Economics & Sociology

ISSN: 2071-789X eISSN: 2306-3459 DOI: 10.14254/2071-789X
Index PUBMS: f5512f57-a601-11e7-8f0e-080027f4daa0
Article information
Title: Economic Analysis of Perioperative Surgical Processes
Issue: Vol. 9, No 3, 2016
Published date: 09-2016 (print) / 09-2016 (online)
Journal: Economics & Sociology
ISSN: 2071-789X, eISSN: 2306-3459
Authors: Olav Götz
Bernhard Michalowsky
Steffen Flessa
Keywords: perioperative management, surgical processes, organization and management, anaesthesiological and surgical ratios
DOI: 10.14254/2071-789X.2016/9-3/12
Index PUBMS: 0701e1d8-020f-11e8-94c4-fa163e5d4f72
Language: English
Pages: 133-144 (12)
JEL classification: I11

Background: Improving clinical pathways, especially in operating rooms (OR), is important for the success of a hospital. Objectives: (a) To analyze time-related perioperative pathways; (b) to identify delays focusing on (i) anaesthesiological process-times, (ii) vacancy of the OR and (iii) the validity of the surgery-planning. Methods: A time study was conducted to assess perioperative processes. Accurateness, variation and duration of surgeries were assessed using hospitals schedule for surgeries. Results: 239 perioperative processes were assessed. Average durations of pre-operative, operative and post-operative processes were 7min, 64min and 8min, respectively. Mean time in which the patient was unnecessarily anesthetized was 2min. Average vacancy of the OR was 48min. Stability of schedule valued 78%. Average cutting time was 23 min after schedule. 77% of surgeries were more time-consuming than scheduled. Conclusions: The key challenge is to optimize the schedule stability and the precision of durations, which is important to prevent vacancies.