Evaluación del proceso del tiempo intraquirúrgico en el Centro Quirúrgico del Hospital General del Sur de Quito del IESS

Abstract

Abstract: The efficient management of the surgical center at the General Hospital of the South of Quito (HGSQ) of the Ecuadorian Institute of Social Security (IESS) is crucial for the resolutive capacity and financial viability of a hospital. This study, with a quantitative approach and cross-sectional design, had the general objective of measuring the times of the intraoperative process in scheduled surgeries at the General Hospital of the South of Quito. Through direct observation of 132 surgeries over 6 weeks, the times of patient arrival, room entry, cleaning, and turnover time were recorded. The results revealed an average turnover time of 53 minutes, exceeding the international standard of 20 to 40 minutes. The main delay factors were incomplete physical documentation of the patient (51.32%), delay of the attending physician (84.91% of late starts), the sum of prolonged surgeries and unproductive time (73.41% of delays for the next surgery), while the cleaning time of the surgical room was 17 minutes, a parameter that is within the standard.