Analysis of operating room efficiency between a hospital-owned ambulatory surgical center and hospital outpatient department

Jonathan B. Imran, Tarik D. Madni, Luis R. Taveras, Holly B. Cunningham, Audra T. Clark, Michael W. Cripps, YPaul P. GoldenMerry, Waqaar Diwan, Steven Wolf, Ali A. Mokdad, Herb A. Phelan

Research output: Contribution to journalArticle

Abstract

Background: Ambulatory surgery centers (ASCs) are frequently utilized; however some ambulatory procedures may be performed in hospital outpatient departments (HOPs). Our aim was to compare operating room efficiency between our ASC and HOP. Methods: We reviewed outpatient general surgery procedures performed at our ASC and HOP. Total case time was divided into five components: ancillary time, procedure time, exit time, turnover time, and nonoperative time. Results: Overall, 220 procedures were included (114 ASC, 106 HOP). Expressed in minutes, the mean turnover time (29.8 ± 9.6 vs. 24.5 ± 12.7; p < 0.01), ancillary time (32.2 ± 7.0 vs. 22.2 ± 4.5; p < 0.01), procedure time (77.4 ± 44.9 vs. 56.2 ± 23.0 p < 0.01), exit time (11.8 ± 4.4 vs. 8.5 ± 4.3; p < 0.01), and nonoperative time (62.9 ± 21.9 vs. 48.7 ± 15.0; p < 0.01) were longer at the HOP than at the ASC. Conclusion: ASC outpatient procedures are more efficient than those performed at our HOP. A system evaluation of our HOP operating room efficiency is necessary. We sought to quantify and compare various components of an operation from patient arrival to the operating suite to patient exit between a hospital-owned ASC and outpatient department.

Original languageEnglish (US)
JournalAmerican Journal of Surgery
DOIs
StatePublished - Jan 1 2019

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Hospital Departments
Operating Rooms
Outpatients
Ambulatory Surgical Procedures

Keywords

  • ASC
  • Efficiency
  • OR
  • Outpatient
  • Surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Analysis of operating room efficiency between a hospital-owned ambulatory surgical center and hospital outpatient department. / Imran, Jonathan B.; Madni, Tarik D.; Taveras, Luis R.; Cunningham, Holly B.; Clark, Audra T.; Cripps, Michael W.; GoldenMerry, YPaul P.; Diwan, Waqaar; Wolf, Steven; Mokdad, Ali A.; Phelan, Herb A.

In: American Journal of Surgery, 01.01.2019.

Research output: Contribution to journalArticle

Imran, JB, Madni, TD, Taveras, LR, Cunningham, HB, Clark, AT, Cripps, MW, GoldenMerry, YPP, Diwan, W, Wolf, S, Mokdad, AA & Phelan, HA 2019, 'Analysis of operating room efficiency between a hospital-owned ambulatory surgical center and hospital outpatient department', American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2019.04.017
Imran, Jonathan B. ; Madni, Tarik D. ; Taveras, Luis R. ; Cunningham, Holly B. ; Clark, Audra T. ; Cripps, Michael W. ; GoldenMerry, YPaul P. ; Diwan, Waqaar ; Wolf, Steven ; Mokdad, Ali A. ; Phelan, Herb A. / Analysis of operating room efficiency between a hospital-owned ambulatory surgical center and hospital outpatient department. In: American Journal of Surgery. 2019.
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abstract = "Background: Ambulatory surgery centers (ASCs) are frequently utilized; however some ambulatory procedures may be performed in hospital outpatient departments (HOPs). Our aim was to compare operating room efficiency between our ASC and HOP. Methods: We reviewed outpatient general surgery procedures performed at our ASC and HOP. Total case time was divided into five components: ancillary time, procedure time, exit time, turnover time, and nonoperative time. Results: Overall, 220 procedures were included (114 ASC, 106 HOP). Expressed in minutes, the mean turnover time (29.8 ± 9.6 vs. 24.5 ± 12.7; p < 0.01), ancillary time (32.2 ± 7.0 vs. 22.2 ± 4.5; p < 0.01), procedure time (77.4 ± 44.9 vs. 56.2 ± 23.0 p < 0.01), exit time (11.8 ± 4.4 vs. 8.5 ± 4.3; p < 0.01), and nonoperative time (62.9 ± 21.9 vs. 48.7 ± 15.0; p < 0.01) were longer at the HOP than at the ASC. Conclusion: ASC outpatient procedures are more efficient than those performed at our HOP. A system evaluation of our HOP operating room efficiency is necessary. We sought to quantify and compare various components of an operation from patient arrival to the operating suite to patient exit between a hospital-owned ASC and outpatient department.",
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