EVALUATION OF THE EFFECTIVENESS OF OPERATING UNITS OF A MULTIDISCIPLINARY HOSPITAL

Background. An important link in the provision of medical care at the present stage is the performance of surgical interventions. Annually, up to 310 million major operations are performed worldwide. Effective work of the operating unit of the hospital is an urgent task in the health care system, requiring managerial and organizational decisions. Purpose. To improve the quality of medical care for surgical patients by optimizing the work of operating units. Materials and methods. The first stage of this work was the collection and analysis of data on the work of operating units. A time check-list of stages of surgical interventions was developed and implemented. The data werecollected during one year. Results. The analysis revealed that the efficiency in two operating units was 73.4% and 81.2%. The average number of operative interventions in one room was 3.28±0.59. The greatest impact on efficiency is "operating room overload" with a correlation coefficient of -0.81. The highest "overload" occured in rooms where the staff worked until 3:30 pm (per one full-time equivalent). During the year, 12.9% of surgical interventions were canceled. Conclusions. It is possible to increase the efficiency of operating rooms use by the early start of the operating day and reduction of unjustified cancellations of surgical interventions. It is necessary to develop systems of automatic objective control of the arrival of operating teams and introduction of special programs for operating room management.