Models for Improving Operating Room Productivity: Delays, Cancellations and Pre-admission Testing

July 15, 2022 updated by: University of Toledo Health Science Campus
The goal of the study is to identify factors that enhance productivity and increase value delivered by hospitals drawing on concepts used in industry for quality and productivity in production and operations management literature. The investigators intend to look at surgeon experience, patient characteristics and pre-admission testing on operating room productivity.

Study Overview

Status

Enrolling by invitation

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Anticipated)

9240

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Ohio
      • Toledo, Ohio, United States, 43614
        • University of Toledo

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

All patients scheduled for surgery at UTMC from Jan 01,2010 to August 31, 2020

Description

Inclusion Criteria:

  • All scheduled surgical patients' information gathered in Surgery database from January 2010 thru August 2020 will be included.

Exclusion Criteria:

  • Any case type where less than 5 surgeries were performed by a surgeon would be excluded and if the surgeon in question had less than 3 months of data available.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Other
  • Time Perspectives: Retrospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Surgical Experience vs Average Completion times of surgical procedures
Time Frame: intraoperative
A measurement of the surgeon's experience (in years) since completion of training until the surgical procedure (Day of surgery/Day 1) will be compared to the surgeon's average time (measured in minutes) to complete the surgical procedure.
intraoperative

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Variability in Completion times of surgical procedures to predict scheduling difficulties.
Time Frame: intraoperative
The length of time (measured in minutes) required to complete surgical procedures will be assessed for variability per surgeon. Extreme variability will be compared to the effect on the surgery schedule for that date.
intraoperative
Preadmission Testing and how it relates to the surgical procedure: time to completion, delays in starting time and/or cancellation.
Time Frame: Day 1
Patients completing testing and assessment in the Pre Admission testing center will be compared to patients that were not tested or assessed in the Pre admission testing center to determine if there is a change in the completion time of the surgical procedure, increase the variability in the completion time for the surgeon, lead to delays or cancellation of the surgical procedures.
Day 1
Patient Acuity vs Complexity of surgical procedure
Time Frame: Day 1
The patient acuity level will be compared to the complexity of the surgical procedure as measured by an investigator assigned complexity scale and how it relates to the time to completion and its impact on operating room scheduling.
Day 1

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Toledo Health Science Campus

Investigators

  • Principal Investigator: Andrew B. Casabianca, MD, University of Toledo

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2015

Primary Completion (Anticipated)

June 1, 2023

Study Completion (Anticipated)

December 1, 2023

Study Registration Dates

First Submitted

July 21, 2015

First Submitted That Met QC Criteria

August 14, 2015

First Posted (Estimate)

August 17, 2015

Study Record Updates

Last Update Posted (Actual)

July 18, 2022

Last Update Submitted That Met QC Criteria

July 15, 2022

Last Verified

July 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • Surgical-Cancellation-Study

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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