Abstract
A recent report by the National Audit Office found that only 50% to 60% of weekday operating time was being used. This report was examined by the Committee of Public Accounts and much of the blame for underutilization of operating theatres was attributed to poor working practices among surgeons. We investigated theatre utilization in our hospital and found underutilization on the same scale as the National Audit Office. Twenty-five per cent of theatre sessions were not allocated for use, 23% of general surgical lists were cancelled and, of the lists which did take place, a further 23% of theatre time was not utilized. The single largest cause of underutilization was understaffing. To increase theatre utilization higher levels of staffing and expenditure are needed rather than changes in the working practices of surgeons.
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Selected References
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- Davidge M., Harley M., Vickerstaff L., Yates J. The anatomy of large inpatient waiting lists. Lancet. 1987 Apr 4;1(8536):794–796. doi: 10.1016/s0140-6736(87)92812-1. [DOI] [PubMed] [Google Scholar]
- Glass R. E., Thomas P. A. Surgical audit in a district general hospital: a stimulus for improving patient care. Ann R Coll Surg Engl. 1987 May;69(3):135–139. [PMC free article] [PubMed] [Google Scholar]
- Houghton P. W., Brodribb A. J. Failure to attend for operation: a comparison between booked admissions and the waiting list system. BMJ. 1989 Nov 4;299(6708):1139–1140. doi: 10.1136/bmj.299.6708.1139-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jennett B. Waiting lists: a surgeon's response. Lancet. 1987 Apr 4;1(8536):796–797. doi: 10.1016/s0140-6736(87)92813-3. [DOI] [PubMed] [Google Scholar]
- Porter K. M. Orthopaedic audit--review of inpatient waiting lists. Br Med J (Clin Res Ed) 1985 Oct 26;291(6503):1216–1217. doi: 10.1136/bmj.291.6503.1216. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Whelan E., Gordon H. L. Operations postponed by anaesthetists: a prospective study. Ann R Coll Surg Engl. 1987 Nov;69(6):296–299. [PMC free article] [PubMed] [Google Scholar]
- Wyllie J. H., Kidson I. G., Wyllie D. H. Pursuing efficiency in surgical practice. BMJ. 1988 Nov 26;297(6660):1368–1371. doi: 10.1136/bmj.297.6660.1368. [DOI] [PMC free article] [PubMed] [Google Scholar]