AVIATOR
Anaesthetic Viewpoint to Improve A Theatre’s Operating efficiency and Results
AVIATOR (Anaesthetic Viewpoint to Improve A Theatre’s Operating efficiency and Results) was the third project run by PLAN. Given the importance of theatre inefficiency, this prospective survey looked at the perceived reasons for theatre inefficiency from the eyes of consultant and trainee anaesthetists.
We recruited 40 hospitals across London and South East England who participate within the PLAN network. Data collection took place in January 2016 across a 5-day period. All elective work was included, except for elective obstetrics. Emergency work was also excluded from the data collection.
This project demonstrated that theatre inefficiency is a recurring problem across all 40 sites who submitted data, with none achieving the Royal College of Anaesthetist Standards for efficiency across all 3 markers reviewed.
The presence of an Anaesthetic trainee was felt to have had a positive impact on theatre efficiency in the majority of instances, and educational reasons were infrequently cited as contributing to inefficiency.
There were a small number of recurrent factors leading to theatre inefficiency, which were consistent across London; of which only one was related to clinical parameters, with the remainder being related to non-clinical factors such as patient transport and staff being available.
Individual sites demonstrated differences in the factors which lead to theatre inefficiency - this may provide scope to develop future quality improvement projects focusing on these issues.
Site specific data was disseminated to sites in January 2017, along with overall pan-London data. A subset of the data looking at the perceived impact of trainees on theatre efficiency was presented at the 2017 AAGBI Winter Society meeting, with the corresponding abstract published. Further abstracts are being developed for submission, in addition to a paper with more in depth statistical analysis, aiming for publication in Autumn 2017.
AVIATOR leads
Dr Kate Grailey
Dr James O'Carroll
Dr Mevan Gooneratne
Dr Anil Visram
Bart's and the London School of Anaesthesia (NE)
Further info email: plan@uk-plan.net
Contributors
Core CommitteeDaniel Martin |
BasildonSanjeet Chana Whipps CrossZainab Aboud Royal London HospitalAshley Parker Homerton University HospitalNicholas Walker Newham HospitalSundeep Govind Queens HospitalTom Barnes Southend HospitalDominic Nielson Broomfield HospitalNatalie Gravell BartsHannah Lewis WMWHJennifer Gosling WatfordZara Edwards St Mary'sEdmund Chan Royal MarsdenJohn Weissmann GOSHNadia Masood MoorfieldsMichelle Le Cheminant NWP/CMHDaniel Solomon HillingdonCathy Challifour HHTamara Bannerjee StanmoreMartin Gray | University College LondonChristopher Groves Royal Free HospitalJulia Benham-Hermetz North MiddlesexJudit Sallai B & CFRobert Brogan NHNNAlex Wickham HarlowEdward Gilbert-Kawai Kings College HospitalPaul Stevens Princess Royal University HospitalNisha Pattni Guy's & St Thomas' HospitalsEllile Pushpanathan Evelina Childrens HospitalBen Thorpe QEH WoolwichAnia Dean University Hospital LewishamIsabelle Reed Tunbridge Wells & MaidstoneHannah Warren MedwayElena Stanton GuildfordMatt Samuels EpsomSamson Ma St Heliers HospitalAndrew Peethamsingh St PetersRob O'Donnell St Georges HospitalNirav Shah Croydon University HospitalTom Lewish |
