Operating Room Performance Optimization Metrics

Operating Room Performance Optimization Metrics: a Systematic Review

Schouten, A.M. (TU Delft Medical Instruments & Bio-Inspired Technology)
Flipse, S.M. (TU Delft Science Education and Communication)
van Nieuwenhuizen, Kim E. (Leiden University Medical Center)
Jansen, F.W. (TU Delft Medical Instruments & Bio-Inspired Technology; Leiden University Medical Center)
van der Eijk, A.C. (Leiden University Medical Center)
van den Dobbelsteen, J.J. (TU Delft Medical Instruments & Bio-Inspired Technology; Leiden University Medical Center)

2023

Literature proposes numerous initiatives for optimization of the Operating Room (OR). Despite multiple suggested strategies for the optimization of workflow on the OR, its patients and (medical) staff, no uniform description of ‘optimization’ has been adopted. This makes it difficult to evaluate the proposed optimization strategies. In particular, the metrics used to quantify OR performance are diverse so that assessing the impact of suggested approaches is complex or even impossible. To secure a higher implementation success rate of optimisation strategies in practice we believe OR optimisation and its quantification should be further investigated. We aim to provide an inventory of the metrics and methods used to optimise the OR by the means of a structured literature study. We observe that several aspects of OR performance are unaddressed in literature, and no studies account for possible interactions between metrics of quality and efficiency. We conclude that a systems approach is needed to align metrics across different elements of OR performance, and that the wellbeing of healthcare professionals is underrepresented in current optimisation approaches.

Operation Room
Optimization
Performance Metrics
Workflow

http://resolver.tudelft.nl/uuid:46ae5707-2fdc-4c1d-a605-bff8ca5fbe9c

https://doi.org/10.1007/s10916-023-01912-9

0148-5598

Journal of Medical Systems, 47 (1)

Institutional Repository

review

© 2023 A.M. Schouten, S.M. Flipse, Kim E. van Nieuwenhuizen, F.W. Jansen, A.C. van der Eijk, J.J. van den Dobbelsteen