Perioperative Care and Operating Room Management最新文献

{"title":"Ultrasound examination process improvement of pregnant women: A simulation approach","authors":"Masoumeh Rezaei ,&nbsp;Mohammad Mehdi Sepehri ,&nbsp;Roghaye Khasha ,&nbsp;Afsaneh Tehranian","doi":"10.1016/j.pcorm.2024.100457","DOIUrl":"10.1016/j.pcorm.2024.100457","url":null,"abstract":"<div><h3>Background</h3><div>Ultrasound is the safest diagnostic method for obstetrics and gynecology problems. The demand for ultrasound has increased and as a result, waiting times have also increased. Pregnant women are under considerable physical and emotional stress. Long waiting time increases their anxiety which is harmful to the health of the mother and fetus. The present study aims to improve the ultrasound service process to reduce waiting times and rework for pregnant women.</div></div><div><h3>Methods</h3><div>In the present research, the radiology department in a Women's Hospital was considered. We used the BPMN (Business Process Model and Notation) standard to visualize the processes and the Value stream mapping technique to identify non-value-added activities. Improvement scenarios were applied to the DES (Discrete event simulation) model to evaluate their impact on the process KPIs. Four categories of improvement scenarios were presented in this research, including scenarios of an increase in the number of resources, changes in resource planning, elimination of wastes, and combined scenarios.</div></div><div><h3>Findings</h3><div>The results of the scenarios included a reduction of 28.07 % in the average time of the outpatient LOS (Length of stay) in the system, a decline of 37.69 % in the average time of inpatient LOS in the system and a reduction of 40.4 % in the average time of the emergency patient LOS in the system.</div></div><div><h3>Conclusions</h3><div>The scenarios proposed revealed that it can reduce the waiting time of patients significantly. As the results showed, the combined scenarios had the greatest improvement effect on all KPIs (Key Performance Indicators).</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100457"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of recovery after breast surgery: A randomized clinical trial comparing dexamethasone with dexmedetomidine as adjuvant to ropivacaine in ultrasound guided single shot mid- point transverse process to pleura block","authors":"Geetanshu Gupta (Junior Resident) ,&nbsp;Swati Jindal (Associate Professor) ,&nbsp;Deepika Gupta (Assistant Professor) ,&nbsp;Sanjeev Palta (Professor) ,&nbsp;Robin Kaushik (Professor)","doi":"10.1016/j.pcorm.2024.100456","DOIUrl":"10.1016/j.pcorm.2024.100456","url":null,"abstract":"<div><h3>Background</h3><div>Mid-point transverse to pleura block (MTPB) is a recently introduced block used to alleviate postoperative pain in patients undergoing thoracic surgeries. The present study aims to compare the quality of recovery at 24 h post-operatively after adding dexamethasone and dexmedetomidine as adjuvants to 0.75 % ropivacaine in a single shot mid-point transverse process to pleura block (MTPB) in patients undergoing modified radical mastectomy (MRM) for carcinoma breast.</div></div><div><h3>Design</h3><div>Single center, assessor blinded, randomized clinical trial</div></div><div><h3>Methods</h3><div>Sixty ASA PS 1–2 females posted for MRM were randomized into 2 groups to receive either dexamethasone 8 mg or dexmedetomidine 1mcg/kg as adjuvant to 0.75 % ropivacaine in MTPB. The primary objective was to determine the quality of recovery using the Quality of Recovery (QoR-15) questionnaire at 24 h postoperatively. The secondary objectives were to determine the duration of analgesia, NRS scores for pain at rest and on movement in the post-operative period, total accumulative requirement of analgesics, patient satisfaction with block and future willingness to undergo repeat peripheral nerve block.</div></div><div><h3>Results</h3><div>The QoR‐15 score was 128.20 ± 6.93 and 128.37 ± 4.06 in the dexamethasone and dexmedetomidine groups respectively. Duration of analgesia was 10.85 ± 5.31 h and 20.20 ± 11.26 h in the dexamethasone and dexmedetomidine groups, respectively (<em>P</em> &lt; 0.01). Pain severity was significantly higher at all timepoints during rest and at 1 h, 4 h, 8 h, and 12 h time points during movement in the dexamethasone group. Intraoperatively, SBP and HR were lower in the dexmedetomidine group at 5 min, at incision, 10 min, 15 min, 20 min, 25 min, and 30 min. DBP was lower in the dexmedetomidine group at 5 min, at incision, 15 min, and 20 min (<em>P</em> &lt; 0.01). Postoperatively BP was comparable among the groups, but HR remained lower in the dexmedetomidine group, coinciding with lower NRS scores at the same time points (<em>P</em> &lt; 0.01). Lower PCM consumption was observed in 24 h in the dexmedetomidine group (<em>P</em> &lt; 0.01). The patient satisfaction score was comparable among the groups.</div></div><div><h3>Conclusions</h3><div>Preoperative single- shot ultrasound guided mid-point transverse to pleura block with ropivacaine using dexmedetomidine and dexamethasone resulted in a good patient-reported quality of recovery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100456"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving on-time surgical starts through a perioperative stop and huddle","authors":"Jonathan A. Alter ,&nbsp;Alexander Estright ,&nbsp;Michael Platten ,&nbsp;David C. Kaelber ,&nbsp;Michael D. Leeds ,&nbsp;Hannah Hill ,&nbsp;Samantha E. Pope ,&nbsp;Luis E. Tollinche","doi":"10.1016/j.pcorm.2024.100458","DOIUrl":"10.1016/j.pcorm.2024.100458","url":null,"abstract":"<div><h3>Background</h3><div>Punctuality in procedure start times is a critical component of operating room efficiency. The first case on-time start (FCOTS) metric refers to the number of first cases of a day that start on time. Delays in FCOTS, by leading to future case delays, have a detrimental impact on perioperative operations and result in worsened patient care, increased health care costs and decreased patient satisfaction. Despite the importance of timely FCOTS, many attempts to improve FCOTS have failed. We designed a quality improvement project to drive punctual FCOTS.</div></div><div><h3>Methods</h3><div>To increase FCOTS, perioperative services implemented a mandatory team meeting time of 15 min before the scheduled procedure start time and six other associated processes to improve FCOTS. This 0715-bedside arrival for all team members enabled a full preoperative huddle. All required preoperative duties were expected to be completed before this 0715-huddle time.</div></div><div><h3>Results</h3><div>The implementation of a 0715 mandatory pre-operative huddle improved the FCOTS significantly by 10 % with a sustained increase of 7 %. Furthermore, this increase has been sustained for over a year, well above the 90th percentile benchmark of healthcare systems using our electronic health record and earned our system a first-place national ranking for FCOTS.</div></div><div><h3>Conclusion</h3><div>A multi-disciplinary team approach and regimented huddle times prior to surgical starts helped improve the percentage of FCOTS across our healthcare system.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100458"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the nursing literature on patient safety in the operating room: A bibliometric analysis","authors":"Havvane Kulaksızoğlu ,&nbsp;Seçil Taylan ,&nbsp;Fatma Eti-Aslan","doi":"10.1016/j.pcorm.2024.100455","DOIUrl":"10.1016/j.pcorm.2024.100455","url":null,"abstract":"<div><h3>Background</h3><div>Patient safety in the operating room is a process involving organized activities. Within this process, technological environments, behavioral activities, risks, procedures, and sustainability play significant roles.</div></div><div><h3>Purpose</h3><div>This bibliometric study provides a comprehensive and integrative review of the global literature on post-operative patient safety in nursing.</div></div><div><h3>Design</h3><div>Bibliometric analysis.</div></div><div><h3>Methods</h3><div>Data were collected using the Web of Science (WOS) database on September 18, 2024. No time constraints were imposed during the data search, and all data available up to the search date were included in the initial review. The \"Biblioshiny\" application provided by the Bibliometrix R package was used for analysis.</div></div><div><h3>Results</h3><div>The results indicate that the nursing literature on patient safety in the operating room has been increasing every year, peaking in the current period. According to the Bradford's Law analysis, the number of journals in the first zone is insufficient, and multidisciplinary journals are included in this specialized nursing publication group. The author productivity does not align with Lotka's Law, highlighting the need to increase the number of expert authors in this field. Developed countries are the most productive in nursing publications related to patient safety in the operating room, and collaborative publications are concentrated in these areas. Some underdeveloped countries have no publications at all. In the nursing literature, relevant research primarily focuses on \"operating-room,\" \"patient safety,\" and \"communication.\" There are literature gaps in the areas of complications, anxiety, and operating-room efficiency.</div></div><div><h3>Conclusions</h3><div>This bibliometric study provides a comprehensive and integrative review of the global literature on patient safety in the operating room within the field of nursing.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of teaching through team-based learning on motivation toward science learning in undergraduate operating room technology students","authors":"Mahboubeh Rezaei","doi":"10.1016/j.pcorm.2024.100454","DOIUrl":"10.1016/j.pcorm.2024.100454","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate the effect of teaching through Team-Based Learning (TBL) on Motivation toward Science Learning (MTSL) in undergraduate operating room technology students. It hypothesized that the teaching through TBL could affect MTSL in these students.</div></div><div><h3>Methods</h3><div>This is a quasi-experimental study conducted at Kashan University of Medical Sciences, Iran. Participants were 15 operating room technology students in the 5th semester who were selected through a census. They are randomly divided into three five-member groups. Eight sessions of TBL were implemented for the groups. Data were collected at the beginning and end of the intervention by the “Students' Motivation toward Science Learning” questionnaire. Data were analyzed using SPSS software, version 16 using descriptive statistics and paired <em>t</em>-test. The significance level was considered &lt;0.05.</div></div><div><h3>Results</h3><div>Findings showed that there was no significant difference between the total score of MTSL before and after the intervention (<em>P</em> ≥ 0.05). Also, there were no significant differences between MTSL subscales before and after the intervention (<em>P</em> ≥ 0.05)</div></div><div><h3>Conclusions</h3><div>Although the results obtained were not statistically significant, the TBL teaching method practically improved the scores of the students, especially the total score of the MTSL questionnaire and the scores in the dimensions of “achievement goal” and “learning environment simulation”. Additionally, the students conveyed their contentment and achieved greater success in their interactions with both their peers and the professor.</div><div>Therefore, it is recommended to use this teaching method for operating room technology students considering the limitations mentioned in this study.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100454"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of intrathecal dexmedetomidine vs. magnesium sulfate on post-operative shivering for cesarean delivery: A double-blind randomized clinical trial","authors":"Kiana Babaei ,&nbsp;Seyedeh Masoumeh Saadati ,&nbsp;Saeed Samarghandian ,&nbsp;Fatemeh Khorashadizadeh ,&nbsp;Tayyebeh Ali-Abadi ,&nbsp;Zohreh Salari ,&nbsp;Mohammad Bidkhori ,&nbsp;Sahar Damrodi ,&nbsp;Mostafa Khaleghipour","doi":"10.1016/j.pcorm.2024.100450","DOIUrl":"10.1016/j.pcorm.2024.100450","url":null,"abstract":"<div><h3>Background</h3><div>Considering the similarities and differences between dexmedetomidine and magnesium sulfate and understanding their mechanisms of action on shivering and thermoregulation, the authors proposed to compare the effect of intrathecal administration of dexmedetomidine and magnesium sulfate on shivering intensity in patients undergoing cesarean delivery surgery.</div></div><div><h3>Methods</h3><div>This study is a randomized, double-blind clinical trial, with two intervention groups and a parallel design. Patients randomized to Group D received 5 µg of dexmedetomidine plus 12.5 mg bupivacaine, group M received 25 mg magnesium sulfate plus 12.5 mg bupivacaine, and group C received 12.5 mg bupivacaine plus 1 ml normal saline 0.9 %. Physiological symptoms were recorded in the checklist by a research associate (blinded to the treatment group). Shivering intensity was evaluated by Tsai and Chu method. Physiological symptoms, the shivering intensity were recorded before (0) and 20, 45, 55 and 65 min after spinal anesthesia.</div></div><div><h3>Results</h3><div>GEE analysis of the study data showed a significant difference in the severity of shivering between the group dexmedetomidine and the group magnesium sulfate at different times (intervals) (p-value&lt;0.001). Additionally, significance difference was observed between group control and group dexmedetomidine (p-value&lt;0.001). The results of second model demonstrates that the patient in magnesium sulfate group were significantly six times more likely to experience shivering compared to dexmedetomidine group (OR =5.69, 95 % CI: 1.71–22.91, p-value&lt;0.01).</div></div><div><h3>Conclusions</h3><div>Dexmedetomidine has a greater effect than magnesium sulfate on reducing the incidence of shivering and its severity in patients undergoing cesarean delivery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100450"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of adding fentanyl to bupivacaine in ultra-sound guided erector spinae plane block (ESPB) in modified radical mastectomy surgeries: A randomized trial","authors":"Karim Ahmed Ismail Ahmed,&nbsp;Nermien Sadek Nasr Abdelmalek,&nbsp;Reem Hamdy Mohammed El kabarity,&nbsp;Eman Mohammed Kamal Abo Seif,&nbsp;Noha Mohammed Abdelaziz","doi":"10.1016/j.pcorm.2024.100453","DOIUrl":"10.1016/j.pcorm.2024.100453","url":null,"abstract":"<div><h3>Background</h3><div>Different adjuvants were added to the nerve block to potentiate its analgesic effect and reduce postoperative narcotic consumption. Our objective was to investigate the impact of incorporating fentanyl into bupivacaine in erector spinae plane block (ESPB) for modified radical mastectomy surgeries.</div></div><div><h3>Patients and Methods</h3><div>Sixty female patients underwent modified radical mastectomy surgeries under general anesthesia, and then they were divided into two equal groups that received ESPB either with bupivacaine alone or with fentanyl.</div></div><div><h3>Results</h3><div>The total nalpubhine consumption and visual analogue scale score(VAS) were lower in Group 2 than in Group 1. Additionally, patients in Group 2 underwent a longer period of time without requiring the first dose of rescue analgesia. With regard to hemodynamics, Group 2 patients showed lower mean arterial blood pressure (MAP) and heart rate (HR) than group 1 at the 6th and 12th hours postoperatively.</div></div><div><h3>Conclusion</h3><div>The findings of our study revealed that incorporating fentanyl into local anesthetics in ESBP prolonged postoperative analgesia, reduced pain scores, and decreased postoperative opioid consumption.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “The Acero perioperative skin bundle: An intuitive perioperative pressure injury prevention bundle” [Perioperative Care and Operating Room Management 37C, (2024), 100436]","authors":"Lilibeth Acero ,&nbsp;Mandy Spitzer","doi":"10.1016/j.pcorm.2024.100444","DOIUrl":"10.1016/j.pcorm.2024.100444","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100444"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the relationship between awareness, beliefs, and performance of operating room students in hand hygiene with analysis of microbial flora on hands during the COVID-19 pandemic","authors":"Tayebeh Arabzadeh ,&nbsp;Ahmad Badeenezhad ,&nbsp;Nima Daneshi ,&nbsp;Zargham Faramarzinia ,&nbsp;Mostafa Moazamfard ,&nbsp;Jahanbakhsh Vahdatnejad","doi":"10.1016/j.pcorm.2024.100430","DOIUrl":"10.1016/j.pcorm.2024.100430","url":null,"abstract":"<div><h3>Background</h3><div>Hand hygiene compliance among hospital staff has always been recognized as an effective method in controlling and reducing hospital-acquired infections. Since the outbreak of the COVID-19 pandemic, hand hygiene has emerged as one of the effective preventive measures against this disease, leading to increased awareness and concerns. This study aims to examine the awareness, beliefs, and practices of operating room students regarding hand hygiene, by analyzing the microbial flora on their hands during the COVID-19 pandemic. The objective is to assess the level of hand hygiene compliance among students, who will be future hospital employees.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the correlation between the level of awareness, belief, and performance of operating room students regarding hand hygiene with the analysis of microbial hand flora during the COVID-19 pandemic. The purpose was to examine the compliance with hand hygiene among students, who will be future hospital employees, during this pandemic.</div></div><div><h3>Methodology</h3><div>The present study included a sample of 92 students majoring in Operating Room who were enrolled in the research through a census. The data collection tool consisted of a questionnaire to assess the students' awareness, beliefs, and performance regarding hand hygiene and analysis of microbial flora on hands. Standard culture media including Blood Agar, Brilliant Green Agar, and Eosin Methylene Blue were used for isolating microorganisms. Microorganism identification was performed using biochemical tests.</div></div><div><h3>Results</h3><div>The results of this study indicate that out of the participants, 65 were girls and 27 were boys with an average age of 21.9 ± 2.3 years. The mean scores for awareness, belief, and performance were 8.9, 72.3, and 64.2, respectively. Analysis of microbiological flora also revealed that the highest growth microorganisms were epidermidis bacteria (26.6 %), coagulase-negative staphylococci bacteria (22.9 %), and streptococcus bacteria (21.2 %).</div></div><div><h3>Discussion and Conclusion</h3><div>Based on the results of this study, operating room students have shown a high level of awareness, belief, and performance during the COVID-19 pandemic. Furthermore, the minimal growth of bacteria in the conducted culture samples confirms this finding. Due to the limited availability of studies, it is recommended that further research be conducted in this area.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100430"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advanced forecasting of emergency surgical case arrivals: Enhancing operating room performance","authors":"Hajar Sadegh Zadeh ,&nbsp;Lele Zhang ,&nbsp;Mark Fackrell ,&nbsp;Hamideh Anjomshoa","doi":"10.1016/j.pcorm.2024.100451","DOIUrl":"10.1016/j.pcorm.2024.100451","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>This study, conducted at a major regional hospital in Australia, aims to enhance operating theatre performance by developing a two-step forecasting method for emergency case arrivals. By analysing data from 2018 to 2022, the study seeks to improve operating room efficiency and reduce cancellations through accurate predictions of emergency surgery demands.</div></div><div><h3>Methods</h3><div>In the first step, several forecasting models, including Prophet, ARIMA, SARIMAX, LSTM, and Agent-Based Simulation, were evaluated for their effectiveness in predicting daily emergency case arrivals. Each model was trained on 80 % and tested on 20 % of data to replicate real-world forecasting conditions. Performance was assessed using error metrics such as Mean Absolute Error (MAE), Mean Squared Error (MSE), and Root Mean Squared Error (RMSE), along with the model's ability to capture monthly seasonality, general trends, and day-of-week patterns. The second step involved using a non-homogeneous Poisson process to provide more precise hourly forecasts for each day.</div></div><div><h3>Results</h3><div>The SARIMAX model emerged as the most accurate, with the lowest error metrics (MAE: 1.01, MSE: 2.21, RMSE: 1.48), excelling in capturing seasonality, trends, and weekly patterns. It also demonstrated high robustness and scalability, making it the most reliable model. The non-homogeneous Poisson process provided precise hourly forecasts, further improving resource allocation and operating room scheduling.</div></div><div><h3>Conclusions</h3><div>The two-step forecasting approach, particularly the use of SARIMAX and the non-homogeneous Poisson process, has the potential to significantly enhance operating room performance by reducing cancellations and improving efficiency. This research lays the groundwork for future advancements in operating theatre emergency management through data-driven decision-making.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100451"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}