A time and motion study at Karen Grech operating theatres

Abstract

There is no doubt that hospitals are moving towards increasing efficiency and in finding possible ways to improve their present performance. An extensive literature review was carried out to see what other hospitals overseas are doing, so as to inform the researcher about similar related issues in hospitals overseas and about measures taken to alleviate such problems. In order to reach these objectives, the study used a quantitative non-experimental design in attempt to elicit possible factors that are affecting theatre efficiency. The study was carried out in Karen Grech Operating Theatres using a systematic approach. Ten nurses took the role of data collectors over a period of two weeks. The journey of one hundred and sixty-five patients was observed. The audit tool was developed based on eight-step approach referred by Buchanon & Wilson (1996) as the "Activity Chain". Each step in the process was timed and recorded. Steps included - the transferring time, waiting times, late starts, and distances from ward to theatre. Findings show interesting outcomes, such as the 42% - 45% theatre efficiency. The indications are that theatre utilisation is not being used to its full potential. On the basis of the outcomes, recommendations are presented for the management's expert advice.