Redesigning operating room booking in a tertiary care academic centre during the COVID-19 pandemic

Redesigning operating room booking in a tertiary care academic centre during the COVID-19 pandemic

Can J Surg 2020;63(5):E449-E450 | PDF

Michael Tanzer, MD; Stella Racaniello, RN; Liane Feldman, MD

Summary

With the closure of most operating rooms (ORs) during the coronavirus disease 2019 (COVID-19) pandemic, the traditional allocation of block OR time needed to be redesigned. An important factor permitting the treatment of patients in a prioritized fashion was our pre-existing centralized OR booking (CORB) framework, which already required surgeons to categorize the priority level for each patient. The CORB, in conjunction with the multidisciplinary OR oversight committee that was formed during COVID-19 to review and triage the urgent cases, allowed for prioritization of cases among surgical services. Centralized OR booking provided opportunities that were essential in OR planning during the pandemic, including the ability to plan surgeries to maximize OR efficiency, minimize the number of admissions on any given day to the wards and the intensive care unit, flatten the number of admissions over the week and provide the flexibility to ramp up or down the number of ORs as the crisis changed.


Accepted July 28, 2020

Affiliations: From the Department of Surgery, McGill University Hospital Centre, Montreal, Que.

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.

DOI: 10.1503/cjs.013520

Correspondence to: M. Tanzer, Department of Orthopedic Surgery, McGill University, Montreal QC H3G 1A4, michael.tanzer@mcgill.ca