TY - JOUR
T1 - Dedicated operating room for emergency surgery generates more utilization, less overtime, and less cancellations
AU - van Veen-Berkx, Elizabeth
AU - Elkhuizen, Sylvia G.
AU - Kuijper, Bart
AU - Kazemier, Geert
AU - AUTHOR GROUP
AU - Balm, Ron
AU - Cornelisse, Diederich C. C.
AU - Buhre, Wolfgang F.
AU - Ackermans, Hub J.
AU - Stolker, Robert Jan
AU - Bezstarosti, Jeanne
AU - Schaad, Roald R.
AU - Wind, Jos H.
AU - Krooneman-Smits, Irmgard
AU - Meyer, Peter
AU - Gooszen, Hein G.
AU - van Dijk-Jager, Mirjam
AU - Broecheler, Simon A. W.
AU - Kroese, A. Christiaan
AU - Kanters, Jeffrey
AU - Krabbendam, Johannes J.
AU - Hans, Erwin W.
AU - Veerman, Derk P.
AU - Aij, Kjeld H.
PY - 2016
Y1 - 2016
N2 - Two approaches prevail for reserving operating room (OR) capacity for emergency surgery: (1) dedicated emergency ORs and (2) evenly allocating capacity to all elective ORs, thereby creating a virtual emergency team. Previous studies contradict which approach leads to the best performance in OR utilization. Quasi-experimental controlled time-series design with empirical data from 3 university medical centers. Four different time periods were compared with analysis of variance with contrasts. Performance was measured based on 467,522 surgical cases. After closing the dedicated emergency OR, utilization slightly increased; overtime also increased. This was in contrast to earlier simulated results. The 2 control centers, maintaining a dedicated emergency OR, showed a higher increase in utilization and a decrease in overtime, along with a smaller ratio of case cancellations because of emergency surgery. This study shows that in daily practice a dedicated emergency OR is the preferred approach in performance terms regarding utilization, overtime, and case cancellations
AB - Two approaches prevail for reserving operating room (OR) capacity for emergency surgery: (1) dedicated emergency ORs and (2) evenly allocating capacity to all elective ORs, thereby creating a virtual emergency team. Previous studies contradict which approach leads to the best performance in OR utilization. Quasi-experimental controlled time-series design with empirical data from 3 university medical centers. Four different time periods were compared with analysis of variance with contrasts. Performance was measured based on 467,522 surgical cases. After closing the dedicated emergency OR, utilization slightly increased; overtime also increased. This was in contrast to earlier simulated results. The 2 control centers, maintaining a dedicated emergency OR, showed a higher increase in utilization and a decrease in overtime, along with a smaller ratio of case cancellations because of emergency surgery. This study shows that in daily practice a dedicated emergency OR is the preferred approach in performance terms regarding utilization, overtime, and case cancellations
U2 - https://doi.org/10.1016/j.amjsurg.2015.06.021
DO - https://doi.org/10.1016/j.amjsurg.2015.06.021
M3 - Article
C2 - 26342842
SN - 0002-9610
VL - 211
SP - 122
EP - 128
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 1
ER -