On the day of surgery: how long does preventable disruption prolong the patient journey?

Article

Al-Hakim, Latif and Gong, Xiao Yan. 2012. "On the day of surgery: how long does preventable disruption prolong the patient journey?" International Journal of Health Care Quality Assurance. 25 (4), pp. 322-342. https://doi.org/10.1108/09526861211221509
Article Title

On the day of surgery: how long does preventable disruption prolong the patient journey?

ERA Journal ID13592
Article CategoryArticle
AuthorsAl-Hakim, Latif (Author) and Gong, Xiao Yan (Author)
Journal TitleInternational Journal of Health Care Quality Assurance
Journal Citation25 (4), pp. 322-342
Number of Pages21
Year2012
Place of PublicationBingley, W Yorks. United Kingdom
ISSN0952-6862
1758-6542
Digital Object Identifier (DOI)https://doi.org/10.1108/09526861211221509
Web Address (URL)http://www.emeraldinsight.com/journals.htm?articleid=17030842&show=abstract
Abstract

Purpose - Disruption considerably prolongs session times for surgery, affects the quality of patient care, and prolongs waiting lists. In addition, there is a strong relationship between disruption and surgical error. This research provides a platform for healthcare services to identify the sources of preventable disruption affecting operative time within the perioperative process and to effectively reduce it.
Design/methodology/approach - Events inside and outside operating rooms that disturb the operative time were recorded for 22 elective surgeries over the period of five months. Disruption events were classified according to the hospital’s requirements and the findings were reviewed by the surgical teams. Lean thinking approaches were used to achieve the purpose of this study.
Findings – Preventable disruption caused an increase in surgical time of approximately 25%. Preventable disruption consisted of poor information flow, failure to follow concepts of methods study, lack of communication and lack of coordination. Coordination failures were the main reason for disruption followed by the lack of following the principles of motion economy.
Originality/value – Surgical disruption has substantial financial implications for hospitals. This research indicates that it is possible to considerably reduce surgical session time by eliminating preventable disruption. Such additional time could be utilised to deal with the pressure of emergency cases, reduce the waiting lists for elective surgery, increase operating room utilisation and reduce medical errors.

Keywordsdisruption; medical errors; lean thinking; operating room; Australia; coordination; customer services quality; patient care; process efficiency; surgery
ANZSRC Field of Research 2020350715. Quality management
420306. Health care administration
350711. Organisational planning and management
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Byline AffiliationsSchool of Management and Marketing
Institution of OriginUniversity of Southern Queensland
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Al-Hakim, Latif. 2007. "Perception of students on performance of dual-mode education: information quality perspective." International Journal of Information Quality. 1 (3), pp. 314-325. https://doi.org/10.1504/IJIQ.2007.016394
The influence of technology attributes, trust and dependency on e-procurement adoption decisions in supply chain relationships
Abdullah, Nik Ab Halim Nik and Al-Hakim, Latif. 2006. "The influence of technology attributes, trust and dependency on e-procurement adoption decisions in supply chain relationships." Logistics Strategies and Technologies for Global Business (LCSM 2006). Hong Kong, China 05 - 07 Jan 2006 Hong Kong.
Data quality and work alignment: do IT professionals think differently?
Al-Hakim, Latif and Xu, Hongjiang. 2005. "Data quality and work alignment: do IT professionals think differently?" Sarmento, Anabela (ed.) Issues of human computer interaction. Hershey, PA, United States. IRM Press (IGI Global). pp. 291-320
Beam search for sequencing point operations in flat plate manufacturing
Shayan, E. and Al-Hakim, Latif. 2002. "Beam search for sequencing point operations in flat plate manufacturing." Computers and Industrial Engineering. 42 (2-4), pp. 309-315. https://doi.org/10.1016/S0360-8352(02)00016-5
The effect of information quality on surgery process variation
Al-Hakim, Latif. 2007. "The effect of information quality on surgery process variation." Khosrow-Pour, Mehdi (ed.) IRMA 2007: Managing Worldwide Operations and Communications with Information Technology. Vancouver, Canada 19 - 23 May 2007 Hershey, PA, United States. https://doi.org/10.4018/978-1-59904-929-8.ch401
IDEF3-based framework for web-based hospital information system
Al-Hakim, Latif. 2007. "IDEF3-based framework for web-based hospital information system." Al-Hakim, Latif (ed.) Web mobile based applications for healthcare management. Hershey, PA, USA. IRM Press (IGI Global). pp. 376-401
Procedure for modeling and improving e-SCM processes
Boonyathan, Patcharee and Al-Hakim, Latif. 2007. "Procedure for modeling and improving e-SCM processes." Zhang, Qingyu (ed.) E-supply chain technologies and management. Hershey, PA, United States. IGI Global. pp. 1-21
Make or buy decisions: perception gap analysis
Mahaorand, Thamrong and Al-Hakim, Latif. 2005. "Make or buy decisions: perception gap analysis." 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
Identification of waste zones associated with supply chain management
Al-Hakim, Latif. 2005. "Identification of waste zones associated with supply chain management." Boswell, Vince (ed.) SAPICS 2005: Supply Chains in Rhythm. Sun City, South Africa 05 - 08 Jun 2005 South Africa.
Trust and technology diffusion within the meat supply chain: a conceptual framework
Chua, Roberta and Al-Hakim, Latif. 2005. "Trust and technology diffusion within the meat supply chain: a conceptual framework." 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
Waste identification: a supply chain strategy perspective
Al-Hakim, Latif. 2005. "Waste identification: a supply chain strategy perspective." Tang, Kwei (ed.) 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
IT outsourcing: an assessment of relative failure factor complexity
Al-Hakim, Latif. 2005. "IT outsourcing: an assessment of relative failure factor complexity." Appicello, Amanda, Neidig, Jennifer, Roth, Kristin and Davies, Renee (ed.) IRMA 2005: Managing Modern Organisations With Information Technology. San Diego, United States 15 - 18 May 2005 Hershey, PA, USA.
Modelling interdependencies for electronic supply chain management
Al-Hakim, Latif. 2005. "Modelling interdependencies for electronic supply chain management." Appicello, Amanda, Neidig, Jennifer, Roth, Kristin and Davies, Renee (ed.) IRMA 2005: Managing Modern Organisations With Information Technology. San Diego, United States 15 - 18 May 2005 Hershey, USA.