The columns may be sized by placing the cursor between two columns at the headers, holding the left mouse button down and then moving the mouse in either direction as you would if resizing a column on a spreadsheet. The data in the display may be sorted by any column simply by clicking on the column header. The arrow displayed in the column header indicates the sort direction (ascending or descending). Columns may be reordered and hidden from the Settings dialog (see Customizing the display).
The location column indicates where the patient is physically situated. Updates to the patient movement file are automatically displayed for each case. Appropriately updated entries facilitate retrieval of inpatients from their ward/room assignments. Outpatient designations are updated whenever such patients are admitted to an operating room and the movement is recorded.
Both the Procedure(s) and Others columns show what is to be done to/with the patient while in the operating room. These correspond to the principal procedure and other procedure assigned to a case. The CPT code (not displayed) assigned to the case should correlate with the principal procedure.
The estimated start time (EStart) for each procedure is the key to this display. The schedule of operations within each suite is always presented in the chronological order of EStart times. If a surgical case is not booked with a scheduled start time, the case will not display.
The estimated end time (EEnd) for each procedure is the calculated sum of the time a patient is admitted to an operating room and the case’s estimated case length. Provided there is a record of average case length for a specified procedure for a particular surgical specialty, and thus an estimated case length (ECL), this value will automatically display when a patient is admitted to an operating room.
The estimated procedure length (EPL) is the calculated average for the difference between the time an operation began and the time it ended for a particular procedure within a surgical specialty. This value is dependent on the CPT code assigned to a case. If a case does not have a CPT code, this value will not be calculated and there will be no EPL entry for the case.
The estimated case length (ECL) is the calculated average for the difference between the time a patient is admitted to an operating room and the time the patient is discharged from the room. The calculation is dependent on the CPT code assigned to a case, and is based on the historical record of all such procedures completed within a surgical specialty. If a case does not have a CPT code, this value will not be calculated and there will be no ECL entry for the case.
The actual case length (ACL) reflects the difference between the time a patient is admitted to an operating room and the time the same patient is discharged from the room. This automatically updated entry may be used for comparison with the case’s estimated case length.
The Status column displays the progress of each procedure. The dynamic color-coded bar that crosses the column for each case indicates how much of the procedure has been completed. The length of the bar is a translation of a calculation based on the amount of time elapsed since a patient’s admission to an operating room and the estimated end time of a procedure. Green represents a case in progress, blue represents a case which has been completed or has reached its estimated end time, and red represents a case which has exceeded its estimated end time.
The percent completed (%C) column displays numeric values corroborating the status bar displays. Completed cases whose actual case lengths match or fall short of their corresponding estimated case lengths show 100% completion. Cases exceeding their corresponding estimated case lengths show the percentage of the case’s length compared to the average of like cases.
The time of patient admission to an operating room (In OR) is automatically displayed when the patient movement is recorded in VistA through the appropriate surgery option.
The time of induction completion (Ind C) is automatically displayed when recorded in VistA.
The time an operation begins (Begin) is automatically displayed when recorded in VistA.
The time an operation ends (End) is automatically displayed when recorded in VistA.
The time of patient discharge (Out) is automatically displayed when recorded in VistA.
The total occupancy time (TOtm) of an operating room from patient admission to completion of cleanup is automatically calculated and displayed when cleanup completion is recorded in VistA.
The disposition is the location where the patient will be moved upon completion of the surgery.
The six columns representing principal surgical staff are automatically displayed when recorded in VistA. Last-minute staffing changes are automatically updated provided they are recorded before a patient is admitted to an operating suite.
The case and concurrent case numbers are fixed, unless a case is removed or deleted. Concurrent cases display their own rows of data.
The comments column displays the case schedule type (emergency, urgent, add on). Additional free text comments may be entered by clicking on the cell in the column for a case and entering a comment.
Cases which have been scheduled and subsequently canceled will display ‘Canc’ in the Begin and End columns as well as in the Comments column.
Cases which have been added on will display when the application display is manually or automatically refreshed.
Past surgery schedules may also be displayed by clicking on the scroll bar where the date displays and selecting a different date. This allows users to review past cases. Future schedules may also be reviewed in the same manner, although what is displayed would obviously depend on how complete future schedules are.