Download or read book Evidence Based Models for Evaluating Operating Room Performance written by Abdulkarim Al-Ojaimi and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The operating room (OR) within a hospital environment is one of the most expensive functional areas, yet the use of the OR also provides hospitals with an essential source of income. However, at present, there are variations on how to evaluate the performance of ORs, since there is no clear and full explanation of the concept and methods used for evaluation. The overall aim of this thesis is to develop an evidence based Operating Room Assessment Framework (ORAF) to evaluate Operating Room performance with clear and complete guidelines that can be used by operating room managers, directors or any other medical professionals to evaluate operating room performance, determine OR planning and scheduling efficiency, OR workload and OR utilization. The resulting Operating Room Assessment Framework will assist targeted healthcare professionals in their quest to evaluate, monitor and improve overall Operating Room efficiency. The OR management systems of eight tertiary and teaching hospitals in three countries (Japan, Canada and Saudi Arabia) have been examined from 2010 to 2012, which include more than 98,500 procedures. The Operating Room Assessment Framework (ORAF) involves three important elements of Operating Room performance, namely: OR scheduling level, the type of OR workload, and OR utilization. These elements can simply be read to reach the end result, which includes three types of scheduling levels: under scheduling, ideal scheduling and over scheduling; five types of OR workload: OR total workload (the gross workload), OR actual workload, over workload, unnecessary workload and unexpected workload; and three types of OR utilization: underutilization, ideal utilization, and 100% utilization with over workload. Through the validation process in different hospital contexts, the ORAF has proven its ability to perform satisfactorily, with accuracy, in line within the research's objectives.
Download or read book The Surgical Procedure Feedback Rubric for Assessing Resident Performance in the Operating Room written by and published by . This book was released on 2015 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Competency-based training models in surgical education challenge programs to adequately document and assess trainees' clinical decision-making, problem solving, and procedural skills in the operating room. While a variety of tools for the assessment of procedural skills exist, validated intraoperative assessment tools are scarce. Those that have been validated often employ checklists or numerical rating scales, which are prone to bias and provide limited feedback to residents. The Surgical Procedure Feedback Rubric (SPR) was developed by the Department of Surgery at Queen's University to document the quality of resident performance during a single, directly observed operative encounter and provide targeted feedback to support learning. It differs from other assessment tools because it defines performance criteria by increasing complexity through the use of behavioural anchors, thus embedding standards of performance in the tool. This study begins the process of building a validity argument for the SPR. Validity in educational assessment is an evaluation of the appropriateness of inferences made with the use of an assessment tool. Kane and Stobart's validity frameworks guided this study. The purpose of this study was to examine the inference that the SPR is able to distinguish between the intraoperative performances of different levels of learners. A 14-month observational study was conducted in the General Surgery, Orthopaedic and Obstetrics and Gynecology training programs. Document analysis of the SPR provided evidence that the SPR was being used as intended. Exploratory factor analysis identified a 3-factor structure of the SPR consisting of Operating Room Preparation, Technical Skills and Intrinsic Competencies. Three-way (PGY x Program x Role) ANOVA confirmed the results of factor analysis, showed the utility of the SPR in discriminating between residents by postgraduate training year (PGY), and provided evidence for partial transferability of the SPR between programs and different roles in surgery. These results contributed to evidence to support scoring, generalizability and extrapolations inferences in the validity argument of the SPR. In addition to supporting the validity argument for the SPR itself, results of this study provide evidence for the use of rubric-based assessment tools to support competency-based assessment systems in medical education.
Download or read book Operating Room Leadership and Management written by Alan D. Kaye and published by Cambridge University Press. This book was released on 2012-10-04 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical resource for all healthcare professionals involved in day-to-day management of operating rooms of all sizes and complexity.
Download or read book Advances in Production Management Systems Artificial Intelligence for Sustainable and Resilient Production Systems written by Alexandre Dolgui and published by Springer Nature. This book was released on 2021-09-01 with total page 662 pages. Available in PDF, EPUB and Kindle. Book excerpt: The five-volume set IFIP AICT 630, 631, 632, 633, and 634 constitutes the refereed proceedings of the International IFIP WG 5.7 Conference on Advances in Production Management Systems, APMS 2021, held in Nantes, France, in September 2021.* The 378 papers presented were carefully reviewed and selected from 529 submissions. They discuss artificial intelligence techniques, decision aid and new and renewed paradigms for sustainable and resilient production systems at four-wall factory and value chain levels. The papers are organized in the following topical sections: Part I: artificial intelligence based optimization techniques for demand-driven manufacturing; hybrid approaches for production planning and scheduling; intelligent systems for manufacturing planning and control in the industry 4.0; learning and robust decision support systems for agile manufacturing environments; low-code and model-driven engineering for production system; meta-heuristics and optimization techniques for energy-oriented manufacturing systems; metaheuristics for production systems; modern analytics and new AI-based smart techniques for replenishment and production planning under uncertainty; system identification for manufacturing control applications; and the future of lean thinking and practice Part II: digital transformation of SME manufacturers: the crucial role of standard; digital transformations towards supply chain resiliency; engineering of smart-product-service-systems of the future; lean and Six Sigma in services healthcare; new trends and challenges in reconfigurable, flexible or agile production system; production management in food supply chains; and sustainability in production planning and lot-sizing Part III: autonomous robots in delivery logistics; digital transformation approaches in production management; finance-driven supply chain; gastronomic service system design; modern scheduling and applications in industry 4.0; recent advances in sustainable manufacturing; regular session: green production and circularity concepts; regular session: improvement models and methods for green and innovative systems; regular session: supply chain and routing management; regular session: robotics and human aspects; regular session: classification and data management methods; smart supply chain and production in society 5.0 era; and supply chain risk management under coronavirus Part IV: AI for resilience in global supply chain networks in the context of pandemic disruptions; blockchain in the operations and supply chain management; data-based services as key enablers for smart products, manufacturing and assembly; data-driven methods for supply chain optimization; digital twins based on systems engineering and semantic modeling; digital twins in companies first developments and future challenges; human-centered artificial intelligence in smart manufacturing for the operator 4.0; operations management in engineer-to-order manufacturing; product and asset life cycle management for smart and sustainable manufacturing systems; robotics technologies for control, smart manufacturing and logistics; serious games analytics: improving games and learning support; smart and sustainable production and supply chains; smart methods and techniques for sustainable supply chain management; the new digital lean manufacturing paradigm; and the role of emerging technologies in disaster relief operations: lessons from COVID-19 Part V: data-driven platforms and applications in production and logistics: digital twins and AI for sustainability; regular session: new approaches for routing problem solving; regular session: improvement of design and operation of manufacturing systems; regular session: crossdock and transportation issues; regular session: maintenance improvement and lifecycle management; regular session: additive manufacturing and mass customization; regular session: frameworks and conceptual modelling for systems and services efficiency; regular session: optimization of production and transportation systems; regular session: optimization of supply chain agility and reconfigurability; regular session: advanced modelling approaches; regular session: simulation and optimization of systems performances; regular session: AI-based approaches for quality and performance improvement of production systems; and regular session: risk and performance management of supply chains *The conference was held online.
Download or read book Operating Room Leadership and Management written by Alan D. Kaye and published by . This book was released on 2012 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Effective management of the OR is critical in all clinical settings, where ensuring that policies, systems, staff members and teams are efficient, safe and cost-effective is paramount. Operating Room Leadership and Management is a comprehensive resource for physicians and administrators involved in the day-to-day management of operating rooms in a hospital setting or smaller-scale facilities. Topics include: OR metrics, Scheduling, Human resource management, Leadership, Economics, IT management, Quality assurance, Recovery. This practical, evidence-based text is written by leaders in the field of OR management and is relevant to medical directors, administrators and managing physicians. Specific nursing considerations, preoperative patient evaluation, financial performance measures and pain clinic management are also discussed in detail. Operating Room Leadership and Management enables all OR managers to improve the efficiency and performance of their operating rooms"--Provided by publisher.
Download or read book Practical Operating Theatre Management written by Jaideep J. Pandit and published by Cambridge University Press. This book was released on 2018-11-29 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical manual that focuses on theatre efficiency and time measurement, providing scheduling toolkits and problem solving approaches.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book Evaluation of the Performance of the Operating Room by the Real Time of Room Occupancy written by Amine Chakroun and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Evaluation of the performance of the operating room by the real time of room occupancyNakhli M.S., Kahloul M., Harrathi M.A., Chakroun A., Mhamdi S.Sahloul Hospital, Dept of Anaesthesiology & Intensive Care, Sousse, TunisiaBackground and Goal of Study: The operating room is the most cost consuming area of hospitals. However, it still suffers from the problem of non-optimized organization. The aim of this study is to evaluate the performance of our operating rooms by the real room occupancy time (RROT). We will also try to identify the main causes that could alter it and to study the problem of deprogramming. Materials and Methods: This is a prospective and observational study conducted in two operating rooms of different specialties during the month of August 2016. For the two studied rooms, a pre-established data sheet was filled during the days of scheduled activity. The parameters collected consist essentially of calculating total RROT and broken down into periods, room occupancy rate, room overflow rate, incidence and causes of non-compliance with the surgical program and causes of RROT alteration.Results and Discussion: The month of August included 23 days of programmed activities for the two studied rooms. The mean start time of the activity was 41.93 min / day u00b1 16.5. The mean overflow time was 11.51 min / day u00b1 26.26. The actual time of occupancy of the room was 246.56 min / day. This RROT corresponds to an average occupancy rate of 68.49% u00b1 28.19. The mean time lost per room and per day with a patient in the room was 13.54 min / day u00b1 19.7. On average 1.86 u00b1 1.24 acts are performed per room and per morning with a total of 86 interventions. The deprogramming rate is 30.64%. Its main causes are the overshoot of the vacation time offered to surgeons (36.84%), the emergencies (18.42%) and the non respect of the anesthesia instructions (15.78%).Conclusion(s): The occupancy rate in our structures is relatively acceptable but should not hide the need to optimize the use of available resources. Corrective actions should focus primarily on delayed start-up. Periodic reassessments ideally through computerized systems are essential.
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Download or read book An Informatics Solution for Operating Room Efficiency written by Richard A Barrow and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem: For most hospitals, a major cost is the operating room. Inefficiency increases costs and risks for adverse events. An efficient operating room can also be a major revenue generator. Context: This evidence-based performance improvement project was conducted in a small rural Veteran0́9s Hospital, which belongs to an integrated health network in Central California. The facility has four operating rooms and is expanding services provided to their patients. Intervention: The intervention was the use of analytics and evaluations to improve the operating room efficiency by five percent. The use of 3 separate queries which were combined to generate reports and then some data were entered separately into IBM SPSS 24 for descriptive analytics. The reports provided measures to gauge operating room efficiency. Measures: The analytic results were broken down into three reports. The first was titled Operating Room Times. The second was titled Operating Room Efficiency, and the third was titled Operating Room Utilization. The first was utilized to discern data errors and missing elements of data and to detect cancellations. The second to measure the difference between scheduled times and actual times. The third was for Operating Room utilization and overtime. Results: Data errors decreased by 60% whereas cancellations, surgery start, and surgery end variance fluctuated. On-time starts did show some improvement by over 5%. Operating room utilization and overtime did not improve Conclusion: The project did not achieve its objectives. There was not large buy-in for the project. There are other extenuating factors such as staffing shortages and no beds to admit patients to after surgery that further confounded the data. Data analytics alone cannot improve any area. There must be a desire from top-down for improvement. Plus, there must be a consensus and agreement on what needs to be improved.
Download or read book Practical Guide to the Evaluation of Clinical Competence E Book written by Eric S. Holmboe and published by Elsevier Health Sciences. This book was released on 2017-04-06 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to help medical educators implement better assessment methods, tools, and models directly into training programs, Practical Guide to the Evaluation of Clinical Competence, 2nd Edition, by Drs. Eric S. Holmboe, Steven J. Durning, and Richard E. Hawkins, is a hands-on, authoritative guide to outcomes-based assessment in clinical education. National and international experts present an organized, multifaceted approach and a diverse combination of methods to help you perform effective assessments. This thoroughly revised edition is a valuable resource for developing, implementing, and sustaining effective systems for evaluating clinical competence in medical school, residency, and fellowship programs. Each chapter provides practical suggestions and assessment models that can be implemented directly into training programs, tools that can be used to measure clinical performance, overviews of key educational theories, and strengths and weaknesses of every method. Guidelines that apply across the medical education spectrum allow you to implement the book’s methods in any educational situation. New chapters on high-quality assessment of clinical reasoning and assessment of procedural competence, as well as a new chapter on practical approaches to feedback. Reorganized for ease of use, with expanded coverage of Milestones/Entrustable Professional Assessments (EPAs), cognitive assessment techniques, work-based procedural assessments, and frameworks. The expert editorial team, renowned leaders in assessment, is joined by global leader in medical education and clinical reasoning, Dr. Steven Durning.
Download or read book Practical Guide to the Evaluation of Clinical Competence E Book written by Eric S. Holmboe and published by Elsevier Health Sciences. This book was released on 2023-11-24 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering a multifaceted, practical approach to the complex topic of clinical assessment, Practical Guide to the Assessment of Clinical Competence, 3rd Edition, is designed to help medical educators employ better assessment methods, tools, and models directly into their training programs. World-renowned editors and expert contributing authors provide hands-on, authoritative guidance on outcomes-based assessment in clinical education, presenting a well-organized, diverse combination of methods you can implement right away. This thoroughly revised edition is a valuable resource for developing, implementing, and sustaining effective systems for assessing clinical competence in medical school, residency, and fellowship programs. Helps medical educators and administrators answer complex, ongoing, and critical questions in today’s changing medical education system: Is this undergraduate or postgraduate medical student prepared and able to move to the next level of training? To be a competent and trusted physician? Provides practical suggestions and assessment approaches that can be implemented immediately in your training program, tools that can be used to assess and measure clinical performance, overviews of key educational theories, and strengths and weaknesses of every method. Covers assessment techniques, frameworks, high-quality assessment of clinical reasoning and procedural competence, psychometrics, and practical approaches to feedback. Includes expanded coverage of fast-moving areas where concepts now have solid research and data that support practical ways to connect judgments of ability to outcomes—including work-based assessments, clinical competency committees, milestones and entrustable professional assessments (EPAs), and direct observation. Offers examples of assessment instruments along with suggestions on how you can apply these methods and instruments in your own setting, as well as guidelines that apply across the medical education spectrum. Includes online access to videos of medical interviewing scenarios and more, downloadable assessment tools, and detailed faculty guidelines. An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, make notes and highlights, and have content read aloud.
Download or read book Collaboratives written by Marlies Hulscher and published by . This book was released on 2009 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Operating Room Management written by Andrew P. Harris and published by . This book was released on 1998 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today's world of cost efficient management of medicine, the need to effectively administer the functions of the operating room are paramount. This text serves as a guide to efficient management and operation of the operating room, thus ensuring the highest quality of care as well as effective cost management. It addresses organizational structure as well as the business and economic aspects of operating room management including negotiating managed care contracts, in-patient and out -patient settings, anesthesia and surgical organization. Addresses health care industry changes that specifically effect the OR --- and offers practical solutions to these challenges Includes information for all operating room personnel, MD and non-MD Utilizes a quality of care / for profit perspective --- ensures the best care and maximum cost management Discusses JCAHO issues for the operating room Includes information on re-engineering the operating room management team and redesigning the OR committee Discusses perioperative assessment, clinical structure and function
Download or read book Operating Room Leadership and Management Edited by Alan Kaye Charles Fox Richard Urman written by Alan Kaye and published by . This book was released on 2014-05-18 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Effective management of the OR is critical in all clinical settings, where ensuring that policies, systems, staff members and teams are efficient, safe and cost-effective is paramount. Operating Room Leadership and Management is a comprehensive resource for physicians and administrators involved in the day-to-day management of operating rooms in a hospital setting or smaller-scale facilities. Topics include: OR metrics, Scheduling, Human resource management, Leadership, Economics, IT management, Quality assurance, Recovery. This practical, evidence-based text is written by leaders in the field of OR management and is relevant to medical directors, administrators and managing physicians. Specific nursing considerations, preoperative patient evaluation, financial performance measures and pain clinic management are also discussed in detail. Operating Room Leadership and Management enables all OR managers to improve the efficiency and performance of their operating rooms"--Provided by publisher.
Download or read book Patient Safety An Issue of Surgical Clinics written by Feibi Zheng and published by Elsevier Health Sciences. This book was released on 2020-11-25 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Surgical Clinics of North America focuses on Surgical Patient Safety and is edited by Dr. Feibi Zheng. Articles will include: Human factors approach to surgical patient safety; Teamwork and surgical team based training; Effective handoffs and transfers in surgical patient safety; Effective implementation and utilization of checklists in surgical patient safety; Standardized care pathways as a means to improve patient safety; Evolution of risk calculators and the dawn of artificial intelligence in predicting patient complications; Remote monitoring technology/use of telemedicine to detect and address surgical complications; Rescue after surgical complications; The economics of surgical patient safety; The trainee’s role in patient safety/training residents and medical students in surgical patient safety; The second victim: building surgeon resiliency after complications; Processes to create a culture of surgical patient safety; Provision of defect free care: implementation science in surgical patient safety; Administrative and registry databases for patient safety tracking and quality improvement; and more!
Download or read book An Analysis of Operating Room Performance Metrics at Reynolds Army Community Hospital written by Megan C. Moakler and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
