How work context affects operating room processes: using data mining and computer simulation to analyze facility and process design.
The complexity of the operating room (OR) requires that both structural (eg, department layout) and behavioral (eg, staff interactions) patterns of work be considered when developing quality improvement strategies. In our study, we investigated how these contextual factors influence outpatient OR pr...
| Publicado en: | Quality Management in Health Care Vol. 18; no. 4; pp. 305 - 315 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct-Dec2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105239215&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105239215 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10638628 0O9 jtl: Quality Management in Health Care issn: 10638628 maglogo: N pubinfo: dt: Oct-Dec2009 vid: 18 iid: 4 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 105239215 2010464096 10.1097/QMH.0b013e3181bee2c6 NLM19851238 105239215 ppf: 305 ppct: 10 formats: tig: atl: How work context affects operating room processes: using data mining and computer simulation to analyze facility and process design. aug: au: Baumgart A Denz C Bender H Schleppers A affil: Department of Anesthesiology and Intensive Care, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. andre.baumgart@medma.uni-heidelberg.de sug: subj: Computer Simulation Utilization Data Mining Utilization Facility Design and Construction Operating Rooms Process Assessment (Health Care) Quality of Health Care Academic Medical Centers Germany Adverse Health Care Event Risk Factors Algorithms Audit Case Mix Continuity of Patient Care Critical Path Germany Interprofessional Relations Multimethod Studies Organizational Restructuring Outcomes (Health Care) Outpatients Pretest-Posttest Design Prospective Studies Retrospective Design Social Networks Task Performance and Analysis Time Series ab: The complexity of the operating room (OR) requires that both structural (eg, department layout) and behavioral (eg, staff interactions) patterns of work be considered when developing quality improvement strategies. In our study, we investigated how these contextual factors influence outpatient OR processes and the quality of care delivered. The study setting was a German university-affiliated hospital performing approximately 6000 outpatient surgeries annually. During the 3-year-study period, the hospital significantly changed its outpatient OR facility layout from a decentralized (ie, ORs in adjacent areas of the building) to a centralized (ie, ORs in immediate vicinity of each other) design. To study the impact of the facility change on OR processes, we used a mixed methods approach, including process analysis, process modeling, and social network analysis of staff interactions. The change in facility layout was seen to influence OR processes in ways that could substantially affect patient outcomes. For example, we found a potential for more errors during handovers in the new centralized design due to greater interdependency between tasks and staff. Utilization of the mixed methods approach in our analysis, as compared with that of a single assessment method, enabled a deeper understanding of the OR work context and its influence on outpatient OR processes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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