Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilization

Abstract Background The efficient use of operating room is important to ensure optimum cost–benefit for the hospital and to reduce elective surgery waiting times. We introduced a concept of non-commissioned “Twilight” operating room to reduce patient waiting list and mitigate consequences of non-ava...

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Main Authors: Bee Shan Ong, Rebecca Thomas, Simon Jenkins
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Patient Safety in Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13037-022-00335-8
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author Bee Shan Ong
Rebecca Thomas
Simon Jenkins
author_facet Bee Shan Ong
Rebecca Thomas
Simon Jenkins
author_sort Bee Shan Ong
collection DOAJ
description Abstract Background The efficient use of operating room is important to ensure optimum cost–benefit for the hospital and to reduce elective surgery waiting times. We introduced a concept of non-commissioned “Twilight” operating room to reduce patient waiting list and mitigate consequences of non-availability of elective operative time due to closure of an affiliated hospital operating suite. Methods A retrospective audit was performed during a 10-month period where “Twilight” operating room was implemented in our institution. Additionally, we included patients that were operated on 13 non-commissioned whole day operative sessions on Saturdays during the same period. Results A total of 223 surgical procedures were performed during the study time window. Most patients have American Society of Anaesthesiologists (ASA) Class 2. Participating subspecialties were General Surgery, Orthopaedic surgery, Gynaecology, Urology, Plastic surgery and Dental surgery. A wide range of operations was performed in the “Twilight” operating room. No major complications were observed. Conclusion Our study demonstrated the feasibility of conducting elective surgeries after hours with the advantage of reducing the hospital’s elective surgery waiting time. Importantly, no major post-operative complications were reported. This model is a feasible and safe strategy to restore surgical activity impacted by the COVID-19 pandemic.
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spelling doaj.art-472b91cbacbb421a93220b47674809d12022-12-22T01:33:31ZengBMCPatient Safety in Surgery1754-94932022-07-011611610.1186/s13037-022-00335-8Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilizationBee Shan Ong0Rebecca Thomas1Simon Jenkins2Department of Surgery, Lyell McEwin Hospital, Haydown RdDepartment of Surgery, Lyell McEwin Hospital, Haydown RdDepartment of Anaesthesia, Lyell McEwin HospitalAbstract Background The efficient use of operating room is important to ensure optimum cost–benefit for the hospital and to reduce elective surgery waiting times. We introduced a concept of non-commissioned “Twilight” operating room to reduce patient waiting list and mitigate consequences of non-availability of elective operative time due to closure of an affiliated hospital operating suite. Methods A retrospective audit was performed during a 10-month period where “Twilight” operating room was implemented in our institution. Additionally, we included patients that were operated on 13 non-commissioned whole day operative sessions on Saturdays during the same period. Results A total of 223 surgical procedures were performed during the study time window. Most patients have American Society of Anaesthesiologists (ASA) Class 2. Participating subspecialties were General Surgery, Orthopaedic surgery, Gynaecology, Urology, Plastic surgery and Dental surgery. A wide range of operations was performed in the “Twilight” operating room. No major complications were observed. Conclusion Our study demonstrated the feasibility of conducting elective surgeries after hours with the advantage of reducing the hospital’s elective surgery waiting time. Importantly, no major post-operative complications were reported. This model is a feasible and safe strategy to restore surgical activity impacted by the COVID-19 pandemic.https://doi.org/10.1186/s13037-022-00335-8Operating roomSurgeryCost-effectiveness
spellingShingle Bee Shan Ong
Rebecca Thomas
Simon Jenkins
Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilization
Patient Safety in Surgery
Operating room
Surgery
Cost-effectiveness
title Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilization
title_full Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilization
title_fullStr Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilization
title_full_unstemmed Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilization
title_short Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilization
title_sort introducing the twilight operating room concept a feasibility study to improve operating room utilization
topic Operating room
Surgery
Cost-effectiveness
url https://doi.org/10.1186/s13037-022-00335-8
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