Different Specialties Need to Be Considered
In their conclusion, the authors write that a punctual start to morning surgery is not achieved in more than 50% of cases (on average). These worrying figures necessitate asking critical questions about the respective surgical management.
In our experience, the different specialties needs to be considered in defining targets. The preparation for esophageal resection should not be equated with tonsillectomy. This needs to be considered in defining objectives, in order to be able to define realistic goals as the result. Setting out and implementing realistic target times that may be different for each medical specialty is the task of operating room management.
The operating room is at the heart of any hospital that provides surgery. Operating room management has a key position in this setup. It is required to establish a good organizational structure with binding rules for the entire operating room setup. This should not only set out clearly the cooperation between different professional groups but also the role of the operating room manager, especially in situations of conflict. The skillful implementation of unpopular decisions by the operating room manager is essential.
To this end, the operating room management requires unconditional support from the hospital management, because, ultimately, sanctions in case of non-compliance with generally agreed objectives will need to be imposed.
Ultimately it is important to consider each hospital individually. Some things that are beneficial and correct in one setting will not necessarily work in other settings. Individual processes, the characteristics of the individual medical specialties, and the overall size of an operating room are crucial factors in this.
Dr. med. Mario Santamaria
Prof. Dr. med. Michael Möllmann
Klinik für Anästhesie und operative Intensivmedizin
Dipl.-Kfm. Burkhard Nolte
Geschäftsführung des St.-Franziskus-Hospital Münster
Conflict of interest statement
The authors declare that no conflict of interest exists.
|1.||Schuster M, Pezzella M, Taube C, Bialas E, Diemer M, Bauer M: Delays in starting morning operating lists—an analysis of more than 20 000 cases in 22 German hospitals. Dtsch Arztebl Int 2013; 110(14): 237−43. VOLLTEXT|