APPENDIX A: QUESTIONNAIRRE
General
Name:
………
Function:
………
Department:
………
Years working on the OR:
………
Hospital
Name:
………
City:
………
Number of ORs:
………
Number of OR personnel (FTE):
………
Operations per year:
………
Number of beds:
………
Hospital type: general / top-clinical / university*
IT / OR
4. What is the desired occupation rate: ………
%
5. Does the hospital have an OR Information-system: yes / no*
If yes, from which supplier:
………
If no, are you considering implementing a system in short notice:
yes / no*
In case u do not have an OR Information-system , please go to question 11.
7. In which year is the system implemented:
………
8. Which grade would u give your OR system at the moment: ………
9. Please mark the functionalities of your OR-system. (multiple answers possible) planning of operations
planning of personnel planning of materials
generating overviews and reports registration of financial operation codes time registration on the OR
planning based upon average surgery-time
conflict-recognizing in the planning (e.g. double use of resources) registration of preoperative data
integration with admission system
integration with CSD (Central Sterilization Department) system integration with financial system
integration with the HIS (Hospital Information System) other: ………
10. Indicate to which extent u agree with the following statements:
1 = totally disagree 4 = partly agree 2 = partly disagree 5 = totally agree 3 = neutral
The OR system: 1 2 3 4 5 n.a.
- realizes a more efficient OR-planning. 0 0 0 0 0 0 - realizes a more efficient planning of personnel. 0 0 0 0 0 0 - realizes a more efficient planning of materials. 0 0 0 0 0 0 - realizes a higher number of operations. 0 0 0 0 0 0 - realizes a higher occupation rate. 0 0 0 0 0 0 - reduces double administrative tasks. 0 0 0 0 0 0 - has saved personnel costs. 0 0 0 0 0 0 - reduces costs per operation. 0 0 0 0 0 0
- is user-friendly. 0 0 0 0 0 0
OR Management
11. Indicate to which extent u agree with the following statements:
1 = totally disagree 4 = partly agree 2 = partly disagree 5 = totally agree 3 = neutral
1 2 3 4 5
The OR capacity is currently optimal used 0 0 0 0 0 It occurs regularly that OR sessions take longer than planned 0 0 0 0 0
12. Which aspects are emphasized when managing the OR? Indicate for every category its importance by circling a number. Where 1 = totally unimportant and 10 = most important.
a. Productivity
Treating as much patients 1 2 3 4 5 6 7 8 9 10 b. Cost Savings
Reduce costs on the OR 1 2 3 4 5 6 7 8 9 10
c. Quality
Offer the highest quality to the patient 1 2 3 4 5 6 7 8 9 10 d. Employee Satisfaction
Satisfaction level of OR-personnel 1 2 3 4 5 6 7 8 9 10 e. Efficiency
Work the most efficient in the OR 1 2 3 4 5 6 7 8 9 10
13. For each of these factors several performance indicators are formulated. Indicate for every indicator to which extent u think it is useful to measure OR-performance, by circling a
number. Where 1 = totally unimportant en 10 = most important.
a. Productivity – treating as much patients
Number of performed surgeries 1 2 3 4 5 6 7 8 9 10 Average time per operation 1 2 3 4 5 6 7 8 9 10 Variation of time per operation 1 2 3 4 5 6 7 8 9 10 Achieving production agreements 1 2 3 4 5 6 7 8 9 10
b. Cost Savings – reduce costs on the OR
Personnel costs 1 2 3 4 5 6 7 8 9 10
Costs of used materials 1 2 3 4 5 6 7 8 9 10
Facility costs 1 2 3 4 5 6 7 8 9 10
IT costs 1 2 3 4 5 6 7 8 9 10
c. Quality – offer the highest quality to the patient
Average patient waiting time 1 2 3 4 5 6 7 8 9 10 Number of cancelled operations 1 2 3 4 5 6 7 8 9 10
Patient satisfaction 1 2 3 4 5 6 7 8 9 10
Mortality rate 1 2 3 4 5 6 7 8 9 10
Total time “patient in hospital” 1 2 3 4 5 6 7 8 9 10 Number of planning mistakes 1 2 3 4 5 6 7 8 9 10
d. Employee Satisfaction – satisfaction level of OR personnel
Satisfaction about the planning 1 2 3 4 5 6 7 8 9 10 Satisfaction about the OR-system 1 2 3 4 5 6 7 8 9 10
Sickness absence 1 2 3 4 5 6 7 8 9 10
Days requiring work in overtime 1 2 3 4 5 6 7 8 9 10
e. Efficiency – work the most efficient in the OR
OR occupation rate 1 2 3 4 5 6 7 8 9 10
Number of surgery hours outside office hours 1 2 3 4 5 6 7 8 9 10
Bed occupation 1 2 3 4 5 6 7 8 9 10
Emergency operations within the OR schedule 1 2 3 4 5 6 7 8 9 10 Time needed to make an OR-planning 1 2 3 4 5 6 7 8 9 10
Open Questions
14. Which improvements would you like to see on your OR-system:
………
………
………
………
………
………
15. If you have any remarks, questions or tips, you can place them here:
………
………
………
………
………
………
I would like to receive a summary of the results on the following email address:
………
………
(leave blank when not interested)
Thank you for your cooperation!
APPENDIX B: OPEN QUESTIONS
The questionnaire has provided room for the respondents to express their wishes and improvements for their OR information systems. This appendix summarizes their response, ranked by OR-system supplier. The summary provides an excellent overview of the needs and wishes of Dutch operating rooms regarding OR-systems. The fact that ChipSoft and iSOFT respondents have more wishes is not an indication that their OR-systems are not performing well, but they have more respondents. The complexity of the wishes indicates the
functionalities the system already consists of.
ChipSoft:
- Improvements on the Reportgenerator. Making it easier and understandable to create overviews.
- More automatic input. For example by using barcode-scanners to register operation times.
- Better integration with modules and software of other suppliers.
- The possibility to gather more management information from standard tables.
- Better performance; processing speed of the system.
- Optimize the use of CS-OR. Better training and support to understand the system and its possibilities better.
- The possibility to plan operations from the policlinics.
- Early conflict-recognizing for Intensive Care and day-nursery.
iSOFT:
- A system that is easy to operate for the employees and provides reliable management information.
- Notification when too much patients are planned.
- Integration with planning of hospital beds.
- Better management information
- Our system is only used for registration of patient and operation data, not for planning.
- We are considering options to implement a new system of a different supplier.
- Higher user-friendliness. Windows usability.
- A modular system; integration between hospital systems.
Other systems:
- Integration with other systems; admission, pre-operative screening, finance, etc.
- Including the availability of resources in the OR-planning.
- Higher user-friendliness
The questionnaire provided room for the respondents to provide remarks, tips or ask questions about the research. The following is a brief summary of the comments.
- The hospital plans operations with two integrated systems. A capacity planning system and a patient planning system.
- We are participating in the Sneller Beter project. If you have any questions, or would like to visit our OR, we could arrange a meeting.
- You should define terms as operation, occupation rate, and overtime, because every hospital has a different interpretation of these.
- Have you visited ORs yet? I advise to do so, and visit both general and university hospitals if possible.
- Our hospitals consist of independent units. The OR is a supporting unit with its own budget. All specialties are independent as well, with responsibilities in the total hospital processes and finances.
- We are independent of our HIS. It is surprising that there are so little possibilities in these modern times.
- I think the questionnaire is sometimes too straightforward.
- Good luck with your research!
- Very interesting research. I am very interested in the results. Good Luck.
