Management concepts in the operating room suite.
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Biomedical subjects
Publications and source records attributed to M Willock.
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Hospitals have to purchase new technology, update equipment, and replenish supplies continually to meet the needs of patients and the medical and nursing staff in a sound financial way. Thus, inventories must be maintained accurately and adequately with proper controls. Awareness of the cost of capital and operational supplies is essential to meeting budget allocations. With or without centralized buying, the MM department has the expertise to assist every department in purchasing to meet its needs and in setting and resetting inventory levels for its supplies. Explanations and formulas for handling capital equipment and regular supplies and some formats have been presented to facilitate the process. Because OR items are both expensive and numerous and OR storage space the most costly space in the hospital, physicians and nurse managers must understand the financial processes and inventory management and educate their staffs in these matters.
As physicians in the OR suite, anesthesiologists' interests extend beyond the technical issues of rendering anesthesia care, and a number of topics germane to problems in the OR and anesthesia department have been covered. More and more anesthesiology practices are locating outside the "safety" zone of the hospital; thus, it becomes encumbent on the physicians working in those environments to be aware of the regulations, safety standards, and hazards in order to provide a safe environment for their patients and to run a well-managed OR suite.
The objectives of quality improvement in the OR include improved perioperative care of the patient and OR efficiency, decreased hospital length of stay, and decreased costs. We submit that multidisciplinary outcome measurement is a prerequisite for coordinated outcomes management to achieve quality patient care in an effective, efficient, and financially responsible way, and we provide a guide to do so. The data obtained by such cross-discipline study can identify the need for patient, family, and/or staff education, improved interaction and collaboration across disciplines, revision of clinical paths, and improved hospital systems as well as benchmarking the performance of the OR against local or national standards.