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RCOG World Congress 2025
June 23 - 25, 2025 | ExCeL London, UK
EP.1855
Optimizing Operating Room Workflow: A Quality Improvement Project
Poster Presenter
Authors
Eslam Elkoumy, mohamed elgazzar, Ahmed Zahra, Ahmed bahgat, Maram Dadoua
Affiliations
MUST University_ Faculty of Medicine _Obstetrics and Gynecology Department, Obstetrics and Gynecology Department, health plus center, Department of Obstetrics and Gynaecology, General Desouk hospital, MUST University_ Faculty of Medicine _Urology Department
Part of Topic
Quality improvement
Background: Operating Room (OR) efficiency is critical for improving surgical throughput, patient outcomes, and hospital resource utilization. Delays and inefficiencies in OR processes, including prolonged turnover times and frequent first-case delays, have been widely reported.
Aim The audit aims to assess OR efficiency by evaluating turnover times, first-case start times, OR utilization rates, and case cancellation rates, and to implement evidence-based improvements to meet established standards.
Patients and Methods: A prospective audit at Souad Kafafi University Hospital from December 2022 to February 2023 evaluated OR efficiency metrics: turnover time, first case start time, OR utilization rate, and case cancellation rate. Interventions based on evidence-based guidelines were implemented over 2 months, including standardized turnover protocols, preoperative readiness checks, and data-driven OR scheduling. A re-audit was conducted from June to December 2023 to assess improvements.
Results: The initial audit revealed that turnover time averaged 40 minutes (target: 25-30 minutes1), first case on-time start was 60% (target: 90% 2) OR utilization was 70% (target: 75-85%3), and case cancellation rate was 7% (target: <5% 4). The re-audit showed significant improvements: turnover time reduced to 28 minutes, first case on-time start increased to 87%, OR utilization improved to 80%, and case cancellations dropped to 4.5%.
conclusions: The audit and subsequent implementation of standardized protocols, preoperative readiness assessments, and optimized scheduling resulted in significant improvements in OR efficiency. By adopting a continuous quality improvement approach, the institution successfully met or approached key benchmarks, improving both operational performance and patient care outcomes.
References:
1 American Society of Anesthesiologists (ASA) Guidelines for Turnover Time.
2 Association of perioperative Registered Nurses (AORN) Best Practices for First Case Start Times.
3 American College of Surgeons (ACS).
4 Healthcare Financial Management Association (HFMA) Strategies for OR Scheduling Efficiency.