Abstract
UNDERSTANDING THE VARIOUS CAUSES OF SURGERY START TIME DELAY: THE BEST APPROACH TO SOLUTIONS

Evaristus Chinonye Ezema*, Obioma Onah Ezema, Emmanuel Joachim Nebuwa, David Chibututu Nwobu, Ifeatu Ogochukwu Oranusi, George Chima Umeh, Chigozie Geoffrey Okafor, Chukwuemeka Chukwubuikem Okoro, Stanley Chigaemezu Egbogu and Princeston Chukwuemeka Okam

ABSTRACT

Background: Delay in operating room surgeries has impacted adversely on the patients, surgical teams, training system and the hospital revenue. Efficient utilization of the operating rooms involves prompt commencement of cases and undisrupted turnover. Our objective was to identify the causes of surgery start time delay and proffer possible solutions. Methodology: This was an observational study of all consecutive cases done over a 6-month interval, from October 2017 to March 2018. Using the hospital policy of starting surgery by 8.00 hrs, the delay was defined as starting surgery later than 8.00 hrs for the first case and interval between cases of more than 30 minutes. Reasons for delay in all cases were documented. The prevalence and causes were analyzed. P<0.05 was considered statistically significant. Results: 889 cases were analyzed, 798 (89.8%) of the cases were delayed. The mean delay time in all cases was 96.4 ±2.3 minutes. The nurse-related factor was the commonest (32.1%) cause of delay in surgery start time during the first case. In the subsequent cases, the hospital-related factor was the commonest (16.5%) cause of the delay. Late arrival of the surgeons constituted 78.7% cause of delay during the first case but in subsequent cases, non-optimization of patients’ comorbidity constituted 53.4 % of the delay. In the anaesthetist-related factor and patient-related factor, delayed availability of anaesthetic drugs and blood were the significant causes of delay respectively. Conclusion: The delays observed in this study were preventable. Genuine efforts by all concerned will invariably prevent these delays and improve theatre efficiency.

Keywords: Delay, factor, operating room, start time, surgery.


[Full Text Article]

Login





Forgot Password  |  Register

Indexing

Best Paper Awards

European Journal of Biomedical and Pharmaceutical Sciences (EJBPS) will give best paper award in every issue in the form of money along with certificate to promote research activity of scholar.

Best Article of current issue :

Tangudu Nagabhusana Rao

Download Article : Click here

News & Updation

  • EJBPS: APRIL ISSUE PUBLISHED

    APRIL 2021 Issue has been successfully launched on 1 April 2021.

  • EJBPS New Impact Factor

    Its our Pleasure to Inform you that EJBPS Impact Factor has been increased from 5.467 to 6.044, due to high quality Publication at International Level.

  • Index Copernicus Value

    EJBPS Received Index Copernicus Value 77.3, due to High Quality Publication in EJBPS at International Level

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.

    .

  • Article Invited for Publication

    Dear Researcher, Article Invited for Publication  in EJBPS coming Issue.

     

UG/PG/Ph.D Research Publication

Research Scholar of UG/PG/Ph.D can Submit their Research Article/Review Article/Case Study/Short Communication for Publication in EJBPS

Downloads

Copyright From

Covering Letter

                        Author Instruction 
 

PLAGERLUM REPORT