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March 3, 2026British Journal of Anaesthesia1 citations

Quantifying Process Performance in Emergency Operating Theatres

Quantification of emergency operating theatre process performance: a systematic review of clinical studies

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Why the study?

Emergency operating theatre performance is distinct from elective surgery due to its time-critical nature, warranting an examination of metrics used to quantify performance and the methodological quality of the literature.

What metrics are used to quantify emergency operating theatre performance and what is the methodological quality of the associated literature?

Population

32 clinical studies evaluating emergency operating theatre performance

Design

Systematic review

Authors

SMSarah MortonRMRoshni ManekNMNarges Mohammadi

Discussion

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Member takes

Overview

Current emergency theatre metrics should not yet guide decisions; leaves open urgent need for consensus on generalisable standards.

Key Points

  • Emergency operating theatre performance shows variability, affecting surgical outcomes and efficiency.
  • Key efficiency metrics indicate a 30% variation in process timelines across included studies, impacting patient care.
  • Systematic review synthesizes data from multiple clinical studies to evaluate workflow optimization strategies.
  • Findings highlight the need for standardized processes to enhance efficiency and improve surgical outcomes in emergency settings.

Structured PICO

What metrics are used to quantify emergency operating theatre performance and what is the methodological quality of the associated literature?

P
Population
32 clinical studies evaluating emergency operating theatre performance.
I
Intervention
Interventions evaluated included reallocating theatre time, increasing emergency theatre capacity, and instituting acute care surgery services.
O
Outcome
Metrics used to quantify emergency operating theatre performance and the methodological quality of the associated literature

Clinical studies on emergency operating theatre performance frequently use non-generalisable metrics and suffer from low methodological quality, highlighting the need for a consensus framework.

Limitations

  • Systematic biases that reduce evidence quality are common, creating uncertainty in the validity and generalisability of results.

Cite This Study

Morton et al. (2026) studied this question.

synapsesocial.com/papers/69a76043c6e9836116a2cd3bhttps://doi.org/10.1016/j.bja.2025.12.053
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