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Study of Time Utilization of Operation Theatre at General Hospital, Junagadh


  • Richa Daftray
  • Agency : Time Utilization, Operation Theatre, General Hospital
  • Objective : The project includes study conducted on 3 parameters time spent on actual surgery, time spent on supportive services and time waiting while operating room was being made ready for surgery.
  • Background : The operation time utilization varies in different healthcare settings. Optimum utilization of the OT time has always been a priority area for hospital administrators. Operation room utilization analysis is essential to assess the existing workload as well as to optimize facility functioning and patient scheduling for surgical operations. It also aids in allocating reserve time for emergency operations, asepsis measures and procedures, and provides decision making information for augmentation or downsizing of the facility. The study of Time utilization of operation theatre was carried out in all the operation theatres which carried out major surgeries at general hospital at Junagadh.
  • Methodology : Simple random sampling method used taking a sample size of 35 % of total major surgeries. (130 out of 347 cases were taken which includes 40 general surgeries, 40 orthopedic surgeries, 40 G&O surgeries, 10 ENT surgeries). The format was based on specific questions, asked to Anesthetists, staff nurse and housekeeping staff of OT regarding times at which various activities and events was taking place in operating room was recorded. Data sources include primary, secondary data, observation and interview method.
  • Findings : Workload at operation theatres in Junagadh is high and no proper scheduling of the operative cases has been noted and there were no activity wise checklist found and filled during surgery so, it is essential to know how much time is spent on which activity. The total bed Strength of hospital is 510. The surgical beds utilizing Main OT is 120. No. of Operation Theatres is 5, the total no. of major operations performed/year is 5000(apprx.). Out of the utilized time, time spent on actual surgery was found to be 88 min., time spent on supportive services was found to be 16 min. and time spent on making room ready was found to be 4 min. Orthopedic department and O & G department dealt with the highest work load out of the total inpatient department and surgery cases, so these two operation theatres requires more attention in the sense of new implementations.
  • Recommendations : Utilization of theatre can be increased by anaesthetizing the patient in anesthesia room instead of operating room and by lying of sterile trolleys in lay-up room instead of operating room, by avoiding delayed starts, avoiding cancellation of cases, proper scheduling of surgeries.
study conducted on 3 parameters time spent on actual surgery, time spent on supportive services and time waiting while operating room was being made ready for surgery