title: Dedicated orthopedic operating room unit improves operating room efficiency.
abstract: We investigated the effectiveness of dedicated orthopedic operating rooms (OR) on minimizing time spent on perioperative processes to increase OR throughput in total knee and hip arthroplasty procedures. The use of a dedicated orthopedic unit that included 6 ORs with staff allocated only for those ORs was compared to the use of a traditional staffing model. After matching to simulate randomization, each group consisted of 422 procedures. The dedicated orthopedic unit improved average anesthesia controlled time by 4 minutes (P<.001), operative time by 7 minutes (P=.004) and turnover time by 8 minutes (P<.001). An overall improvement of 19 minutes per procedure using the dedicated unit was observed. Utilizing a dedicated orthopedic unit can save time without increasing adverse events.
authors.affiliation: Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: Travis J
authors.initials: TJ
authors.lastname: Small
authors.forename: Bishoy V
authors.initials: BV
authors.lastname: Gad
authors.forename: Alison K
authors.initials: AK
authors.lastname: Klika
authors.forename: Loran S
authors.initials: LS
authors.lastname: Mounir-Soliman
authors.forename: Ryan L
authors.initials: RL
authors.lastname: Gerritsen
authors.forename: Wael K
authors.initials: WK
authors.lastname: Barsoum
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D016009:Chi-Square Distribution; D015897:Comorbidity; D017598:Efficiency, Organizational; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009873:Operating Rooms / Q000458:organization & administration*; D061646:Operative Time; D017064:Process Assessment, Health Care; D057216:Propensity Score; D012189:Retrospective Studies; D017748:Time Management
keywords: operating time; procedure time; throughput; total hip arthroplasty; total knee arthroplasty; turnover time