Management indicators of the surgical schedule in a university hospital
DOI:
https://doi.org/10.5327/Z1414-4425201900040007Keywords:
Enfermagem de centro cirúrgico. Gestão em saúde. Planejamento hospitalar. Hospitais universitários.Abstract
Objectives: To analyze the surgical productivity in a university hospital, correlating the management indicators of the surgery schedule with planning aspects, and propose strategies for developing the surgery schedule. Method: This is a quantitative and qualitative study of descriptive, documentary, and cross-sectional nature, performed at the surgical center of a university hospital, from April to June 2018, based on the analysis of surgery schedules. Results: In the quarter, an average of 400 monthly surgeries were assessed. We identified that magnitude II (55.9%) surgeries were the most frequent, and urology (18.7%) was the predominant specialty. The cancellation rate evaluated the planning performance index, which was 16.9%. Conclusions: The surgical productivity and the cancellation rate found were close to those of other university hospitals in the country, and the weaknesses detected are related to planning failures, leading to institutional costs. We recommend the implementation of a schedule review, a preoperative nursing visit, and patient confirmation as a planning strategy.References
Carvalho R, Bianchi ERF. Enfermagem em centro cirúrgico e recuperação. 2nd ed. São Paulo: Manole; 2016.
Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. Diretrizes de práticas em enfermagem cirúrgica e processamento de produtos para saúde SOBECC. 7th ed. Barueri, SP: Manole; 2017.
Association of perioperative Registered Nurses. Categoria dos padrões administrativos para enfermagem perioperatória - parte I. Revista SOBECC. 2002;2(7):8-10.
Brasil. Ministério da Saúde Agência Nacional de Vigilância Sanitária. RDC n°. 50, de 21 de fevereiro de 2002. Diário Oficial da União [da] República Federativa do Brasil. 2002.
Possari JF, Gaidzinski RR, Lima AFC, Fugulin FMT, Herdman TH. Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center. Revista Latino-Americana de Enfermagem. 2015 Sept/Oct;23(5):781-788. DOI: https://doi.org/10.1590/0104-1169.0419.2615
Bonacim CAG, de Araujo AMP. Gestão de custos aplicada a hospitais universitários públicos: a experiência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da USP. Revista de Administração Pública. 2010 Jul/Ago;44(4):903-931. Available from: http://www.scielo.br/pdf/rap/v44n4/v44n4a07.pdf
Duarte IG, Ferreira DP. Use of indicators in surgical Center management. Revista de Administração em Saúde. 2006 Abr/Jun;8(31):63-70.
Camilo MB, Campos LI, Viana SMN, Camargos MCS, Villa EA, Zocratto KBF. Reasons for cancellations, delays and replacement of elective surgeries in a university hospital in Minas Gerais. Revista Acreditação. 2017;7(13):1-11.
Botazini NO, de Carvalho R. Cancellation of surgeries: an integrative literature review. Revista SOBECC. 2017;22(4):230-244. DOI: https://doi.org/10.5327/Z1414-4425201700040008
Carvalho TA, Sobral CB, Marinho PML, Llapa-Rodriguez EOO, de Aguiar Campos MP. Suspension of surgery at a university hospital. Revista SOBECC. 2016 Out/Dez;21(4):186-191. DOI: https://doi.org/10.5327/Z1414-4425201600040002
Pinheiro SL, Vasconcelos RO, de Oliveira JLC, de Oliveira Azevedo Matos FG, Tonini NS, Alves DCI. Surgical cancellation rate: quality indicator at a public university hospital. Revista Mineira de Enfermagem. 2017;21:e–1014.
Moraes PGS, Pachêco NMD, Silva RGS, Silva PCV. Clinical and organizational factors related to cancellation of surgical procedures. Revista de Enfermagem UFPE On-line. 2017;11(7):2645-2653. DOI: https://doi.org/10.5205/1981-8963-v11i7a23436p2645-2653-2017
Santos GAAC, BocchiI SCM. Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction. Revista Brasileira de Enfermagem [Internet]. 2017;70(3):561-568. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0084
Nascimento LA, Fonseca LF, Garcia ACKA. Deferral of Surgery: the Perspective of the Medical Resident in Surgical Clinics. Revista Brasileira de Educação Médica. 2014;38(2):205-212. DOI: http://dx.doi.org/10.1590/S0100-55022014000200007
Stroparo JR. Utilização da modelagem e simulação de sistemas na melhoria da eficiência operacional de centros cirúrgicos. Programa de Pós-Graduação em Tecnologia da Saúde (Pontífice Universidade Católica do Paraná) Curitiba, 2005.
Heiser R. Using a Best-Practice Perioperative Governance Structure to Implement Better Block Scheduling. AORN Journal, 2013;97(1):125-131.
Martins DB, Portullhak H, Voese SB. Cost management: a diagnosis in federal university hospital. Revista de Administração Hospitalar e Inovação em Saúde. 2015;12(3):59-75. Available from: https://revistas.face.ufmg.br/index.php/rahis/article/view/2461
Tamiasso RSS, Santos DC, Fernandes VDO, Ioshida CAF, Poveda VB, Turrini RNT. Quality management tools as strategies for reducing surgery cancellations and delays. Revista SOBECC. 2018;23(2):96-102. DOI: https://doi.org/10.5327/Z1414-4425201800020007
Pedro DRC, Oliveira JLC, Tonini N, Oliveira Azevedo Matos FG, Nicola AL. Dimensioning of nursing staff in a surgical center of a university hospital. Journal of Nursing and Health. 2018;8(1):e188108.
Gomes LC, Dutra KE, Pereira ALS. O enfermeiro no gerenciamento do centro cirúrgico. Revista Eletrônica da Faculdade Metodista Granbery. 2014 jan-jun;(16). Available from: http://re.granbery.edu.br/artigos/NTEy.pdf
Possari JF. Centro cirúrgico: planejamento, organização e gestão. 5th ed. São Paulo: Iátria; 2011.
Downloads
Published
How to Cite
Issue
Section
License
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.
