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Operating Room Efficiency before and after Entrance in a Benchmarking Program for Surgical Process Data.

Operating room (OR) efficiency continues to be a high priority for hospitals. In this context the concept of benchmarking has gained increasing importance as a means to improve OR performance. The aim of this study was to investigate whether and how participation in a benchmarking and reporting prog...

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Published in:Journal of Medical Systems Vol. 41; no. 10; pp. 1 - 9
Main Authors: Pedron, Sara, Winter, Vera, Oppel, Eva-Maria, Bialas, Enno
Format: equations & formulas research tables/charts Journal Article
Published: Springer Nature Oct2017
Online Access:View this record in EBSCOhost
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      dt: Oct2017
      vid: 41
      iid: 10
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      pub: Springer Nature
      place: New York, New York
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        125425154
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        10.1007/s10916-017-0798-0
        125425154
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        atl: Operating Room Efficiency before and after Entrance in a Benchmarking Program for Surgical Process Data.
      aug:
        au:
          Pedron, Sara
          Winter, Vera
          Oppel, Eva-Maria
          Bialas, Enno
        affil: Helmholtz Zentrum München , Institute for Health Economics and Health Care Management , Ingolstädter Landstraße 1 85764 Neuherberg Germany
      sug:
        subj:
          Operating Rooms Germany
          Organizational Efficiency
          Benchmarking
          Human
          Germany
          Retrospective Design
          Regression
          Clinical Indicators
      ab: Operating room (OR) efficiency continues to be a high priority for hospitals. In this context the concept of benchmarking has gained increasing importance as a means to improve OR performance. The aim of this study was to investigate whether and how participation in a benchmarking and reporting program for surgical process data was associated with a change in OR efficiency, measured through raw utilization, turnover times, and first-case tardiness. The main analysis is based on panel data from 202 surgical departments in German hospitals, which were derived from the largest database for surgical process data in Germany. Panel regression modelling was applied. Results revealed no clear and univocal trend of participation in a benchmarking and reporting program for surgical process data. The largest trend was observed for first-case tardiness. In contrast to expectations, turnover times showed a generally increasing trend during participation. For raw utilization no clear and statistically significant trend could be evidenced. Subgroup analyses revealed differences in effects across different hospital types and department specialties. Participation in a benchmarking and reporting program and thus the availability of reliable, timely and detailed analysis tools to support the OR management seemed to be correlated especially with an increase in the timeliness of staff members regarding first-case starts. The increasing trend in turnover time revealed the absence of effective strategies to improve this aspect of OR efficiency in German hospitals and could have meaningful consequences for the medium- and long-run capacity planning in the OR.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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