Inomata T, Mizuno J, Iwagami M, Kawasaki S, Shimada A, Inada E…, Amano A.

PloS One. 2018 Sep 21;13(9):e0204301.

2018

Hospital

Hospital (HAP)

Yes

To examine the impact of Joint Commission International accreditation on operating room efficiency by comparing relevant time periods in the operating room for patients who received surgeries before and after Joint Commission International accreditation at Juntendo University Hospital.

Observational Study

Patients were considered for the study if they received elective and emergency surgeries under general anesthesia at Juntendo Hospital between December 2014 and June 2016. Patients were classified as before and after Joint Commission International accreditation on December 12, 2015. The primary outcome was total procedure/surgery time (TPT). Secondary outcomes include five time periods comprising the TPT: pre-anesthesia time (preAt), anesthesia induction time (AIT), procedure/surgery time (PT), anesthesia awareness time (AAT) and post-anesthesia time (postAT). The authors compared these time periods between patients before and after Joint Commission International accreditation and patients were matched for age, sex and the specific type of surgery. Chi-square tests, paired t-tests, and unpaired t-tests were used.

Of the 8,835 and 4,453 patients receiving surgery before and after Joint Commission International accreditation, 3,222 were matched for age, sex and specific surgery, resulting in groups for comparison. The TPT (197+/- 133.3 minutes vs. 195.2 +/- 131.9 minutes, before vs. after Joint Commission International, p= 0.494) was not significantly different between groups. The preAT was significantly increased after Joint Commission International accreditation (8.2 +/- 6.9 minutes vs. 8.5 +/- 6.9 minutes, before vs. after Joint Commission International, respectively, p=0.028), whereas the AIT was significantly reduced after Joint Commission International accreditation (34.4 +/- 16.1 minutes vs. 33.6 +/- 15.4 minutes, before vs. after Joint Commission International, respectively, p=0.037). However, PT (42.6 +/- 17.4 minutes, before vs. after Joint Commission International, p=0.318) and postPT (20.7 +/- 11.7 minutes vs. 20.6 +/- 10.8 minutes, before vs. after Joint Commission International, p=0.920) were not significantly different between groups.

2014-2016

https://www.ncbi.nlm.nih.gov/pubmed/30240416

operating room, surgery time

Positive