Audit of the utilization of time in an orthopaedic trauma theatre

Chris Delaney, Nathan Davis, Peter Tamblyn

    Research output: Contribution to journalArticlepeer-review

    22 Citations (Scopus)


    Background: The efficient use of operating theatres is important to ensure optimum cost-benefit for the hospital and to clear waiting lists. This audit uses the orthopaedic trauma theatre as a model to assess the theatre efficiency at our institution. Methods: We performed a retrospective audit using data gathered from the operating theatre database at our institution. We considered each component of the operating theatre process and integrated them to give a combined value for surgical and anaesthetic time (end utilization) and total theatre efficiency (operating theatre utilization). Results: Results showed that relative to the standards set, changeover time and start times were sub-standard, with consistently prolonged changeovers and late starts. End utilization and operating theatre utilization were 78.8 and 81%, against a standard of 77 and 85-90%, respectively. However, these figures may be misleading due to sub-standard performance in changeover time and other variables. Conclusions: We have highlighted inefficiency in the orthopaedic trauma theatre at our institution and suggest various strategies to improve this that may be applied universally.

    Original languageEnglish
    Pages (from-to)217-222
    Number of pages6
    JournalANZ Journal of Surgery
    Issue number4
    Publication statusPublished - Apr 2010


    • Health resources
    • Operating room
    • Organizational efficiency
    • Orthopaedic
    • Trauma


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