Abstract of Dissertation

Objective : 1) To map the process flow of OT 2) To evaluate the time utilization of OT 3) To identify bottlenecks, if any, inefficient and effective utilization of OT and to suggest corrective actions for the same

Methodology : -> Type of study – DESCRIPTIVE CROSS-SECTIONAL PROSPECTIVE STUDY -> Setting – Dr. Virendra Laser & Phaco Surgery Center, Jaipur -> Duration – 3 months, 1st February 2018 to 4th May 2018 -> Source of data – Primary data: 1. By visiting individual operation theatres to observe directly 2. Records from registers already maintained 3. Discussion with the management staff, and other clinical and paraclinical staff of the OT. Secondary data: - 1. Internet search engines 2. Hospital management information system: netram was also used to get information regarding patients. Data collected was no of surgeries from Jan 2017 to Jan 2018 -> Sample Selection: have included all the surgical patients of DRVLPSC as samples from 1 Feb 2018 to 30 April 2018. Inclusion Criteria: All the surgical patients of cataract, injections, VR of DRVLPSC Exclusion Criteria: All the surgical patients of Lasik, Epilasik, C3R, Smile of DRVLPSC -> Data Collection Procedure: The technique will be used for conducting the study will be non-random convenience sampling technique as a sample of respondents will be chosen according to convenience ->Data Analysis Procedure • “A self-developed excel sheet for the analysis.” • “Format for recording the turnaround time.” • “Graphical representation of data analysis.

Findings : • Time Spent During Surgeries: 16132 Mins • Time Spent on Supportive Services: 16650 Mins • Idle Time: 11618 Mins

Recommendations : Following problems emerge from the study: ? Low OT utilization ? High idle time ? Delayed cases leading to loss of revenues The problem listed above is to be solved by strict adherence to OT protocols. The reason for low OT utilization can be grouped into patient-related factors, staff-related factors. Factors like late arrivals and delay in dilation can be solved by strictly following OT protocols. Some factors like patient report not ok (blood sugar levels high on the day of surgery) cannot be avoided. The study shows high idle time which could easily have been avoided. Under-scheduling the number of cases is the basic cause. Main reasons are a delay in the authorization of insurance claims, issues of permission letters for panel patients and cancellation of surgeries due to unavoidable reasons fixing the no. of surgeries for each day for particular consultants has to be done to avoid under scheduling or over scheduling Delayed and canceled cases lead to loss of revenues for the hospital. Delays due to mismanagement have to be decreased by planning the surgeries and cross-checking the preparation on the day prior to surgery. Canceled cases have to be followed up by the counselor at least twice in order to reschedule canceled cases.