|Project objectives||Proposed activities||Achievements|
|Overarching project objective: To improve access to the operating theatres for both surgical and obstetric patients in Borodar, by increasing the number of procedures and decreasing delays and periods of closure||
Audits to assess:|
-Number of acute and elective procedures
-Delays for acute obstetric emergencies
-Amount of time ORs closed due to lack of functioning equipment or drugs
-None of the proposed audits were completed.|
-6-week audit of cancellations completed but not seen by all partners/project team members
-No anecdotal evidence or reported observation of any improvement in through-put, delays or periods of closure
|To meet objectives and carry out activites through on-going collaboration between Borodar and Glennworth partners||
-Ongoing support and dialogue between partners via email|
-One visit by Borodar OR committee members to UK
-Two visits by two Glennworth OR professionals to run training workshops and support the OR management committee
-Efforts to maintain dialogue between partners enacted, but significant challenges and misunderstandings reported|
-Two visits by Borodar OR committee members to UK were undertaken, though later than scheduled
-One visit by Glennworth OR professionals to Borodar, though later than scheduled and training workshops not held.
|To improve OR management through establishment of a functional, multi-disciplinary OR management team||
-Identify and establish OR management team to include representatives of surgery, obstetrics, anaesthesia and nursing|
-Hold regular, minuted meetings.
-OR management committee members identified|
-Only two meetings held during 18-month project period
|To train all OR professionals in OR leadership and management skills||-Run four two-day workshops on leadership and management for all qualified staff using the operating theatres and recovery (about 60).||
-Proposed workshops on leadership and management not held|
-Senior OR nurse provided some training in waste management to nurses
|To establish clinical record keeping and clinical audit in the operating theatres as routine management tools, and to monitor patient intra-operative morbidity and mortality||
-Establish a reporting system to monitor adverse incidents, peri-operative morbidity (including infection rates) and mortality.|
-Establish a no-blame peri-operative morbidity and mortality review panel.
-Establish 6-monthly clinical audit meetings
-Create and use appropriate clinical records, including drug charts.
-At least 1 completed audit in each 6-month period by each of the 4 professional groups in operating theatres and recovery.
-Reporting system not established|
-Morbidity and mortality review panel not established
-6-monthly clinical audit meetings not held
-New clinical records not created
-1 audit of cancelled procedures completed by one of the professional groups; no other audits reported to be completed by other groups for the project (although some Masters students working in the OR completed audits for course requirements, separate to the SCI initiative)