gains of the two-table surgery policy can be achieved while patient safety is ensured.
Item Type:Essay (Master)
Clients:
Universitair Medisch Centrum Groningen, Groningen, Nederland
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:58 process technology, 85 business administration, organizational science
Programme:Industrial Engineering and Management MSc (60029)
Link to this item:http://purl.utwente.nl/essays/67162
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