Introduction
C3's QCare OR is the solution to optimize the workflow and organisation of the complete operative process starting with the planning of the availabilities until the transport to the stay unit.
QCare OR , in combination with other parts of the QCare Suite accompanies the pre- peri- and postoperative phases of an intervention for both hospitalised patients and patients in short stay. QCare OR punctually registers the complete operative process and is a source of management information.
Occupation
Gross & net incision times
Anaesthetic times
Used materials
Staff Occupation
Etc.
Pre-operative planning
The planning of an intervention is done in two steps. Through QCare OR or a link to a hospital wide appointment system, a capacity planning is created. The available OR times that were allocated to the different disciplines & doctors are filled in.
This capacity planning starts a series of activities as eg preparation of materials, pre-operative examinations (eg. anaesthesia, cardio, pneumo, etc.) , default anaesthetic protocol, nomenclature and ICD9/ICD10 codes.
This capacity planning will be converted by QCare OR in a final planning. This will be represented graphically through the dasboard that immediately shows the present occupation. By means of colour codes it is possible to immediately assess the presence of incomplete records, bottlenecks and foreseeable overtime for the staff.
Resources
Human resources :
The critical resources linked to the protocol were already booked during the preliminary planning. For the definitive planning, the non critical resources will be added. QCare OR therefore has the possibility to add resources to one procedure or to one or more operating theatres.
Materials :
During the preliminary planning, all necessary materials are already defined. The surgeon and/or polyvalent co-worker can change these settings if necessary.
The different departments (pharmacy, central supplier, blood bank, sterilisation, etc. ) will receive information from these lists of materials.
Pre-anaesthesia
The anaesthetist receives from the preliminary planning a list of all patients that have to be seen. Depending on the protocols, the patient will be seen at the GP's, the poly pre-anaesthesia or right before the intervention. Web forms are available to gather these data in a clear and complete manner. (cfr. QCare AR).
Dashboard and worklists
The peri-operative process starts from the worklists. Per room, physician and critical resource, on-line overviews can be generated.
Through time registration, the status of the patient is shown (begin transport, arrival OR, preparation induction, induction, incision, closure, etc. )
The dashboard is a representation of the present status of all procedures. At every given moment, the dashboard gives relevant data on the place where the patients is, what the suspected duration of the procedure will be, where (potential) bottlenecks can occur, on which locations the emergency procedures can be booked etc.
The stay unit disposes of a webpage with relevant data for the patients on the unit. The unit can always see the patients status.
Peri operative registration
Once the patient is present in the Operating Theatre, the following items can be registered :
Phases of the intervention (introduction, incision, places of prostheses, closure, extubation, etc)
Materials : through the protocols the materials that normally should be consumed are provided. Materials can be checked for counting during their usage and post operative discounting.
Prostheses : registration of type, serial number, manufacturer, etc.
Staff : all persons involved in the procedure can be registered including the time.
Blood & blood derivates : registration of lot numbers, verified by, etc
Organ donation
QCare OR foresees in different registration possibilities : Bar code reader, Manual input, RF-tags, etc.
Post operative
After the intervention all the patients data will be put at the disposal of the wake-up, recovery and/or ICU unit. From this moment onwards, the patient will be followed medically and paramedically using QCare ICU. Operation report :
The OR report (excl. anaesthetic report) is generated using templates. The physicians can choose between manually filling in the templates and/or dictation.
Used materials & Tarification :
The physician and anaesthetist check the used materials and financial codes. Using the country dependent settings, different nomenclature sets are loaded (both for financial codes and clinical codes).
Management information
QCare OR allows a very detailed registration. All registered data are available for management aims and statistics. C3 has chosen Cognos to gather and analyse the necessary data.
This working method offers the care managers and physicians the possibility to work with their own dataset in a simple way and automatically generate a series of reports.
These reports can automatically be published on an intranet or be converted for further analysis purposes in the different types of formats (.xls, *.dbf, *.txt, *.Sql). | 
