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Impact of revised management policies on the efficiency of gynecologic operating room processes in a tertiary training hospital
Glaiza S. de Guzman, MD and Cecilia L. Llave, MD, FPOGS, FSGOP
Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines-Manila
Objective: To determine the factors and problems affecting operating room processes
Materials and Methods: Different time motion parameters such as induction time, length of induction, cutting time, last stitch time, total operation time, turnover time, and number of cases performed were collected from the nurses’ documentation records. Average values from two different time periods were compared and analyzed.
Results: Results showed no improvement with the revised policies implemented in 2016. With only two rooms, surgeons were able to cope with the number of patients by extending operating hours later through the day. Recurring problems on manpower and lack of resources were noted.
Conclusion: There is a need to identify hindrance to efficient operating room utilization with the goal to decrease patient queue, improve patient as well as staff satisfaction, and increase hospital revenue. Multi-disciplinary changes in practices, processes, and attitudes are timely for improvements in operating room utilization and consequently better patient centric outcomes.