324 - Decreasing First Case Delays in the Operating Room - A Root Cause Analysis
Description: The purpose of this project is to have all first cases of the day start on time. If the first case does not start on time, it causes a domino effect leading to delays for all the cases that follow. In order to do this we had to figure out what the main causes of delays were. Once we ascertained what the causes were we could then work to try to eliminate as many of them as possible, first seeing if there were any caused by nursing and then others involving the other disciplines. The team consisted of three RNs-one from the Ambulatory Surgery Unit and two from the Operating Room. Data was collected utilizing a form that was created to document all staff involved in the patient's care as well as the time the patient actually went into the operating room. The form included another section where the specific cause of the delay could be documented as well as a comment box for any important information that had not been captured in the main section. All of the peri-operative nurses were responsible for filling out the form for their individual first cases. The three members of the team followed up to obtain any missing information. We collected the data for 4 months. Upon entering the data, we were able to discern a trend of the top five causes for the delays. With this new information, opportunities were found that could now be addressed. The potential outcome is to improve the on-time start times. The implications for peri-operative nursing is the need for an increase in the efficiency with the morning processes.