Date of Conferral
2022
Degree
Doctor of Business Administration (D.B.A.)
School
Business Administration
Advisor
Michael Lavelle
Abstract
Operating room (OR) managers struggle to manage day-to-day surgical operations while meeting and exceeding organizational productivity amid the COVID-19 pandemic. The deferral of surgeries contributes to millions of backlogs of surgical case volume and unintended negative consequences. Grounded in the proposition that first-case on-time starts (FCOTS) and turnover time (TOT) are correlates of OR productivity, the purpose of this quantitative correlational study was to examine the relationship between FCOTS, TOT, and OR productivity. Archival data from 136 electronic surgical records were collected from two free-standing ambulatory surgery centers and analyzed using multiple regression. The results of the one-service, eye-specialized, ambulatory surgery center were significant, F(2, 65) = 11.50, p = < .001, R 2 = .26. In the final model, one predictor was significant, TOT (t = 4.30, p = < .001, ß = 0.46). The results of multiservice ambulatory center were significant, F(2, 65) = 3.17, p = .024, R 2 = .09. In the final model, one predictor was significant, FCOTS (t = 2.31, p = .02, ß = 0.28). A key recommendation is for OR leaders to recognize the importance of being on time by implementing process improvements incorporating oversight on key performance metrics. The implications for positive social change include process improvements in efficiency and productivity metrics, thereby delivering cost-effective services for better patient outcomes to healthcare stakeholders, such as government agents, employees, leaders, and patients.
Recommended Citation
Bucoy, Rhafia, "The Relationship Between First Case On-Time Starts, Turnover Times, and Operating Room Productivity" (2022). Walden Dissertations and Doctoral Studies. 13237.
https://scholarworks.waldenu.edu/dissertations/13237
