Practicum Project
Proposed practicum project is to develop a 30 day clinical guide proposal plan. This proposed plan will be to improve efficiency of scheduling and management of surgical cases related to the operating room.The plan will include program goals, timeline for implementation, as well as projected financial impact.
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Operating room time-wasted is defined as the time in which the scheduled OR was not busy with the scheduled patient amounts to 15% of total time wasted owing to inappropriately prepared patients (12%), unavailability of surgeons (7%), insufficient staffing, anesthesiologists, or OR assignments (59%), delay in transport to the OR (2%), frequent occurrence of surgical cases running longer than their scheduled time, outrunning the staffing after 3:00 PM and delays with add-on procedures, adding 33% to inefficiency (Weinbroum, Ekstein & Ezri, 2002). Continuous surveillance on OR promptness and wise staff assignments could maximize OR efficiency.
Project Goal
To implement a successful scheduling and management guide that will produce improvements and contribute to operating room efficiency and decrease delays of surgeries.
Objectives
Identify etiology of OR inefficiency based on analyzed data measuring causes of scheduling inefficiencies and delays yielding strategies to improve efficiency.
Develop a strategic plan for a process improvement approach toaddress the lack of efficiencyusing evidence based literatureintegrating Six Sigma methodology.
Develop an education plan and staff competencies identifying awareness training, personal accountability and team work based on evidence-based best practices.References
Weinbroum, A., Ekstein, P., & Ezri, T. (2002). Efficiency of the operating room suite. The American Journal of Surgery, 244-250. Retrieved fromhttp://staff.washington.edu/mikeaa/SIP1/SIP1BestPractices/Efficiency_of_the_Operating_Room_Suite.pdf
Dexter, F., Macario, A., Traub, R., Hopwood, M., & Lubarsky, D. (1999). An Operating Room Scheduling Strategy to Maximize the Use of Operating Room Block Time. Anesthesia & Analgesia, 7-20. Retrieved from http://journals.lww.com/_layouts/OAKS.Journals/ePDF.aspx
Li, F., Gupta, D., & Potthoff, S. (2015). Improving operating room schedules. Health Care Manag Sci Health Care Management Science. Retrievedfromhttp://ssrn.com/abstract=2357535
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