Maximising ophthalmic theatre time : part 2

Abstract

Part 2 of the article. Aim: To establish whether the available ophthalmic theatre time is being used efficiently and to find ways how to improve our surgical output and reduce the waiting list. Methods: All ophthalmic surgeries under the care of Mr Franco Mercieca carried out in Theatre 13 in the sample months of May and October 2009, were retrospectively analyzed. Average times were estimated for all types of ophthalmic procedures. The total number of cataract operations and patients listed for surgery were noted from beginning of 2006 till end of 2009. Results: In 2009, this firm has carried out 572 cataract operations, 81% increase from 2008, of which 52% were performed on weekends and public holidays. The theatre usage time in the sample months under study was 89.25% on weekdays and over 94% on extra sessions. Theatre time wastage was an average of 8%, half of which being due to cancellations on the day. On average over 71% of our theatre time is used for cataract surgery. Conclusions: In order to maximize our theatre time efficiency, we need to set up a Preoperative Assessment clinic and encourage more patients to have their surgery under local anaesthesia. To reduce the waiting list the need for a parallel theatre dedicated solely to cataract surgery under local anaesthesia is of paramount importance.