Impact of ENT resource nurses in improving operating room efficiency

Journal of Otolaryngology - Head and Neck Surgery

Russell A. Murphy¹  Sreejit P. Nair¹  Anil R. Sharma¹  Connor Holmes¹  Kaishan Aravinthan¹ 

[1] Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, College of Medicine, University of Saskatchewan;

关键词: ENT resource nurse;    OR efficiency;    ENT surgeries;   

DOI  :  10.1186/s40463-020-00431-8

来源: DOAJ

【 摘 要 】

Abstract Background Operating room (OR) efficiency is related to minutes spared from surgical time and has been linked to the make up of surgical teams and operating room workplace. The research on the efficiency of surgical nursing staff members is scant. The current study evaluates the effect of ENT trained OR resource nurses on the efficiency of operating time during ENT procedures. Methods Five hundred seventy-three ENT surgery cases from 4 surgeons were retrospectively reviewed. Two hundred forty-two cases had ENT OR nursing staff and 331 cases had non-ENT OR nursing staff. Requested operative times (ROT) and true operative times (TOT) were analyzed. The difference between the TOT and ROT was used to measure operating time efficiency. Results Cases with ROT < 30 min (M = -1.19, SD = 5.01) required 3.34 min less than planned for when an ENT nurse was present compared to those with non-ENT nursing staff which required on average 2.15 min (M = 2.15, SD = 5.68) longer than ROT. Furthermore, cases with ROT > 30 min (M = -4.32, SD = 10.85) required 10.85 min less than planned for when an ENT nurse was present. Conversely with non-ENT nursing staff cases with a ROT > 30 min required on average 6.53 min (M = 6.53, SD = 11.85) longer than ROT. Conclusion ENT resource nurses were shown to improve OR efficiency in cases less than 30 min and greater than 30 min. Cases that were greater than 30 min showed the largest increase in efficiency. Specialized ENT nursing staff improved efficiency during common ENT surgeries. Graphical abstract

【 授权许可】

Unknown