Outpatient Surgery Magazine

OR Excellence Awards 2016 - September 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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before the scheduled start time. If surgery is scheduled to begin at 7:15 a.m., that's when the patient needs to be in the room. If a patient is wheeled in just 1 minute later, we consider the case delayed. However you measure an on-time start is fine, as long as everybody's watches are set for the same time. Document the reasons for late starts Create delay codes to help categorize the reason for start-time delays. Was the surgeon late arriving at the facility? Was the anesthe- sia provider held up with another patient? Did the patient fail to show up at the required time? Was the IV difficult to start? Were instru- ments not ready? You want to gather accurate data and reduce the amount of entries coded as "other," so consult with your frontline staff to determine which codes would capture the issues they face in getting cases started on time. Create a spreadsheet, dashboard or some other communication tool so staff can quickly note the reason for a delayed start. Track the delay codes over a couple months to identify patterns of problem areas. Update your team on the results of the code tracking dur- ing staff meetings, through e- mail reminders or when you walk the floor. Fix what's broken Make changes based on the results of your findings. When we determined that some delays were the result of anes- 2 3 S E P T E M B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 3 1 What's your biggest barrier to starting cases on time? Tardy surgeons 85% Incomplete paperwork 7% Slow room turnovers 5% Patients ignoring NPO orders 2% Missing equipment or supplies 1% SOURCE: Outpatient Surgery Magazine InstaPoll, October 2013, n=477 InstaPoll

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