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Operating Room Turn Around Time William Beaumont Hospital Royal Oak, Michigan

Team Members: Siraj Ayoub Keyuna Evans Heather Fisher Abdullah Ghanim. Instructor: Dr. Darin Ellis Dr. Donald Falkenburg Sponsor: Mr. John Lobo Mr. David Boudia. Operating Room Turn Around Time William Beaumont Hospital Royal Oak, Michigan. IE 4800/4880 Course # 15812.

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Operating Room Turn Around Time William Beaumont Hospital Royal Oak, Michigan

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  1. Team Members: Siraj Ayoub Keyuna Evans Heather Fisher Abdullah Ghanim Instructor: Dr. Darin Ellis Dr. Donald Falkenburg Sponsor: Mr. John Lobo Mr. David Boudia Operating Room Turn Around TimeWilliam Beaumont HospitalRoyal Oak, Michigan IE 4800/4880 Course # 15812

  2. Problem Statement William Beaumont Staff Members perceived that Turn Around Time between Surgical Cases was Inefficient

  3. Outline • Objective • Methods & Approach • Recommendation • Future Plans of Study • Questions

  4. TURN AROUND TIME (TAT) Time between when on patient leaves the OR and the next patient enters the OR

  5. Objective • Identify Factors Contributing to Operating Room Delays • Design a Delay Tracking Application • Process Improvement Plan for Reduction of Operating Delays

  6. Pre-Operative Procedure Process Flow

  7. Operating Room Procedure Process Flow

  8. Methods & ApproachDesign Tracking Application • Time Cards, Bar-coding System, and Time Wand • Outlined Individual Steps done by Medical Staff • Nursing (Pre-Op and OR Nurse) • Anesthesiologist – (MDA & Nurse) • Surgeon

  9. Methods & ApproachDesign Tracking Application Time Wand- Synchronized to a single computer to ensure data was reliable

  10. Data Conversion into Excel 20050914111912 -Raw Data from time Wand =MID($C5,9,2)&":"&MID($C5,11,2)&":"&RIGHT($C5,2) 11:19:12 9/14/2005

  11. Methods & ApproachControl Chart Decision Tree

  12. Time Between Previous Patient Leaves and the Room Cleaned

  13. Time Between Previous Patient Leaves and the Room Cleaned

  14. Recommendation #1 Standardize Clean Up

  15. Recommendation #1 Standardized Clean UP

  16. Time Between Previous Patient and Surgical Equipment Prep

  17. Recommendation #2 Time Between Previous Patient and when the Surgical Equipment is Prepped Anesthesiologists Equipment Should be Prepped with Carbon Dioxide Tanks

  18. Time Between Surgeon In and Procedure Start • Variation is good • Procedure Type • Evaluate Surgery Room • Surgeon is Being Dressed • Review Layout of Equipment and Tools

  19. RecommendationsforFuture Studies • Bar Coded ID Tags for all Staff in Pre-OP and OR • Ensure Data Collection for Right Staff Member • Eliminate any Unnecessary Times • Synchronized Steps between MDA and Surgeon • Within 2 ft Apart Procedure will Start

  20. Questions

  21. Special Thanks • Mr. John Lobo • David Boudia • William Beaumont Pre-Op and OR Staff • Wayne State University –IE Staff

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