SynthesisJournal of medical systems2018
Strategies to Improve Start Time in the Operating Theatre: a Systematic Review.
Synthesis in Journal of medical systems, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Operating Room Performance Optimization Metrics: a Systematic Review.Journal of medical systems · 2023Pooled it
- Effects of Lean Interventions Supported by Digital Technologies on Healthcare Services: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Indoor Location Technology for Managing Elective Surgery Patients in Hospitals.Revista do Colegio Brasileiro de Cirurgioes · 2026Article
- Article
- An examination of the literature surrounding leadership and change management to implement a Golden Theatre Initiative: Reducing inefficiencies within a neurosurgical operating department.Journal of perioperative practice · 2025Review
- Optimizing the Efficiency of Operating Room by Extending the Working Hours during Evening and Weekends.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2025Article
- Digitalization in the operating theatre- an interview study of operating room nurses' and nurse anesthetists' experiences in Norway.BMC nursing · 2024Article
- Quantifying the impact of surgical teams on each stage of the operating room process.Frontiers in digital health · 2024Article
- The Golden Patient Initiative: A Systematic Review.Cureus · 2023Review
- Introducing the "Twilight" operating room concept: a feasibility study to improve operating room utilization.Patient safety in surgery · 2022Article
- Badge sign-in and report cards improve first case start times in gastrointestinal endoscopy: A prospective quality improvement study.Endoscopy international open · 2022Article
- Assessing Root Causes of First Case On-time Start (FCOTS) Delay in the Orthopedic Department at a Busy Level II Community Teaching Hospital.Spartan medical research journal · 2022Article
- Improving Operating Room Efficiency.Current urology reports · 2019Review
- 'Golden Patient': A quality improvement project aiming to improve trauma theatre efficiency in the Royal Gwent Hospital.BMJ open quality · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Operating theatres represent a significant cost burden for healthcare providers around the world. Theatre start time is widely acknowledged as an important target for efficiency savings. However, there is uncertainty surrounding the effectiveness of strategies to improve start time, and questions regarding the barriers to their implementation. We conducted a systematic review of bibliographic databases to identify primary research papers assessing the effect of interventions on theatre start time. Two hundred and nine papers were found from electronic literature search with 14 being included in the final review. Financial incentives, educational approaches, system-based techniques, communication, the 'golden patient' initiative and 'the productive operating theatre' scheme have all been shown to improve start time. However, questions remain over which is the most effective, the longevity of their effects and whether the results can be extrapolated beyond the context in which they were studied. We summarise the key approaches reported in the literature and identify areas for future research. This is of use to clinicians and hospital managers seeking to improve efficiency and achieve cost savings.
Indexed as
Identifiers
30030643What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.