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Audit of Orthopaedic trauma theatre usage : Observation from Nizwa regional referral Hospital
Background: The operation theatre complex is an important pillar of any hospital and its optimum and efficient functioning reflects on the overall functioning of any busy hospital. There is no study done till date on the operation theatre utilization in Oman and its cost effectiveness. This audit is carried out on the utilization of orthopaedic trauma theatre which can be used as reference for other specialty operation theatres and overall theatre efficiency in our hospital.
Methods: Prospective audit was carried out over period of one year in department of orthopaedics,nizwa hospital and data collected from our hospital was analyzed. All the components of the operation theatre were taken into account to arrive at theatre utilization, end utilization and operating timing.
Results : 853 cases were electively operated upon during from Ist January 2011 to 31st December 2011 in orthopaedic operation theatre which was run for 261 days electively during that period. 74% cases started later than scheduled time with average of 22.8 min late start time. The total operating time(OT) was 81% of the total allocated theatre time(ATT) with a mean of 05:15 hrs. The total Surgical and anaesthesia time (63%) and (15%) respectively. Changeover time was 70.39 hrs(4%) with average of 22.6 min and no useful activity(NSU)amounted to total of 310.32hrs(18%)based on above calculations it amounted to end utilization(EU) of 94% and Operation theatre utilization(OUT) of 81.8% respectively.. 4.2% cases were cancelled for various reasons .
Conclusion: The various reasons for under utilization of the orthopaedic operation theatre are due to delay in starting list, increase changeover time, anaesthetic ,surgeon and administrative factors.The corrective measures which can be applied to improve this have been discussed.
Audit, orthopaedic theatre, utilization
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