Research ArticleOpen Access

Implementing Instructional Supervision by an Operating Room Assistant to Reduce Turnover Time

Volume 4 - Issue 2

Xiaohua Pan¹, Hui Zhou¹, Weihua Li¹, Jie Zhang², Yibing Si³ and Gendi Li⁴*

Author Information Open or Close
- ¹Department of Operation Room, Huashan Hospital North, Fudan University, China
- ²Department of Anesthesiology, Huashan Hospital North, Fudan University, China
- ³Department of Nursing, Huashan Hospital North, Fudan University, China
- ⁴Department of Operation Room, Huashan Hospital, Fudan University, China
*Corresponding author: Gendi Li, Huashan Hospital, Fudan University, 12 Middle Urumqi Road, Shanghai 200040, China

Received: April 17, 2018; Published: May 04,2018

DOI: 10.26717/BJSTR.2018.04.001031

Full Text PDF

To view the Full Article Peer-reviewed Article PDF

Abstract

Background: Turnover time is still not negligible in ensuring efficient operating room(OR) management. A prospective study was performed to evaluate the effect of instructional supervision by an OR assistant on reducing turnover time.

Material and Methods: We prospectively included surgical cases undergoing turnover operation after the first case from two ORs in a single center between Mar 2015 and Feb 2016. Cases in one OR received the instructional supervision by an OR assistant. Cases in another OR received not. The primary endpoint was the percentage of surgical case with turnover time ≤ 45min. Other endpoints were turnover time, the percentage of the teamwork score of OR staffs ≥4 point and the percentage of patient satisfaction score≥4 point.

Results: Over 48 weeks, the effect of instructional supervision was evaluated in 1826 surgical cases undergoing turnover operation. Compared with those in the non-intervention group(n=904), the percentage of surgical cases with turnover time ≤ 45min decreased significantly (80.4% VS 59.6%, P<0.001) in the instructional supervision group(n=922). In the instructional supervision group, there was a significant improvement in turnover time (49.6min VS 37.9min; P<0.001), the percentage of the teamwork score≥4 point (84.8% VS 79.4%; P=0.003) and the percentage of patient satisfaction score≥4 point (89.7% VS 78.1%, P<0.001).

Conclusion: Implementing instructional supervision by an OR assistant can potentially reduce our OR turnover time.

Keywords: Operating Room; Turnover Time; Instructional Supervision

Abbrevation: OR: Operating Room; Team STEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety