"If you can't measure something, you can't understand it. If you can't understand it, you can't control it. If you can't control it, you can't improve it." H. James Harrington
Making Surgical Process Transparent
Operating Rooms are usually managed like 'sayling by sight' because an objective data basis is already missing. This lack of information and the consequently resulting incapacity of rationality within decision making processes create serious problems to clinicians and managers which has to be solved as soon as possible.
Studies show that the operating room is the most costly unit of a hospital. Hospital surgical units are considered to be high risk in terms of both, financial impact and patient quality.
The world of surgery is very complex and detailed. Inside the operating room the patient is more exposed to healthcare-related risks, being vulnerable and unaware. Therefore there are rules and procedures in place to prevent and minimize those risks. Furthermore there are different professional figures working together in this setting: surgeons, anaesthesiologists and nurses.
This induces to the necessity to monitor closely the tasks that are performed by the various health professionals involved in the care and treatment of surgery patients. The goal is to better plan and manage the related resources and to reduce clinical risks.
The new challenge for hospital managers at any level is: providing adequate healthcare with limited resources yet striving for quality improvement.
Applied research of the sector has to develop new methods to face this new challenges.