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Surgical Performance Time Benchmarks

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Viewing 9 posts - 1 through 9 (of 9 total)
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  • #25191

    Kristen
    Participant

    Hello-
    I have been working on a turnover time project in the OR. I have been successful in finding national benchmarks for “Patient Out to Patient In” turnover times.  Now I need to take it a step further and determine “Close to Incision” time. I am having a hard time finding any benchmark data with these spes. Can anyone help?
    Thanks!!

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    #60565

    Donna
    Participant

    How do you plan to use this benchmark information.  As you have found this is not a typical benchmark for the operating room.  There are probably a couple of reasons for that. 
    1. The first use of the information ‘close – to – incision’ would appear to be a measurement of surgeon productivity or surgeon downtime.  And while there is always concern over room turnover surgeons have not historically been interested in looking at their own opportunities for reducing downtime.
    2. The measure is a looser indication of what is happening in the room  and to the patient than ‘wheels out – to – wheels in’.  A benchmark that includes time the patient is still in the room, time there is no patient in the room, and then more time a patient is in the room can be very controversial when trying to speak to it or sell it. 
    You may want to consider whether this benchmark has any real value for your project.

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    #60566

    Kristen
    Participant

    Thank you for your help Donna!
    Looking at this specific measurement “Close to Incision” is actually a surgeon request. The rationale for looking at that timeframe is because it is a better definition of surgeon downtime between cases. 
    I agree it is a very broad metric for real analysis, especially since we have the information to break the process down further than that… Just trying to satisfy the customer.
    Thanks again for your help! 

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    #60567

    Johncox
    Participant

    Hi, Kristin,
    I am currently working on my first Black Belt project; on OR Turnaround Time (TAT).  I am in a large hospital in Tampa, FL.  We have defined TAT by “door close to door open”.  Customer is our surgeons and their request for less downtime between cases.  I am interested in your national benchmarks.
    Thanks,
    Deb

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    #60569

    Kristen
    Participant

    The information I have found is for “Patient Out to Patient In” and is the following:
    National Average- 31.50 minutes
    Best Practice- 15 minutes
    The information is from a reputable source. If you need more details, please post your email address and we can communicate further offline.  Thanks!!

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    #60570

    Debra McElroy
    Participant

    Thank you, Kristin.  Those numbers are actually more realistic than I thought they would be.  My e-mail is [email protected].  I think all I need from you is the actual source, so that I can take those numbers to my project team.  Take care, Deb

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    #60997

    Nicoletti
    Participant

    I am researching turn over times in the acute care setting.  I would be very interested in Kristen’s source for the national average of 31.50 and best practice of 15 min.  In addition, if anyone is aware of turn over time per speciatly or procedure, I would be interested in that as well. 
    Thank you!!
    Debra

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    #60998

    Kristen
    Participant

    Hi Debra-
    The turnover time benchmark numbers are from the Healthcare Advisory Board Company. I am providing the link below, but you do have to be a member to visit the site.
    http://www.advisory.com/login/login.aspx?URL=/members/default.asp?program=7&collectionid=950
     

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    #61939

    AJ
    Participant

    We have also started a project form Wheels out of patient to incision of next patinet and like feel like we are blazing the trail due to another readers comment that it may be a political hot bed for sergons. this would include your “close to incision” We have however, gotton some support becuse it targets (and or focus is)  not sergons’ down time speciffically but the delays that sergons face between cases.  variables so far VOC are equiptment not ready or available, anesthesia not available, radiology xrays etc.
    if you run into a benchmark or even a (VOC) USL  i would love to here about it.

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Viewing 9 posts - 1 through 9 (of 9 total)

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