Dermatology 2013

Notes: Coondoo, Arijit

Chattopadhyay, Chandan

eng

India

2013/08/07 06:00

Indian J Dermatol. 2013 Jul;58(4):249-54. doi: 10.4103/0019-5154.113928.

URL: http://www.ncbi.nlm.nih.gov/pubmed/23918993

Author Address: Department of Dermatology, KPC Medical College and Hospital, Kolkata, India.

 

 

Reference Type:  Journal Article

Record Number: 4568Author: Cordoba, S., Caballero, I., Navalon, R., Martinez-Sanchez, D., Martinez-Moran, C. and Borbujo, J.

Year: 2013

Title: Analysis of the surgical activity in the Dermatology Department of Fuenlabrada University Hospital, Madrid, Spain, between 2005 and 2010: determination of the standard operating times

Journal: Actas Dermosifiliogr

Volume: 104

Issue: 2

Pages: 141-7

Date: Mar

Short Title: Analysis of the surgical activity in the Dermatology Department of Fuenlabrada University Hospital, Madrid, Spain, between 2005 and 2010: determination of the standard operating times

Alternate Journal: Actas dermo-sifiliograficas

ISSN: 1578-2190 (Electronic)

0001-7310 (Linking)

DOI: 10.1016/j.ad.2012.05.005

Accession Number: 22944291

Keywords: *Dermatology

Hospital Departments/*statistics & numerical data

Hospitals, University

Humans

Operating Rooms/organization & administration/*statistics & numerical data

*Operative Time

Retrospective Studies

Spain

Surgical Procedures, Operative/*standards

Time Factors

Abstract: OBJECTIVES: To analyze the characteristics of the dermatologic surgery lists and to compare different indicators of surgical productivity. MATERIALS AND METHODS: This was a retrospective, descriptive study of the routine surgical activity undertaken in the Dermatology Department of Fuenlabrada University Hospital, Madrid, Spain, between January 2005 and December 2010. Data about the procedures performed and about the surgical lists were analyzed and an analysis was made of operating room occupancy. Surgical productivity was analyzed using standard operating times (SOTs) and surgical scheduling adequacy values (SA1 and SA2). Variables were recorded as relative frequencies. Covariance and the Pearson linear correlation index were used for comparisons. RESULTS: The study period included a total of 11,481 surgical sessions, of which 71% were minor surgery and the remainder were major outpatient surgery. A mean of 9.7 operations were performed in each session and the overall operating room occupancy was 71.9%. Four SOT descriptors (minor surgery, multiple minor skin lesions, nail surgery, and malignant tumors with primary closure) were sufficient to classify 86.7% of the operations performed. The operating room down-time was 0.15 SOT (9minutes) in 91.3% of operations. The mean SA1 index was 1.20. Overall surgical productivity measured using the SA2 index was 96.46%. The Pearson correlation showed a statistically significant relationship between the increase in the number of patients per surgical session, the reduction in operating room occupancy, and the increase in SA2 operating room productivity. CONCLUSIONS: The application of SOT descriptors enables us to quantify the complexity of the operations included in the surgical waiting list and to obtain indicators for the evaluation of surgical activity, improving efficiency in surgical time management.

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