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Patient Care

Operation Theatre Management System (OT Software) for Indian Hospitals

Schedule surgeries, capture consents and statutory forms, and run the safety checklist inside the same record as the patient's admission.

  • OT management software
  • OT scheduling software
  • Surgery management system

In short

An operation theatre management system schedules surgeries, holds the consent and statutory forms for each procedure, and records the pre-operative safety checks in one place. DevOrbital HMS's Operation Theatre module is built for Indian hospitals, with full consent and statutory form coverage, a WHO-style safety checklist and OT scheduling, and it works alongside IPD, billing and the lifetime patient record.

The problem

Where operation theatre usually breaks down

Theatre slots clash on paper

When the OT list lives in a register or a WhatsApp group, double-booked theatres, late cases and last-minute swaps are only discovered at the theatre door.

Consents go missing at the worst time

Surgical, anaesthesia and high-risk consents are often signed on loose sheets, and a missing or unsigned form is usually found after the patient is already on the table.

Safety checks are done but not recorded

Teams may follow a sign-in, time-out and sign-out routine verbally, yet have nothing to show an auditor or a medico-legal query afterwards.

OT charges reach billing late

Procedure, theatre and consumable charges are written down after the case and reach the billing desk at discharge, which is where leakage and disputes begin.

How it works

The operation theatre workflow, step by step

  1. 1

    Surgery is advised

    The surgeon records the planned procedure against the patient's OPD or IPD episode.

  2. 2

    Slot is booked

    The case is placed on the OT schedule against a theatre, date, surgeon and anaesthetist.

  3. 3

    Consents completed

    Surgical, anaesthesia and statutory forms are filled and signed before the case is cleared.

  4. 4

    Safety checklist run

    The team works through the WHO-style checklist and each step is recorded with its time.

  5. 5

    Surgery and notes

    Operative and post-operative notes are written into the patient's record.

  6. 6

    Charges flow to billing

    Procedure and theatre charges reach the patient's bill without re-entry.

What's included

Capabilities that matter day to day

OT scheduling

  • A theatre-wise schedule shows which cases are booked, in progress or completed, so planned and add-on cases are visible to everyone.
  • Cases are booked against a surgeon, anaesthetist and theatre, which makes clashes visible before the day of surgery.
  • Emergency cases referred from the emergency and casualty module can be placed on the same list instead of being tracked separately.
  • Rescheduling and cancellations are recorded with a reason, so the OT list stays an honest record of what happened.

Consents and statutory forms

  • Full consent and statutory form coverage for surgical and anaesthesia procedures sits with the case, not in a separate file.
  • Forms are attached to the patient's episode, so the person clearing the case can see at a glance what is signed and what is pending.
  • Form templates can be set up to match a hospital's own policy and the procedures it performs.

WHO-style safety checklist

  • A structured checklist follows the familiar sign-in, time-out and sign-out phases from the WHO surgical safety approach.
  • Each check is recorded against the case with the user and time, creating a record that can be reviewed later.
  • Because the checklist lives in the same system as the schedule, a case can be held back if a required step is incomplete.

Records and billing

  • Operative and post-operative notes join the patient's single chronological record in medical records (MRD).
  • OT-related charges can be set up to flow into hospital billing against the right admission.
  • Every create, edit and delete is captured by the system-wide audit trail.

Use it on its own — or connected

Run OT on its own or inside the full platform

Every DevOrbital module can be adopted by itself, so a surgical centre that only needs scheduling, consents and a safety checklist can start there. When the hospital also runs IPD, billing and MRD on DevOrbital, the OT module reads the admitted patient directly and sends charges and notes onward without re-entry.

Pairs naturally with:

Who it's for

Built for the people who run the department

  • Multi-specialty and surgical hospitals running several theatres
  • Nursing homes and maternity centres performing day-care and planned surgeries
  • OT in-charges and nursing superintendents who maintain the OT list
  • Surgeons and anaesthetists who need consents and checklists in one place
  • Quality and compliance teams preparing for NABH-style reviews

Illustrative scenario · not a customer story

A busy Thursday list with one add-on case

OT nursing in-charge

The OT in-charge opens the day's schedule and sees four planned cases across two theatres. An accident case arrives from casualty and needs surgery within the hour. She adds it to the list, and the system shows which theatre and anaesthetist are free. Before the first case, she notices one consent is still unsigned and holds the patient until it is complete. The team runs the checklist at each phase, and the entries are timed. By afternoon, the charges are already on each patient's bill. (Illustrative scenario.)

What is an operation theatre management system?

An operation theatre management system is software that plans, controls and records everything around surgery: who is operating, in which theatre, at what time, with which consents and with what safety checks. In a hospital it replaces the OT register, the whiteboard and the pile of consent forms with one shared schedule and one record per case.

In DevOrbital HMS, the OT module belongs to the Patient Care group and sits next to IPD, OPD and Emergency. That matters because most surgical cases begin as one of those episodes. The surgeon does not retype demographics, diagnosis or allergies; the case picks them up from the admitted patient, and the outcome flows back into the same patient record.

How does OT scheduling work in a hospital?

A good OT schedule answers three questions at any moment: what is booked, what is running, and what has slipped. DevOrbital's scheduler books each case against a theatre, a surgeon and an anaesthetist, and shows planned, in-progress and completed cases on one list. Add-on and emergency cases appear on the same list instead of in a side register.

This visibility is what stops theatre clashes. If two surgeons want the same theatre in the same slot, the conflict is seen when the second case is booked, not when both teams arrive. Reschedules and cancellations carry a recorded reason, which later helps the hospital see why lists overrun or why cases fall off.

The schedule can also help the wards and the pharmacy prepare. Because the list is shared, nursing teams know which patients to prepare and when, a common pain point in hospitals that coordinate surgery by phone.

Why should consents and the safety checklist live inside the OT module?

Informed consent for surgery and anaesthesia is standard practice in every hospital, and regulators and reviewers expect to see it on file. The problem is rarely that consent is not taken; it is that the form cannot be found, is incomplete, or was signed after the fact. Keeping the forms attached to the case means the person clearing the patient for theatre can see what is done and what is outstanding.

The same logic applies to the safety checklist. The WHO surgical safety approach is built around checks before anaesthesia (sign-in), before incision (time-out) and before the patient leaves the theatre (sign-out). DevOrbital provides a WHO-style checklist so each phase is recorded with a user and a time. Specific form sets and checklist wording differ between hospitals, so templates are set up to match your own policy and the procedures you perform.

How does the OT module connect to billing, MRD and the audit trail?

Surgery is often the largest single charge on an admission, so it is where missed entries hurt most. When OT charges are captured in the module and carried to hospital billing, the billing desk sees them before discharge instead of after. Discounts on high-value bills still pass through the approval workflow in billing.

Operative notes, anaesthesia details and post-operative instructions then become part of the patient's lifetime record in MRD, and a record-completeness check can flag cases where documentation is missing before the file is archived.

Because DevOrbital logs every create, edit and delete, the hospital can show who changed an OT booking or a form and when. For hospitals working towards NABH-style reviews, see how this fits with ABDM and NABH readiness.

FAQ

Operation Theatre: frequently asked questions

It manages the OT schedule, links each case to a surgeon, anaesthetist and theatre, stores consents and statutory forms, records the pre-operative safety checklist, and passes charges and notes to billing and the patient record. The aim is that nothing about a surgical case lives only on paper or in someone's memory.

Yes. It provides a WHO-style checklist following the sign-in, time-out and sign-out structure, with each step recorded against the case. Checklist wording and extra items can be set up to match your hospital's own policy, so it fits your existing theatre routine rather than replacing it.

Yes. Cases arriving through Emergency can be placed on the same OT list as planned surgeries, so theatre availability is visible to everyone. This avoids a separate register for add-on cases and keeps the day's schedule accurate when priorities change.

Yes. DevOrbital modules run on their own or as a full platform. A hospital can begin with scheduling, consents and the checklist, then connect IPD, billing and MRD later so that patient details, charges and notes move automatically between modules.

That depends on how your hospital captures consent and on applicable law and policy, so take your own legal advice. DevOrbital organises the forms, tracks which are complete and keeps them with the case. Many hospitals continue to take a signed copy and file the scan against the record. Your legal advisers can confirm the position for your procedures.

OT charges can be set up to flow into the patient's bill in the billing module against the relevant admission. That reduces re-entry at discharge and helps the billing desk see surgical charges while the patient is still admitted.

DevOrbital can integrate with patient-monitoring devices, with each device scoped and enabled independently during onboarding. Whether a particular monitor can be connected depends on its output interface and is assessed per device. Nothing is promised for a specific model until that assessment is done.

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