C Joos1, S Bertheau2, T Hauptvogel3, T Auhuber4,5,6, C Taube7, M Bauer8,9, M Schuster10,11. 1. Department of Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Kliniken Landkreis Karlsruhe, Fürst-Stirum-Klinik Bruchsal and Rechbergklinik Bretten, Gutleutstr. 1-14, 76646, Bruchsal, Germany. 2. digmed GmbH, Hamburg, Germany. 3. QuMIK GmbH, Ludwigsburg, Germany. 4. Professional Association of German Surgeons, Berlin, Germany. 5. University of Applied Sciences of the German Statutory Accident Insurance (HGU), Bad Hersfeld, Germany. 6. Medical Management, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Berlin, Germany. 7. Professional Association of OR-Management e. V., Hannover, Germany. 8. Department of Anesthesiology and operative Intensive Care, KRH Klinikum Mitte (Campus Nordstadt and Siloah), Hannover, Germany. 9. Committee OR-Management, Professional Association of German Anesthesiologists, Nuremberg, Germany. 10. Department of Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Kliniken Landkreis Karlsruhe, Fürst-Stirum-Klinik Bruchsal and Rechbergklinik Bretten, Gutleutstr. 1-14, 76646, Bruchsal, Germany. martin.schuster@rkh-kliniken.de. 11. Committee OR-Management, Professional Association of German Anesthesiologists, Nuremberg, Germany. martin.schuster@rkh-kliniken.de.
Abstract
BACKGROUND: Delays in the start of morning operations cause a loss of expensive OR capacity as well as frustration and potential conflicts among the different professions involved. There are a lot of reasons which can lead to delayed anesthesia ready time (ART). This is the first large multicenter study to identify incidence, extent and reasons of delay in ART. METHODS: First case delays in ART were studied in all regular ORs in 36 hospitals of different sizes (smaller community hospitals, larger community hospitals and university hospitals) over a period of 2 weeks. We analyzed the results comparing the 3 hospital types regarding incidence, extent and reasons for delay. RESULTS: A total of 3628 first of day cases were included in the study. Incidences of delayed ART (delay >5 min) ranged from 26.5% in university hospitals to 40.8% in larger community hospitals. However, university hospitals had higher incidences than smaller community hospitals of delays greater than 15 and 30 min. The main reasons for delays were prolonged induction of anesthesia, patient in-hospital logistics and delayed patient arrival at the hospitals. The highest mean delay of delayed cases was found in university hospitals with 21.7 min ± 14.7 min (SD). CONCLUSIONS: Delays in anesthesia ready time have a high prevalence in most hospitals, however the reasons for delay are manifold, making interventions to reduce delay complex.
BACKGROUND: Delays in the start of morning operations cause a loss of expensive OR capacity as well as frustration and potential conflicts among the different professions involved. There are a lot of reasons which can lead to delayed anesthesia ready time (ART). This is the first large multicenter study to identify incidence, extent and reasons of delay in ART. METHODS: First case delays in ART were studied in all regular ORs in 36 hospitals of different sizes (smaller community hospitals, larger community hospitals and university hospitals) over a period of 2 weeks. We analyzed the results comparing the 3 hospital types regarding incidence, extent and reasons for delay. RESULTS: A total of 3628 first of day cases were included in the study. Incidences of delayed ART (delay >5 min) ranged from 26.5% in university hospitals to 40.8% in larger community hospitals. However, university hospitals had higher incidences than smaller community hospitals of delays greater than 15 and 30 min. The main reasons for delays were prolonged induction of anesthesia, patient in-hospital logistics and delayed patient arrival at the hospitals. The highest mean delay of delayed cases was found in university hospitals with 21.7 min ± 14.7 min (SD). CONCLUSIONS: Delays in anesthesia ready time have a high prevalence in most hospitals, however the reasons for delay are manifold, making interventions to reduce delay complex.
Authors: Christian Ernst; Andrea Szczesny; Naomi Soderstrom; Frank Siegmund; Alexander Schleppers Journal: Anesth Analg Date: 2012-06-22 Impact factor: 5.108
Authors: Martin Schuster; Marco Pezzella; Christian Taube; Enno Bialas; Matthias Diemer; Martin Bauer Journal: Dtsch Arztebl Int Date: 2013-04-05 Impact factor: 5.594
Authors: Martin Schuster; Christian Neumann; Konrad Neumann; Jan Braun; Goetz Geldner; Joerg Martin; Claudia Spies; Martin Bauer Journal: Anesth Analg Date: 2011-06-16 Impact factor: 5.108