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EDITORS CHOICE
Year : 2013  |  Volume : 8  |  Issue : 1  |  Page : 2-8

Improving on-time start for iMRI neurosurgeries


1 Department of Anaesthesiology, Singapore General Hospital, Singapore
2 Department of Operations and Performance Management, Singapore General Hospital, Singapore
3 Laboratory of Neurobehavioural Genomics, Duke-NUS Graduate Medical School, Singapore

Correspondence Address:
Natascha Fherzinah Rustom Ghadiali
Department of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore 169608
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1793-5482.110270

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Background: In the Singapore General Hospital, intraoperative MRI (iMRI) neurosurgery is a multi-disciplinary process that involves staff from multiple departments. However, a baseline analysis showed that only 10.5% of iMRI neurosurgeries start on time, resulting in unnecessary waste of resources. The project aimed to improve the percentage of on-time start iMRI neurosurgeries to 100% within nine months. Materials and Methods: Clinical Practice Improvement methodology was used. The project involves four phases: Diagnostic, in which a baseline analysis is conducted; Intervention, in which problem areas are identified; Implementation, in which potential solutions are implemented; and sustaining, in which strategies to sustain gains are discussed. Results: The percentage of on-time start cases gradually increased to 100% in eight months, and was sustained above 85% in the following five months. Conclusion: This project serves as a successful demonstration of how quality improvement can be effected in a complex, multidisciplinary workflow, which is the norm for many hospital procedures.


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