Version: 2022 August

File ready to submit? 1

Manual Yes

IT No
100% Name of Lead Data Collector: DR.Mustafa Hosni 1
100% Phone Number: 554494889 1
100% Email Address: m_hussien@knh.com.sa 1
67% Data for the month of: August 1
Year: 2022 1
Hospital: EA-PVG-3 1
Facility Name: Al-Khafji National Hospital Company in Al-Khafji 1
Data entered is Complete and Consistent? yes 1
Attention: Prior to submitting this data file, it must undergo a review with the
data collector, with the Change Agent or Domain Leader, and with the PIU Agent
Note that the Change Agent, PIU Agent and Data Collector cannot be the same person.

Data Review Prior to Submission

Reviewed by PIO Agent? yes 1
Name of PIO Agent: Muneera Alsubaie 1
 yes
no

Maternity
Pediatric
General

2022
2023
2024

January
February
March
April
May
June
July
August
September
October
November
December

Provider Code Facility

AA-PVG-1 Al Ahsa Hospital
AA-PVG-2 Almana General Hospital, Al Ahsa
AS-PVG-1 Abha Private International Hospital
AS-PVG-4 Dr. Ghassan Najeeb Pharaon Hospital (Comprehensive Check)
AS-PVG-5 Magrabi Hospitals and Centers Company Branch Asir
AS-PVG-6 Mahayel National Hospital Company
AS-PVG-7 Saudi German Hospital Middle East Care Company Branch
EA-PVG-1 Al Yousef Hospital for Medical Care
EA-PVG-10 Almana General Hospital in Jubail
EA-PVG-11 Almana General Hospital, Khobar
EA-PVG-12 Arrawdha General Hospital
EA-PVG-13 Dar As-Salama Medical Hospital
EA-PVG-15 Gama Hospital
EA-PVG-16 Mohammad Fakhry & Dr.Ahmed Algarzaie hospital
EA-PVG-17 Mohammed Al-Dossary Hospital, Al-Khobar
EA-PVG-18 Mouwasat Hospital - Khobar
EA-PVG-19 Mowasat Hospital - Jubail
EA-PVG-20 Mowasat Hospital in Qatif
EA-PVG-21 Saudi German Hospital Middle East Healthcare Branch
EA-PVG-22 Specialized Care Hospital Company in Khobar
EA-PVG-23 Tadawi Hospital for Medical Services - Dammam
EA-PVG-3 Al-Khafji National Hospital Company in Al-Khafji
EA-PVG-4 Al-Mowasat Hospital in Dammam
EA-PVG-5 Al-Sadiq Hospital - Busaihat
EA-PVG-8 AlHassan AlNaamy Specialist Hospital
EA-PVG-9 Almana General Hospital in Dammam
HA-PVG-1 Alanwar Hospital
HA-PVG-2 Hail National Health Services Company Hospital (Saudi German)
HA-PVG-3 Salamat Hospital
HB-PVG-1 Almaali Hospital
HB-PVG-2 Dr. Noor Mohammed Khan General Hospital
JD-PVG-1 Abw Znadah
JD-PVG-10 Aya Hospital
JD-PVG-11 Bugshan
JD-PVG-12 Dr Khalid Edrees Hospital
JD-PVG-13 Dr Samir Abbas Hospital
JD-PVG-14 Dr. Bakhsh Hospital
JD-PVG-15 Dr. Erfan
JD-PVG-16 Dr. Soliman Fakeeh Hospital
JD-PVG-17 Hala Essa Bin Laden Hospital
JD-PVG-18 Hassan Ghazzawi Hospital
JD-PVG-19 Ibn Sina College
JD-PVG-2 Al Andalusia
JD-PVG-20 International Medical Center Hospital
JD-PVG-21 Jeddah Clinic Hospital Alkandarah
JD-PVG-22 Jeddah National Hospital
JD-PVG-23 Magrabi Hospitals and Centers Company Branch Jeddah
JD-PVG-24 New Jeddah Clinic Hospital
JD-PVG-25 Saudi German Hospital Jeddah
JD-PVG-26 United Doctors Hospital
JD-PVG-27 GNP Hospitals Group 1
JD-PVG-28 GNP Hospitals Group 2
JD-PVG-4 Al Jedaani
JD-PVG-5 Al Jedaani Aljadeed
JD-PVG-6 Al Mostaqbal Hospital
JD-PVG-7 Al Saudi
JD-PVG-8 Al-Hamra'a
JD-PVG-9 Alzahra hospitals
MD-PVG-1 Al Ansari Specialized Hospital
MD-PVG-3 Dr.Hamid Suliman AlAhmdi Hospital
MD-PVG-5 Mowasat Hospital
MD-PVG-7 Yanbu National Medical Services Hospital
MK-PVG-1 Al Saedy Hospital in Aljumum
MK-PVG-2 Al-Ahly Saudi Hospital Operating Al-Abeer Hospital Company Ltd.
MK-PVG-3 Al-Rafie Medical Hospital in Al-Sitban
MK-PVG-4 Makkah Medical Center Hospital
MK-PVG-5 Muhammad Saleh Basharahil Hospital
MK-PVG-6 Shifa Hospital in Makkah
NJ-PVG-1 Al Zafer Hospital
NJ-PVG-2 Najran Specialized Hospital Company
NJ-PVG-3 Shifa Medical Hospital
QS-PVG-2 Al-Fraih Maternity Hospital in Buraydah
RH-PVG-1 Adama Hospital
RH-PVG-11 Al Salam Health Medical Hospital
RH-PVG-13 Ali Bin Ali Hospital
RH-PVG-14 Aljafel hospital
RH-PVG-15 Al-Mowasat Hospital in Riyadh
RH-PVG-16 Aster Sanad Hospital
RH-PVG-2 Al Azhar Hospital
RH-PVG-20 Dar Al Shifa Hospital
RH-PVG-21 Dr. Abdul Rahman Al Mishari Hospital
RH-PVG-22 Dr. Mohammed Al-Fagih Hospital
RH-PVG-26 Elite Hospital
RH-PVG-27 Family Care Hospital
RH-PVG-31 National Hospital
RH-PVG-32 Obeid Specialized Hospital in Riyadh
RH-PVG-33 Rabia Hospital
RH-PVG-35 Saudi German Hospital
RH-PVG-36 Saudi Victoria Medical Hospital Company
RH-PVG-4 Al Hammadi Hospital (3) Nozha
RH-PVG-8 Magrabi Hospitals and Centers Company Branch Riyadh
RH-PVG-9 Al Osrah International Hospital
RH-PVREH-1 Sultan bin Abdulaziz City for Humanitarian Services
TF-PVG-1 Al Ameen Hospital
TF-PVG-3 Al-Nahda General Hospital
TF-PVG-4 Taif Hospital
My file is ready to submit

KPI 1: % KPI 1.1: % Elective

OR Room Elective OR OR Utilization OR Volume # of ORs
Utilization (Overall)

1 6.61% 9.49% 40 3
2 1.09% 1.20% 40
3 4.34% 8.02% 47
4 0.00% 0.00% 0
5 0.00% 0.00% 0
6 0.00% 0.00% 0
7 0.00% 0.00% 0
8 0.00% 0.00% 0
9 0.00% 0.00% 0
10 0.00% 0.00% 0
11 0.00% 0.00% 0
12 0.00% 0.00% 0
13 0.00% 0.00% 0
14 0.00% 0.00% 0
15 0.00% 0.00% 0
16 0.00% 0.00% 0

17 0.00% 0.00% 0
18 0.00% 0.00% 0
19 0.00% 0.00% 0
20 0.00% 0.00% 0
21 0.00% 0.00% 0
22 0.00% 0.00% 0
23 0.00% 0.00% 0
24 0.00% 0.00% 0
25 0.00% 0.00% 0
26 0.00% 0.00% 0
27 0.00% 0.00% 0
28 0.00% 0.00% 0
29 0.00% 0.00% 0
30 0.00% 0.00% 0
31 0.00% 0.00% 0
32 0.00% 0.00% 0
33 0.00% 0.00% 0
34 0.00% 0.00% 0
35 0.00% 0.00% 0
36 0.00% 0.00% 0
37 0.00% 0.00% 0
38 0.00% 0.00% 0
39 0.00% 0.00% 0
40 0.00% 0.00% 0

days in month
April 30
August 31
December 31
February 28
January 31
July 31
June 30
March 31
May 31
November 30
October 31
September 30
 days in mo # working days
April 30 21
August 31 23
December 31 21
February 28 20
January 31 22
July 31 13
June 30 21
March 31 23
May 31 23
November 30 22
October 31 23
September 30 20
Comprehensive Check)
ny Branch Asir

re Company Branch

zaie hospital

althcare Branch

y Hospital (Saudi German)

ny Branch Jeddah
eer Hospital Company Ltd.

ny Branch Riyadh

rian Services
 OR Surgery Specialty KPI 2: % Surgical Cancellation Rate Surgery Volume

Bariatric 0
Cardiothoracic 0
Dentistry 0% 1
General 5% 57
Gynecology 0% 6
Maxillofacial 0
Neurosurgery 0
Obstetrics 0% 17
Ophthalmology 0% 2
Orthopedics 8% 11
Otolaryngology_Head_N 0% 2
Pediatric 0
Plastic 0
Transplant 0
Urology 0
Vascular 0
MOH Day Surgery
Specialty KPI 2: % Surgical Cancellation Rate Surgery Volume

ENT 0% 12
General 16% 16
Gynecology 0% 3
Ophthalmology 0
Oral 0
Orthopedics 0
Pediatric 0
Plastic 0
Urology 0
# working days
17 4/30/2022
23 8/30/2022
23 12/31/2022
19 2/28/2022
21 1/31/2022
21 7/31/2022
22 6/30/2022
23 3/31/2022
15 5/31/2022
22 11/30/2022
21 10/31/2022
22 9/30/2022
# Sundays # Mondays
5 4
4 4
5 4
4 4
5 5
5 5
4 4
4 4
4 5
4 4
5 5
4 4
 MOH Day Surgery Specialty Total Day Surgery KPI 4: Day Surgery
Cancellation Rate

ENT Err:508 0%
General Err:508 9%
Gynecology Err:508 0%
Ophthalmology Err:508 0%
Oral Err:508 0%
Orthopedics Err:508 0%
Pediatric Err:508 0%
Plastic Err:508 0%
Urology Err:508 0%

KPI 4: Day Surgery

Surgery name Total Day Surgery Cancellation Rate
Anal Surgery Err:508 0%
Arthroscopy Err:508 0%
Cataract Err:508 0%
Cholecystectomy Err:508 0%
Excission of Benign Breast Lump Err:508 0%
Hernia Err:508 3%
Orchidopexy Err:508 0%
Septoplasty Err:508 0%
Squint Err:508 0%
Tonsillectomy Err:508 0%
Adenoidectomy Err:508 0%
Other Err:508 6%
# Tuesday #Thursdays
4 4
5 5
4 4
4 4
4 4
4 4
4 4
5 5
5 4
4 5
5 4
4 4
 Surgery Scheduled Date of patient
Patient ID Date of Surgery Operating Theater Surgery Cancelled?
Mandatory (DD-MMM-YYYY) Time admission to hospital Number (Yes / No)
(hh:mm) (DD-MMM-YYYY)

259310 1-Aug-2022 10:00 1-Aug-2022 2 No

259361 1-Aug-2022 10:20 1-Aug-2022 2 No
259374 1-Aug-2022 10:45 1-Aug-2022 2 No
129213 1-Aug-2022 9:00 1-Aug-2022 1 Yes
259377 2-Aug-2022 11:30 2-Aug-2022 1 No
226055 2-Aug-2022 9:00 2-Aug-2022 1 No
39206 2-Aug-2022 10:00 2-Aug-2022 3 No
101426 2-Aug-2022 12:00 2-Aug-2022 3 No
18678 2-Aug-2022 11:00 2-Aug-2022 3 No
259388 2-Aug-2022 13:00 2-Aug-2022 3 No
259400 2-Aug-2022 10:00 2-Aug-2022 2 No
178165 3-Aug-2022 9:00 3-Aug-2022 1 No
259422 3-Aug-2022 12:00 3-Aug-2022 2 No
259243 3-Aug-2022 13:00 3-Aug-2022 3 No
217329 4-Aug-2022 9:00 4-Aug-2022 3 No
78818 4-Aug-2022 11:30 4-Aug-2022 3 No
259202 4-Aug-2022 10:30 4-Aug-2022 2 No
226055 6-Aug-2022 9:00 6-Aug-2022 1 No
189290 6-Aug-2022 10:00 6-Aug-2022 1 No
259199 6-Aug-2022 11:30 6-Aug-2022 3 No
258851 6-Aug-2022 10:45 6-Aug-2022 2 No
259124 6-Aug-2022 11:10 6-Aug-2022 2 No
259418 7-Aug-2022 9:30 7-Aug-2022 2 No
259341 7-Aug-2022 10:00 7-Aug-2022 2 No
259509 7-Aug-2022 10:30 7-Aug-2022 2 No
259500 7-Aug-2022 9:08 7-Aug-2022 3 No
113371 8-Aug-2022 10:30 8-Aug-2022 1 No
2094441 8-Aug-2022 10:41 8-Aug-2022 3 No
259346 8-Aug-2022 10:00 8-Aug-2022 2 No
117804 9-Aug-2022 13:00 9-Aug-2022 1 No
259576 9-Aug-2022 15:00 9-Aug-2022 1 No
135258 9-Aug-2022 16:00 9-Aug-2022 1 No
241172 9-Aug-2022 12:00 9-Aug-2022 1 No
257230 9-Aug-2022 9:00 9-Aug-2022 3 No
177743 9-Aug-2022 11:00 9-Aug-2022 3 Yes
259188 10-Aug-2022 1:00 10-Aug-2022 1 No
254406 10-Aug-2022 13:30 10-Aug-2022 3 No
257696 10-Aug-2022 9:00 10-Aug-2022 1 No
58222 10-Aug-2022 12:00 10-Aug-2022 3 No
259591 10-Aug-2022 10:30 10-Aug-2022 1 No
28026 10-Aug-2022 11:20 10-Aug-2022 2 No
255884 10-Aug-2022 11:40 10-Aug-2022 2 No
99747 11-Aug-2022 10:30 11-Aug-2022 3 No
249373 11-Aug-2022 9:00 11-Aug-2022 1 No
259645 11-Aug-2022 19:45 11-Aug-2022 1 No
177743 13-Aug-2022 15:30 13-Aug-2022 3 No
143620 13-Aug-2022 16:30 13-Aug-2022 1 No
246621 13-Aug-2022 13:00 13-Aug-2022 3 No
188243 13-Aug-2022 10:30 13-Aug-2022 1 No
217281 13-Aug-2022 12:20 13-Aug-2022 2 No
203589 13-Aug-2022 9:00 13-Aug-2022 1 Yes
116178 14-Aug-2022 11:00 14-Aug-2022 3 No
245085 14-Aug-2022 12:00 14-Aug-2022 1 No
197719 14-Aug-2022 10:00 14-Aug-2022 3 No
259674 14-Aug-2022 11:00 14-Aug-2022 3 No
259512 14-Aug-2022 11:30 14-Aug-2022 3 No
211187 14-Aug-2022 9:00 14-Aug-2022 1 Yes
157849 15-Aug-2022 9:00 15-Aug-2022 3 No
259651 15-Aug-2022 10:30 15-Aug-2022 3 No
259697 15-Aug-2022 10:00 15-Aug-2022 3 No
259721 15-Aug-2022 19:00 15-Aug-2022 1 No
212926 16-Aug-2022 12:00 16-Aug-2022 3 No
223760 16-Aug-2022 9:00 16-Aug-2022 1 No
126047 16-Aug-2022 11:00 16-Aug-2022 3 No
259739 16-Aug-2022 15:00 16-Aug-2022 3 No
4841 17-Aug-2022 9:00 17-Aug-2022 1 No
259767 17-Aug-2022 13:30 17-Aug-2022 3 No
259617 18-Aug-2022 10:00 18-Aug-2022 2 No
259290 18-Aug-2022 10:30 18-Aug-2022 2 No
103616 18-Aug-2022 16:30 18-Aug-2022 1 No
135884 20-Aug-2022 10:00 20-Aug-2022 3 No
232481 20-Aug-2022 11:00 20-Aug-2022 1 No
259824 20-Aug-2022 10:00 20-Aug-2022 3 No
258320 20-Aug-2022 10:30 20-Aug-2022 2 No
202378 21-Aug-2022 23:30 21-Aug-2022 1 No
64609 21-Aug-2022 12:00 21-Aug-2022 3 No
258757 21-Aug-2022 10:30 21-Aug-2022 2 No
25962 21-Aug-2022 10:55 21-Aug-2022 2 No
259858 22-Aug-2022 10:00 22-Aug-2022 2 No
259866 22-Aug-2022 10:30 22-Aug-2022 2 No
259503 22-Aug-2022 11:00 22-Aug-2022 2 No
259841 22-Aug-2022 9:00 22-Aug-2022 1 No
174429 23-Aug-2022 10:30 23-Aug-2022 3 No
257303 23-Aug-2022 12:00 23-Aug-2022 1 No
200811 23-Aug-2022 9:00 23-Aug-2022 1 No
259878 23-Aug-2022 11:00 23-Aug-2022 3 No
258904 23-Aug-2022 11:20 23-Aug-2022 2 No
259735 23-Aug-2022 11:40 23-Aug-2022 2 No
259910 23-Aug-2022 14:30 23-Aug-2022 2 No
172355 23-Aug-2022 18:00 23-Aug-2022 1 No
212134 24-Aug-2022 9:00 24-Aug-2022 3 No
259844 24-Aug-2022 14:00 24-Aug-2022 1 No
234020 24-Aug-2022 12:00 24-Aug-2022 3 No
259747 24-Aug-2022 10:00 24-Aug-2022 2 No
259798 24-Aug-2022 10:20 24-Aug-2022 2 No
259928 24-Aug-2022 11:30 24-Aug-2022 2 No
224372 25-Aug-2022 15:30 25-Aug-2022 1 No
203589 25-Aug-2022 9:00 25-Aug-2022 3 No
259742 25-Aug-2022 11:30 25-Aug-2022 3 No
83833 25-Aug-2022 10:30 25-Aug-2022 3 No
161805 25-Aug-2022 14:00 25-Aug-2022 1 No
259950 25-Aug-2022 10:50 25-Aug-2022 2 No
190724 27-Aug-2022 9:00 27-Aug-2022 1 No
84901 27-Aug-2022 13:00 27-Aug-2022 3 No
259947 27-Aug-2022 11:00 27-Aug-2022 2 No
259593 27-Aug-2022 10:30 27-Aug-2022 1 No
227392 27-Aug-2022 17:30 27-Aug-2022 3 No
139728 27-Aug-2022 15:00 27-Aug-2022 3 No
132447 27-Aug-2022 14:00 27-Aug-2022 1 No
259513 27-Aug-2022 10:00 27-Aug-2022 2 No
259665 27-Aug-2022 9:30 27-Aug-2022 2 No
104916 28-Aug-2022 11:00 28-Aug-2022 1 No
252958 28-Aug-2022 12:00 28-Aug-2022 3 No
233789 28-Aug-2022 9:00 28-Aug-2022 3 No
260015 28-Aug-2022 10:00 28-Aug-2022 2 No
259678 28-Aug-2022 10:20 28-Aug-2022 2 No
183534 28-Aug-2022 21:15 28-Aug-2022 3 No
235835 29-Aug-2022 14:00 29-Aug-2022 1 No
110031 29-Aug-2022 12:00 29-Aug-2022 3 No
256177 29-Aug-2022 10:30 29-Aug-2022 3 No
259681 29-Aug-2022 10:00 29-Aug-2022 2 No
86707 29-Aug-2022 9:00 29-Aug-2022 3 Yes
85768 29-Aug-2022 15:30 29-Aug-2022 1 Yes
247700 30-Aug-2022 9:00 30-Aug-2022 1 No
214624 30-Aug-2022 10:30 30-Aug-2022 1 No
172411 30-Aug-2022 12:00 30-Aug-2022 3 No
260050 30-Aug-2022 10:00 30-Aug-2022 2 No
259399 30-Aug-2022 10:30 30-Aug-2022 2 No
246212 30-Aug-2022 9:00 30-Aug-2022 3 Yes
86336 31-Aug-2022 15:00 31-Aug-2022 1 No
131324 31-Aug-2022 11:30 31-Aug-2022 3 No
259963 31-Aug-2022 12:00 31-Aug-2022 1 No
260075 31-Aug-2022 9:30 31-Aug-2022 2 No
260017 31-Aug-2022 10:10 31-Aug-2022 2 No
x x x x x x
 One Day Surgery list? Day Surgery Day Surgery
Reason for Cancellation (Yes / No) Specialty Procedure

No
No
No
Patient No Show No
No
No
No
Yes General Other
Yes Gynecology Other
Yes General Other
No
Yes ENT Septoplasty
No
Yes ENT Septoplasty
Yes General Anal Surgery
Yes General Other
No
No
No
No
No
No
No
No
No
Yes General Other
No
Yes General Anal Surgery
No
No
No
No
No
No
Patient No Show No
No
Yes Gynecology Other
No
Yes General Other
No
No
 No
Yes Gynecology Other
No
No
No
No
Yes General Anal Surgery
No
Yes General Other
Patient No Show No
Yes General Other
No
No
No
No
Patient No Show No
Yes General Other
No
No
No
Yes General Other
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes ENT Septoplasty
No
No
No
No
No
No
Yes General Other
Yes ENT Septoplasty
No
No
 No
No
No
No
No
No
Yes ENT Other
No
No
No
No
No
Yes ENT Septoplasty
No
Yes ENT Other
No
No
No
No
No
Yes ENT Other
Yes ENT Septoplasty
No
No
No
No
Yes ENT Septoplasty
Yes General Other
No
No
Yes ENT Other
No
Yes General Other
Yes General Anal Surgery
No
Patient No Show Yes General Other
Patient No Show Yes General Hernia Repair
No
No
No
No
No
Patient No Show Yes General Other
No
No
Yes ENT Septoplasty
No
No
x x x x
 Patient in
Procedure Name Operating Theater
Day Surgery Procedure (if "other") Elective Specialty Elective Procedure (if "other") time
(hh:mm)

General Other Circumcision 10:00

General Other Circumcision 10:20
General Other Circumcision 10:45
Orthopedics Other ORIF with plate and screws
Orthopedics Other Open Reduction with 1:32
Ophthalmology Other Intravitreal Injection 8:57
Gynecology Other perineorrhapy 10:18
excision of skin and subcutaneous lesions 11:08
D&C 10:01
excision of skin and subcutaneous lesions 12:11
General Other Circumcision 10:00
13:15
General Other Circumcision 12:00
14:47
9:22
excision of skin and subcutaneous lesions 11:46
General Other Circumcision 10:30
Ophthalmology Other Intravitreal Injection 8:55
Gynecology Other Cystectomy 9:48
General Other Intragastric Baloon 11:02
General Other Circumcision 10:45
General Other Circumcision 11:10
General Other Circumcision 9:30
General Other Circumcision 10:00
General Other Circumcision 10:30
excision of ingrowing nails 9:08
Obstetrics Other Cesarean section 9:33
10:41
General Other Circumcision 10:00
Obstetrics Other Cesarean section 11:27
Orthopedics Other Wound Exploration 12:58
Orthopedics Other Wound Exploration 9:31
Gynecology Other Myomectomy 12:53
General Cholecystectomy 9:48
General Other Colonoscopy with Biopsy
Obstetrics Other Cesarean section 1:00
D&C 2:31
Gynecology Other Myomectomy, Ovaria 10:22
excision of pilonidal sinus 11:28
Obstetrics Other Cesarean section 12:12
General Other Circumcision 11:20
 General Other Circumcision 11:40
D&C 10:08
General Other Circumcision 9:26
Orthopedics Other Wound Exploration, 19:48
General Other Colonoscopy with Bi 14:03
Gynecology Other Salphingectomy 0:58
10:48
Obstetrics Other Cesarean section 9:18
excision of ingrowing nails 12:29
General Other Circumcision
excision of ingrowing nails 10:28
Obstetrics Other Cesarean section 10:58
General Other Circumcision 9:22
General Other Circumcision 11:00
General Other Circumcision 11:30
General Other Circumcision
excision of skin and subcutaneous lesions 9:26
General Cholecystectomy 10:18
General Other Circumcision 10:00
Orthopedics Other Wound Debridment , 19:03
excision of skin and subcutaneous lesions 9:17
Orthopedics Other Open reduction with 9:42
General Other Colonoscopy with Bi 10:36
General Other Cutting of Phymosis 15:16
Orthopedics Other Close Reduction with 9:27
General Other Circumcision 13:30
General Other Circumcision 10:01
General Other Circumcision 10:30
Obstetrics Other Cesarean Section 16:26
General Other Gastrocolonoscopy 10:00
Obstetrics Other Cesarean section 11:18
General Other Circumcision 10:00
General Other Circumcision 10:25
Obstetrics Other Cesarean section 23:35
12:22
General Other Circumcision 10:30
General Other Circumcision 10:55
General Other Circumcision 10:00
General Other Circumcision 10:30
General Other Circumcision 11:01
Orthopedics Other Wound debridment , 9:15
drainage of subcutaneous abscess 10:12
11:53
Obstetrics Other Cesarean section 9:17
General Other Circumcision 11:00
 General Other Circumcision 11:20
General Other Circumcision 11:40
General Other Circumcision 14:30
Obstetrics Other Cesarean section 18:10
Dentistry Other Dental Treatment 9:12
Obstetrics Other Cesarean section 10:37
tonsillectonmy and adenoidectomy 12:58
General Other Circumcision 10:00
General Other Circumcision 10:20
General Other Circumcision 11:30
Obstetrics Other Cesarean Section 9:08
General Other Circumcision 9:37
12:38
General Other Gastrocolonoscopy 11:08
tonsillectonmy and adenoidectomy 11:07
General Other Circumcision 10:50
Obstetrics Other Cesarean section 9:18
General Other Colonoscopy with Bi 9:58
General Other Circumcision 11:11
Otolaryngology_Head_NecOther otoplasty 11:38
foreign bodies from nose, ears and throats 12:25
13:23
Gynecology Other Perineal Repair 15:08
General Other Circumcision 10:00
General Other Circumcision 9:30
Obstetrics Other Cesarean Section 10:55
11:57
laparoscopic cholecystectomy 9:18
General Other Circumcision 10:01
General Other Circumcision 10:18
foreign bodies from nose, ears and throats 21:18
Orthopedics Other ORIF with plate and 9:18
drainage of subcutaneous abscess 9:42
10:23
General Other Circumcision 10:00
drainage of subcutaneous abscess

Obstetrics Other cesarean section 9:47

Orthopedics Other Wound debridement 10:37
Otolaryngology_Head_NecOther FESS, Turbinectomy, 11:55
General Other circumcision 10:00
General Other Circumcision 10:30
laparoscopic cholecystectomy
Orthopedics Other Avulsion and tendon 9:18
Obstetrics Other Cesarean section 9:59
 12:05
General Other Circumcision 9:30
General Other Circumcision 10:10
x x x x x
Calendar Days Time Patient Calendar Days later Calendar Days later
later for Time for Start Cleaning Start Cleaning time for End Cleaning End Cleaning time
patient Out out of OR time (hh:mm) time (hh:mm)
(hh:mm)
(Enter if > 0) (Enter if > 0) (Enter if > 0)

10:08 10:09 10:15

10:30 10:31 10:38
10:54 10:55 11:00

4:03 4:05 4:13

9:13 9:15 9:25
11:08 11:10 11:15
11:28 11:30 11:40
10:07 10:21 10:30
12:17 12:18 12:23
10:19 10:20 10:26
14:23 14:25 14:35
12:11 12:12 12:17
15:43 15:45 15:55
10:03 10:05 10:10
12:03 12:05 12:10
10:38 10:39 10:45
9:13 9:15 9:25
10:43 10:45 10:53
11:26 12:35 12:43
10:54 10:56 11:00
11:21 11:22 11:31
9:41 9:42 9:50
10:10 10:11 10:18
10:41 10:42 10:50
9:33 9:35 9:42
10:34 10:35 10:43
11:03 11:04 11:11
10:11 10:12 10:17
12:18 12:20 12:30
14:28 15:01 15:10
12:33 12:35 12:48
13:43 13:45 13:50
10:53 10:56 11:05

1:43 1:45 1:50

2:43 2:46 2:53
11:23 11:25 11:35
11:48 11:50 11:58
13:12 13:15 13:25
11:30 11:31 11:36
11:46 11:47 11:52
10:33 10:35 10:43
9:43 9:45 9:55
21:03 21:05 21:13
14:43 14:45 14:55
2:08 2:09 2:18
11:21 11:22 11:30
10:18 10:20 10:28
12:48 12:49 12:55

11:08 11:10 11:20

11:58 12:00 12:10
10:03 10:05 10:11
11:10 11:11 11:16
11:40 11:41 11:47

9:33 10:11 10:20

11:43 11:45 11:55
10:11 10:12 10:20
19:58 20:00 20:08
9:48 9:50 9:58
11:38 11:39 11:48
11:19 11:20 11:30
15:48 15:50 16:00
10:43 10:45 10:53
13:40 13:41 13:48
10:11 10:12 10:20
10:40 10:41 10:48
17:43 17:45 17:55
11:45 11:46 11:55
12:18 12:20 12:30
10:11 10:12 10:18
10:36 10:37 10:42
0:03 0:06 0:13
15:18 15:21 15:30
10:41 10:42 10:47
11:06 11:07 11:13
10:09 10:10 10:15
10:39 10:40 10:45
11:10 11:11 11:15
10:28 10:31 10:40
10:38 10:40 10:49
14:23 14:25 14:35
10:43 10:45 10:55
11:10 11:11 11:15
11:29 11:30 11:35
11:50 11:51 11:56
14:39 14:40 14:48
19:28 19:30 19:40
13:13 13:15 13:25
12:08 12:10 12:20
14:10 14:11 14:21
10:11 10:13 10:18
10:29 10:30 10:35
11:39 11:40 11:50
10:13 10:14 10:29
10:28 10:31 10:38
16:03 16:04 16:13
11:53 11:56 12:05
12:18 12:20 12:30
11:00 11:01 11:06
10:43 10:45 10:55
11:32 11:34 11:40
11:23 11:25 11:35
13:28 13:30 13:40
12:38 12:40 12:50
17:00 17:05 17:15
15:53 15:55 16:05
10:01 10:11 10:19
9:40 9:41 9:47
12:18 12:20 12:30
15:08 15:10 15:18
10:48 10:51 11:00
10:09 10:10 10:15
10:30 10:31 10:38
22:28 22:29 22:38
12:08 12:10 12:20
10:03 10:05 10:15
10:58 11:04 11:10
10:09 10:10 10:18

10:48 10:50 11:00

11:58 12:00 12:10
14:03 14:06 14:15
10:10 10:11 10:14
10:40 10:41 10:50

10:53 10:55 11:05

11:13 11:16 11:26
15:23 15:26 15:35
9:38 9:39 9:43
10:19 10:20 10:25
x x x x x x
 OR Use after Turnaround
OR Use List of Non-functioning and Emergency
(min) working hours Time ORs
(min) (h:mm)

8.00 0.00 0:06 18

10.00 0.00 0:07
9.00 0.00 0:05

151.00 0.00 0:08

16.00 0.00 0:10
50.00 0.00 0:05
20.00 0.00 0:10
6.00 0.00 0:09
0.00 6.00 0:05
19.00 0.00 0:06
0.00 68.00 0:10
0.00 11.00 0:05
0.00 56.00 0:10
41.00 0.00 0:05
14.00 3.00 0:05
8.00 0.00 0:06
18.00 0.00 0:10
55.00 0.00 0:08
24.00 0.00 0:08
9.00 0.00 0:04
11.00 0.00 0:09
11.00 0.00 0:08
10.00 0.00 0:07
11.00 0.00 0:08
25.00 0.00 0:07
61.00 0.00 0:08
22.00 0.00 0:07 Total number of non-functioning ORs
11.00 0.00 0:05 Total number of Emergency ORs
33.00 18.00 0:10
0.00 90.00 0:09
149.00 33.00 0:13
0.00 50.00 0:05
65.00 0.00 0:09

43.00 0.00 0:05

12.00 0.00 0:07
61.00 0.00 0:10
20.00 0.00 0:08
0.00 60.00 0:10
10.00 0.00 0:05
 6.00 0.00 0:05
25.00 0.00 0:08
17.00 0.00 0:10
12.00 63.00 0:08
0.00 40.00 0:10
70.00 0.00 0:09
33.00 0.00 0:08
60.00 0.00 0:08
0.00 19.00 0:06

40.00 0.00 0:10

60.00 0.00 0:10
41.00 0.00 0:06
10.00 0.00 0:05
10.00 0.00 0:06

7.00 0.00 0:09

85.00 0.00 0:10
11.00 0.00 0:08
55.00 0.00 0:08
31.00 0.00 0:08
116.00 0.00 0:09
43.00 0.00 0:10
0.00 32.00 0:10
76.00 0.00 0:08
0.00 10.00 0:07
10.00 0.00 0:08
10.00 0.00 0:07
77.00 0.00 0:10
105.00 0.00 0:09
42.00 18.00 0:10
11.00 0.00 0:06
11.00 0.00 0:05
28.00 0:07
0.00 176.00 0:09
11.00 0.00 0:05
11.00 0.00 0:06
9.00 0.00 0:05
9.00 0.00 0:05
9.00 0.00 0:04
73.00 0.00 0:09
26.00 0.00 0:09
7.00 143.00 0:10
86.00 0.00 0:10
10.00 0.00 0:04
 9.00 0.00 0:05
10.00 0.00 0:05
0.00 9.00 0:08
78.00 0.00 0:10
168.00 73.00 0:10
83.00 8.00 0:10
0.00 72.00 0:10
11.00 0.00 0:05
9.00 0.00 0:05
9.00 0.00 0:10
65.00 0.00 0:15
51.00 0.00 0:07
3.00 202.00 0:09
45.00 0.00 0:09
53.00 18.00 0:10
10.00 0.00 0:05
85.00 0.00 0:10
94.00 0.00 0:06
12.00 0.00 0:10
22.00 88.00 0:10
0.00 13.00 0:10
60.00 157.00 0:10
0.00 45.00 0:10
1.00 0.00 0:08
10.00 0.00 0:06
65.00 18.00 0:10
3.00 188.00 0:08
90.00 0.00 0:09
8.00 0.00 0:05
12.00 0.00 0:07
70.00 0:09
162.00 8.00 0:10
21.00 0.00 0:10
35.00 0.00 0:06
9.00 0.00 0:08

61.00 0.00 0:10

81.00 0.00 0:10
5.00 123.00 0:09
10.00 0.00 0:03
10.00 0.00 0:09

95.00 0.00 0:10

74.00 0.00 0:10
0.00 198.00 0:09
8.00 0.00 0:04
9.00 0.00 0:05
x x x
 Reason OR Prime Time Hours

Emergency 8
480
Total Number of Non-Emergency Functioning ORs
3

0
1
equipment
infection control
no budget
rennovation
no staff
 KPI 1.1: % Elective OR KPI 2: % Surgical
KPI 1: % Elective OR Utilization Utilization (Overall) Cancellation Rate

12.0% 18.7% 5%

Instructions:
Complete this slide if your OR data is collected manually

Data Quality Check

Completeness
Patient IDs Actual Count: 134
Date of Surgery Actual Count: 134
Surgery Scheduled Time Actual Count: 134
Date of patient admission to hospital Actual Count: 134
(DD-MMM-YYYY)
Operating Theater Number Actual Count: 134
Surgery Cancelled? (YES) Actual Count: 7
Surgery Cancelled? (NO) Actual Count: 127
Reason for Cancellation Actual Count: 7
On Day Surgery list? Actual Count: 134
On Day Surgery list? (Yes) Actual Count: 34
On Day Surgery list? (No) Actual Count: 100
Day Surgery Specialty Actual Count: 34
Day Surgery Procedure Actual Count: 34
Day Surgery Procedure (Other) Actual Count: 21
Day Surgery Procedure (Other) Actual Count: 21
Elective Specialty Actual Count: 100
Elective Procedure Actual Count: 100
Elective Procedure (Other) Actual Count: 98
Procedure Name Actual Count: 98
Patient in Operating Theater time Actual Count: 127
Time Patient out of OR Actual Count: 127
Start Cleaning time Actual Count: 127
End Cleaning time Actual Count: 127
Emergency Surgery Volume Actual Count: 1
# of functioning ORs Actual Count: 1
Consistency
Date (Collected Month)? 134
Date (Collected Year)? 134
Number of used Ors greater than the total functioning Ors 1
Valididty
Time Match 4. Time Out & Clean Start 0%
Time Match 4. Time Out & Clean Start 0%
Time Match 5. Clean Start & Clean Stop 0%
Sequencing 3. Time out < Patient in 0%
Sequencing 4. Clean Start < Time Out 0%
Sequencing 5. Clean Stop < Clean Start 0%
Duplicate 1: Date / Patient ID / Elective specialty / Day surgery specialty 0%
Duplicate 2: Patient In / Patient Out / Start Cleaning Time / End Cleaning Time 0%
Not Allowable Day Surgery Specialty 0%
Not Allowable Day Surgery Sub Specialty 0%
Not Allowable Elective Specialty 0%
Not Allowable Elective Sub Specialty 0%
Default
File ready to submit? 1
Used the correct monthly data sheet version? Version: 2022 August
Coverage
Was data entered in all required cells? 100%
 Number of
Emergency Scheduled Scheduled OR Scheduled Scheduled Surgeries
% of Elective Elective Surgery OR Start OR Start OR End Started
Surgeries Volume Surgery Time Shift 1 End Time Shift 1 Time Shift 2 Time Shift 2 after
Volume (hh:mm)
(hh:mm) (hh:mm) (hh:mm) working
hours
86% 108 18 8:00 12:00 16:00 20:00 31

480.00 960.00
720.00 1200.00

1
1
1

1
1
1

1
1
1

1
1
1

1
1
1
1
1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
 Duplicate
Time 1: Date /
KPI 4: Day Time Time Match 5. Sequencing Sequencing Sequencing Patient ID /
Surgery Match 3. Match 4. 4. Clean 5. Clean
Cancellation Time In & Time Out & Clean Start 3. Time out
& Clean < Patient in Start < Stop < Elective
specialty /
Rate Time Out Clean Start Stop Time Out Clean Start Day surgery
0:15 specialty
9% 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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2: Patient Not Not Not
In / Patient Allowable Allowable Not Allowable
Out / Start Day Allowable
Cleaning Day Surgery Elective Elective
Surgery Sub
Time / End Specialty Sub Specialty Specialty
Cleaning Specialty
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 Total volume of patients on Volume of new patients
Specialty waiting list added to the list
available?
Specialty (any number or ND "No (any number or ND "No
(On Hold, Demand") Demand")
Available, N/A) Don't write 0 or zero Don't write 0 or zero

Bariatric Surgery N/A

Cardiothoracic Surgery N/A
Dentistry Available ND ND
ENT Surgery - Otolaryngology Available ND ND
General Surgery Available ND ND
Neurosurgery N/A
Obstetrics & Gynecology Available ND ND
Ophthalmology Available ND ND
Oral Surgery N/A
Orthopedics Surgery Available ND ND
Pediatrics Surgery N/A
Plastic Surgery N/A
Urology N/A
Vascular Surgery N/A
Overall 0 0
x x x x
 Volume of patients with booked
surgeries within the next 36 days OR session per month Average duration of the Total of Elective
session (hours) surgeries performed
(any number or ND "No Demand") (per specialty) ( 2, 4 , 6, 8) hours during this month

ND 3 3 1
ND 1 2 2
ND 1 1 64

ND 1 1 24
ND 1 1 2

ND 1 1 11

0 8 2 104
x x x x
 Total Number of one day Date of 2nd next Calculated days
Surgeries performed during Total of surgeries Snapshot capture date available slot until 2nd Next
performed during this
this month (According to MoH month (DD-MMM-YYYY) appointment available
one day surgries list) (DD-MMM-YYYY) appointment

0 1 24-Aug-2022 31-Aug-2022 7
12 14 3-Aug-2022 31-Aug-2022 28
10 74 1-Aug-2022 31-Aug-2025 1126

2 26 2-Aug-2022 31-Aug-2022 29
0 2 2-Aug-2022 6-Aug-2022 4

0 11 2-Aug-2022 31-Aug-2022 29

24 128 KPI 3 Waiting time for elective surgeries 204

x x x x x
 Number of Non-Emergency Functioning ORs Number of Non-
Functioning ORs

2 1

Instructions:
Complete this slide if your OR data is collected manually and IT

Data Quality Check

Completeness
Specialty Actual Count:
Specialty available? N/A Actual Count:
Specialty available? Available Actual Count:
Specialty available? On Hold Actual Count:
Specialty available? Actual Count:
Total volume of patients on waiting list Actual Count:
Volume of new patients added to the list Actual Count:
Volume of patients with booked surgeries within the next 36 days Actual Count:
OR session per week Actual Count:
OR session per week (0) Actual Count:
Average duration of the session (hours) Actual Count:
Total of Elective surgeries performed during this week Actual Count:
Total Number of one day Surgeries performed during this week Actual Count:
Snapshot capture date Actual Count:
Date of 2nd next available slot appointment Actual Count:
Total Number of functioning ORs: Actual Count:
Number of Emergency ORs: Actual Count:
Number of Non-functioning ORs: Actual Count:
Validity
Patients within 36 days greater than total patients
Patients within 36 days is ND while the total patients is not
The total patients is ND while Patients within 36 days is not
 Number of Emergency
Ors

16

y and IT

14
8
6
0
14 1
6 1
6 1
6 1
6 1
0
6 1
6 1
6 1
6 1
6 1
1 1
1 1
1 1

0% 1
0% 1
0% 1
 KPI 1: OR Utilization Surgery Volume KPI 2: Cancellation Rate
by Operating Room

OR Name OR Use (hours) Utilization % Volume Specialty

1 Bariatric
2 Cardiothoracic
3 Dentistry
4 General
5 Gynecology
6 Maxillofacial
7 Neurosurgery
8 Obstetrics
9 Ophthalmology
10 Orthopedics
11 Otolaryngology_Head_Neck
12 Pediatric
13 Plastic
14 Transplant
15 Urology
16 Vascular
17
18
19
20
21
22
23
24
25
26
27
28 MOH Day Surgery Specialty
29 ENT
30 General
31 Gynecology
32 Ophthalmology
33 Oral
34 Orthopedics
35 Pediatric
36 Plastic
37 Urology
38
39
40
KPI 2: Cancellation Rate Total Surgery Volume MOH Day Surgery Specialty Type
by Specialty

Type Cancellation % Volume ENT Specialty

Elective Surgery General Specialty
Elective Surgery Gynecology Specialty
Elective Surgery Ophthalmology Specialty
Elective Surgery Oral Specialty
Elective Surgery Orthopedics Specialty
Elective Surgery Pediatric Specialty
Elective Surgery Plastic Specialty
Elective Surgery Urology Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Specialty
Elective Surgery Surgery name
Elective Surgery Anal Surgery Procedure
Elective Surgery Arthroscopy Procedure
Elective Surgery Cataract Procedure
Elective Surgery Cholecystectomy Procedure
Elective Surgery Excission of Benign Breast Lu Procedure
Elective Surgery Hernia Procedure
Elective Surgery Orchidopexy Procedure
Type Cancellation % Volume Septoplasty Procedure
One Day Surgery Squint Procedure
One Day Surgery Tonsillectomy Procedure
One Day Surgery Adenoidectomy Procedure
One Day Surgery Other Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
One Day Surgery Procedure
 KPI 4a: Total Number of KPI 4b: Total Number of
% Total Day Surgery KPI 4: Day Surgery procedures performed as Day procedures performed as
Cancellation Rate
Surgery Elective Surgery

Surgery name
 Ratio of elective to emergency surgeries: Total Number of
Non-Emergency
functioning ORs:
Elective Emergency
0
#DIV/0! #DIV/0!

Data Quality Check

Completeness
OR Use (hours) Actual Count: 0
Utilization % Actual Count: 0 1
Volume Actual Count: 0 1
Cancellation % Actual Count: 0 1
Volume Actual Count: 0 1
KPI 6.1: % Total Day Surgery Actual Count: 0 1
KPI 6.3: Day Surgery Cancellation Rate Actual Count: 0 1
KPI 6.4a: Total Number of procedures performed as Day Surgery Actual Count: 0 1
KPI 6.4b: Total Number of procedures performed as Elective Surgery Actual Count: 0 1
Emergency Procedures Number 0 0
Total Number of functioning Ors 0 0
Number of Emergency Ors 0 0
Total Number of non-functioning ORs: 0 0
Total Number of Total Number of non- KPI 1: % Elective OR
Emergency ORs: functioning ORs: Utilization

#DIV/0!
KPI 2: % Surgical
Cancellation KPI 4: Day Surgery
Cancellation Rate
Rate

#DIV/0! #DIV/0!
 KPI

General Inclusions & Exclusions

Sample Size

1. Elective OR Utilization

2. Surgical Cancellation Rate

3. Waiting Time for Elective Surgeries

4. Day Surgery Cancellation Rate

 Definitio

Include all surgeries in all functional rooms

Include all functional operating rooms even if dedicated for emergency surgeries only
Exclude emergency surgeries, which are defined as any surgeries that are not scheduled (Emergenc

For IT data collection, 100% of patients

For Manual data collection: To be confirmed

Numerator: Sum of hours rooms are occupied "wheels in" to "wheels out" within standard working
Denominator: Sum of hours available (Total number of functional rooms x 8 working hours a day x
Calculation: [Numerator / Denominator] x 100
Inclusion: Includes only elective surgeries performed within " standard hours" . Also includes surge
Exclusion: All emergency surgeries

Numerator: The total number of cancelled elective cases due to any reason during the month
Denominator: The total number of scheduled cases during the month
Calculation: [Numerator / Denominator] x 100
Include only elective surgeries. All surgeries cancelled after 3 PM of previous working day are to be
Exclude emergency surgeries
Elective surgery includes elective One Day Surgery

Elective surgery: is a term used for non-emergency surgery which is medically necessary. Patients r
requires Surgeon, Anesthesia, & OR .
The Snapshot capture date: at which date you are calculating the second available appointment. Pr
The second next available appointment: The second empty slot for the specialty in the OR.
Volume of waiting list : Number of patients waiting to be operated either scheduled or not schedul
Volume of New Patients: Number of patients who attended the surgical clinics and added to the lis
donnot type Zero (0))
Volume of patients with booked surgeries within the next 36 days: Number of patients who are sch
is ND, Please put 0 if no surgery is scheduled
Number of sessions: number of blocks dedicated for the specialty every week regardless number o
Duration of the session: The period in hours per specialty. (1, 2, 3, 4, 5, 6, 7, 8) hours
Total of Elective surgeries performed during the week (Non one day surgeries): Number of patients
Total of One day surgeries performed during the week (According to the MOH list): Number of pati
Specialty available? : Are all the requirements available to perform surgery?
On Hold: This type of surgeries could not be performed this week due to unavailability of the surge
Available: availability of all requirements to perform surgery.
N/A: This type of surgery is not in the hospital’s scope.

Numerator: Total number of cancelled day surgeries due to any reason during the month
Denominator: The total number of scheduled day surgeries during the month
Calculation: [Numerator / Denominator] x 100
Include only day surgeries.
All surgeries cancelled after 3 PM of previous working day are to be considered as cancellation.
 Definition Definition

World Class Acceptable

To be confirmed To be confirmed

To be confirmed To be confirmed
To be confirmed To be confirmed

To be confirmed To be confirmed
 Definition Definition

Needs Improvement Unacceptable

To be confirmed To be confirmed

To be confirmed To be confirmed
To be confirmed To be confirmed

To be confirmed To be confirmed