TPW 9.16 Comparative Re-Audit of Unplanned Delays in Emergency General Surgery Theatre Lists
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ID: 324100
2026
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Abstract
Abstract Aims Prompt theatre start times can maximise theatre usage. This may reduce cancellations, length of stay and staff overtime. Our audit aimed to identify late theatre starts, review reasons for them, and conduct an intervention to reduce them. Methodology Late start was defined as any session where the time into operating room is after the scheduled session start time, according to the Operating Theatre Efficiency Guideline. This re-audit compared the rate of late starts and reasons for late starts in the scheduled Monday-Friday emergency theatre lists, between two 3-month periods, with an initial data collection period between 01/11/2024-11/02/2025 (n=71) and follow-up period between 01/04/2025-12/07/2025 (n=60). An educational intervention was delivered to the surgical and anaesthetic teams, and the registrar role was updated between the two periods. Results There was modest improvement in number of delayed morning lists, improving from 81% to 66% delayed. Mondays and Thursdays showed the best reduction in number of lists delayed, improving from 77% to 56% delayed, and from 69% to 43% delayed, respectively. Afternoon lists were slightly more delayed in the second cycle, increasing from 50% to 55% delayed. No reasons were given for any delayed starts to morning lists. Afternoon lists were most commonly delayed due to overrunning elective lists, but this was poorly documented. Conclusion Increased focus on emergency list planning helps to reduce late starts, improving efficiency. Most lists are still starting later than the required standard; improved documentation of reasons for theatre start delays could advise additional targeted interventions in future.
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openalex_W7172499596
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| Authors | Claire Russell, Robert Franz |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.414
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| URL | |
| Keywords | Keywords not found |
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