REDUCING DELAYS IN THE OPERATION PLAN OF A HOSPITAL: THE DIRECT OBSERVATION APPROACH

Abstract

The efficiency of the operating ward has a significant impact on the financial condition of a hospital. It is estimated, that the operating department provides two-thirds of the income, while generating 40% of the costs. Any delay in the implementation of the operation plan leads to financial losses for the entire hospital. How can these delays be avoided or at least reduced? Using direct observation of the work day of the operating ward in a hospital in Southwest Poland, we have collected a unique dataset on the duration of individual activities. We have identified activities which do not bring any added value, but lie on the critical path of the process, posing a threat to its timely realization. Application of working day snapshot of the entire operating block staff, introduction of time management and implementation of other corrective actions has reduced the delays by 16 percent.