ED to OR times

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This is correct, which is why you must measure your general operating room
PREPAREDNESS, independent of case specifics.  

Instead of reviewing cases as they come along, focus on systematic provision
of a staffed and equipped operating room, in real time, period.  That way
there are no excuses or rationalizations or outcome-based near misses.
Plus, it's MUCH easier to QI: you just need to spot-check a couple of times
a week.  "Hi, OR?  This is the director of trauma.  Which room is designated
for trauma right now, and who's staffing it?"

Once that's out of the way, you've herded all the variables to the front
end.  From there it's all about keeping the ED interval short -- which
should all basically boil down to surgical leadership.  If your OR is
waiting and your surgeon is helping to push the gurney, things have a way of
distilling themselves.

Pret Bjorn, RN
Bangor, ME USA



-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Gross, Ronald
Sent: Monday, April 20, 2009 2:15 PM
To: 'Trauma and Critical Care mailing list'
Subject: RE: ED to OR times

Its case dependent - if someone needs the OR now, the literature tells us
that the best outcomes come from the NOW time to OR......sometimes from the
ambulance bay to the OR is what is necessary.

Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Michelle Bailey
Sent: Monday, April 20, 2009 1:44 PM
To: trauma-list at trauma.org
Subject: ED to OR times

Curious if anyone has an opinion or ideas backed by research about
appropriate ED to OR times for trauma patients.
Thanks
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