Surgery Planning and Surgery Monitoring

Surgery planning plays a central role in many hospitals. In recent years, more and more central surgery areas have been established, which are used jointly by several fields of expertise. This requires coordinated planning, starting with a division of operating room capacity into contingents, adjusted personnel planning, and monitoring of the current plan with regard to delays and inserted emergencies.

Surgery Planning

With a planning horizon of several weeks, it does not make much sense to schedule an operation to the minute. The uncertainties in advance are too great, and the specific operation is often too imprecisely specified. Many hospitals therefore prefer to carry out detailed surgical planning at short notice (e.g., the day before).

Surgery Planning
Surgery Planning

Nevertheless, ORSOFT for Healthcare already works with concrete appointments as far as possible during rough planning. In this way, realistic multi-resource planning is possible with attention to the chronological relationships between appointments and nursing actions. The "rough planner" (e.g. admission coordinator) should be aware that his planned appointment is usually correct with regard to the day, but that the time he has determined is only provisional.

Furthermore, with ORSOFT for Healthcare, desired appointments / predefined appointment can also be planned like real appointments. Confirmation of the desired appointment by the surgery manager (i.e. booking of an appointment) can then be done simply by double-clicking.

Surgery status monitor

At the heart of the surgery planning module is an surgery status monitor that shows the current status of surgery planning based on surgery appointments (for surgeries that have not yet begun) and time stamps that have already been reported back (for surgeries that have already begun or ended). ORSOFT for Healthcare works exclusively with the surgery time markers or surgery phases preconfigured in Cerner i.s.h.med®. The display can be a bar chart or a calendar. The displayed time range can be freely selected, zooming is possible, as well the display of a time range over midnight is possible.

Overview operating rooms
Overview operating rooms

The status of a surgery is stored as a configurable color scheme, surgery phases can be displayed as bars in the bar ("Matryoshka bar"). For started surgeries, the planned duration is projected into the plan as a frame bar in addition to the surgery phases. If the planned duration is exceeded, the surgery bar is extended to the now time.

Planned surgeries are initially located at the time for which they were scheduled. Started operations lie according to the confirmed times. In this way an overlay of planned and actual status is obtained: as long as the operation has not been started, the plan is valid, with the start of the operation the surgery time markers count. The surgery status monitor can also be delivered in a variant in which operations not yet started are lined up at the now time and thus represent a queue.

Scope of functions

The surgery status monitor is available in two versions:

  • as a pure display monitor, if necessary with rolling display of the operating rooms,
  • as a status monitor with integrated planning functionalities.

Extensive planning functionalities allow, to

  • move surgeries that have not yet been started, as desired, or by time and space in the plan;
  • create new surgery appointments and link them to clinical orders;
  • report back time stamps, and correct time markers.

Numerous configurable icons and alarms show the patient in the context of resource occupancy, e.g., if delays to the next scheduled surgery are imminent, and in the context of his/her own appointment situation, e.g., if his/her scheduled surgery appointment now overlaps with other appointments due to postponements on the day of surgery. The software supports the occupancy planning and logistics of the operating room. Medical aspects are only recorded for documentation purposes.