2017

Doll D, Kauf P, Wieferich K, Schiffer R, Luedi MM. Implications of perioperative team setups for operating room management decisions. Anesthesia & Analgesia 124:262-269, 2017

Gleicher Y, Singer O, Choi S, McHardy P. Thoracic epidural catheter placement in a preoperative block area improves operating room efficiency and decreases epidural failure rate. Regional Anesthesia & Pain Medicine 42:649-651, 2017

Kumar M, Malhotra S. Reasons for delay in turnover time in operating room-an observational study. Bangladesh Journal of Medical Science 16:245-251, 2017

Maheshwari K, You J, Cummings KC 3rd, Argalious M, Sessler DI, Kurz A, Cywinski J. Attempted development of a tool to predict anesthesia preparation time from patient-related and procedure-related characteristics. Anesthesia & Analgesia 125:580-592, 2017

McDowell J, Wu A, Ehrenfeld JM, Urman RD. Effect of the implementation of a new electronic health record system on surgical case turnover time. Journal of Medical Systems 41:42, 2017

Pan X, Zhang J, Dai C, Si Y. The effect of instructional supervision by an operating room assistant on first-case starts. Journal of PeriAnesthesia Nursing 32:58-63, 2017

Pedersen A, Getty Ritter E, Beaton M, Gibbons D. Remote video auditing in the surgical setting. AORN Journal 105:159-169, 2017

Pedron S, Winter V, Oppel EM, Bialas E. Operating room efficiency before and after entrance in a benchmarking program for surgical process data. Journal of Medical Systems 41:151, 2017

Phieffer L, Hefner JL, Rahmanian A, Swartz J, Ellison CE, Harter R, Lumbley J, Moffatt-Bruce SD. Improving operating room efficiency: first case on-time start project. Journal for Healthcare Quality 39:e70-e78, 2017

2016

Chen Y, Gabriel RA, Kodali BS, Urman RD. Effect of anesthesia staffing ratio on first-case surgical start time. Journal of Medical Systems 40:115, 2016

Clark A, Dackiw AP, White WD, Nwariaku FE, Holt SA, Rabaglia JL, Oltmann SC. Early endocrine attending surgeon presence increases operating room efficiency. Journal of Surgical Research 205:272-278, 2016

Fong AJ, Smith M, Langerman A. Efficiency improvement in the operating room. Journal of Surgical Research 204:371-383, 2016

Goebel U, Gebele N, Ebner W, Dettenkofer M, Bürkle H, Hauschke D, Schulz-Stübner S. Bacterial contamination of the anesthesia workplace and efficiency of routine cleaning procedures: a prospective cohort study. Anesthesia & Analgesia 122:1444-1447, 2016

Han SJ, Rolston JD, Zygourakis CC, Sun MZ, McDermott MW, Lau CY, Aghi MK. Preventing delays in first-case starts on the neurosurgery service: a resident-led initiative at an academic institution. Journal of Surgical Education 73:291-295, 2016

House LM, Calloway NH, Sandberg WS, Ehrenfeld JM. Prolonged patient emergence time among clinical anesthesia resident trainees. Journal of Anaesthesiology, Clinical Pharmacology 32:446-452, 2016

Kacmar RM, Davidson BM, Victor M, Bullard K, Melendez J. Using an at-risk salary model to improve throughput in academic medical center operating rooms. Journal of Clinical Anesthesia 34:416-419, 2016

Khambhammettu M, Persson M. Analyzing a decision support system for resource planning and surgery scheduling. Procedia Computer Science 100:532-538, 2016

Luedi MM, Kauf P, Mulks L, Wieferich K, Schiffer R, Doll D. Implications of patient age and ASA physical status for operating room management decisions. Anesthesia & Analgesia 122:1169-1177, 2016

Mascarella MA, Lahrichi N, Cloutier F, Kleiman S, Payne RJ, Rosenberg L. High efficiency endocrine operation protocol: from design to implementation. Surgery 160:1118-1124, 2016

Mizumoto R, Cristaudo AT, Hendahewa R. A surgeon-led model to improve operating theatre change-over time and overall efficiency: a randomised controlled trial. International Journal of Surgery 30:83-89, 2016

Overdyk FJ, Dowling O, Newman S, Glatt D, Chester M, Armellino D, Cole B, Landis GS, Schoenfeld D, DiCapua JF. Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. BMJ Quality & Safety 25:947-953, 2016

Ramos P, Bonfá E, Goulart P, Medeiros M, Cruz N, Puceh-Leão P, Feiner B. First-case tardiness reduction in a tertiary academic medical center operating room: a lean six sigma perspective. Perioperative Care and Operating Room Management 5:7-12, 2016

Reznick D, Niazov L, Holizna E, Keebler A, Siperstein A. Dedicated teams to improve operative room efficiency. Perioperative Care and Operating Room Management 3:1-5, 2016

Scagliarini M, Apreda M, Wienand U, Valpiani G. Monitoring operating room turnaround time: a retrospective analysis. International Journal of Health Care Quality Assurance 29:351-359, 2016

Szczesny A, Ernst C. The role of performance reporting system characteristics for the coordination of high-cost areas in hospitals. European Accounting Review 25:635-660, 2016

2015

Brown MJ, Kor DJ, Curry TB, Marmor Y, Rohleder TR. A coordinated patient transport system for ICU patients requiring surgery: impact on operating room efficiency and ICU workflow. Journal for Healthcare Quality 37:354-362, 2015

Caggiano NM, Avery DM 3rd, Matullo KS. The effect of anesthesia type on nonsurgical operating room time. The Journal of Hand Surgery 40:1202-1209, 2015

Mathews L, Kla KM, Marolen KN, Sandberg WS, Ehrenfeld JM. Measuring and improving first case on-time starts and analysis of factors predicting delay in neurosurgical operating rooms. Journal of Neurosurgical Anesthesiology 27:203-208, 2015

Mulier JP, De Boeck L, Meulders M, Beliën J, Colpaert J, Sels A. Factors determining the smooth flow and the non-operative time in a one-induction room to one-operating room setting. Journal of Evaluation in Clinical Practice 21:205-214, 2015

Pimentel MT, Flanagan H, Philip BK, Urman RD. Qualitative analysis of barriers to efficient operating room turnovers in a tertiary care academic medical center. The Journal of Medical Practice Management 30:30-35, 2015

Saw N, Vacanti JC, Liu X, SaRego M, Flanagan H, Kodali BS, Urman RD. Process redesign to improve first case surgical starts in an academic institution. Journal of Investigative Surgery 28:95-102, 2015

van Veen-Berkx E, Elkhuizen SG, van Logten S, Buhre WF, Kalkman CJ, Gooszen HG, Kazemier G; Dutch Operating Room Benchmarking Collaborative. Enhancement opportunities in operating room utilization; with a statistical appendix. Journal of Surgical Research 194:43-51, 2015

2014

Austin TM, Lam HV, Shin NS, Daily BJ, Dunn PF, Sandberg WS. Elective change of surgeon during the OR day has an operationally negligible impact on turnover time. Journal of Clinical Anesthesia 26:343-349, 2014

Avery DM III, Matullo KS. The efficiency of a dedicated staff on operating room turnover time in hand surgery. The Journal of Hand Surgery 39:108-110, 2014

Bhatt AS, Carlson GW, Deckers PJ. Improving operating room turnover time: a systems based approach. Journal of Medical Systems 38:148, 2014

Brown MJ, Subramanian A, Curry TB, Kor DJ, Moran SL, Rohleder TR. Improving operating room productivity via parallel anesthesia processing. International Journal of Health Care Quality Assurance 27:697-706, 2014

Del Signore AG, Dang R, Yerasi A, Iloreta AM, Malkin BD. Videoconferencing for the pre-operative interaction between patient and surgeon. Journal of Telemedicine and Telecare 20:267-271, 2014

Kodali BS, Kim D, Bleday R, Flanagan H, Urman RD. Successful strategies for the reduction of operating room turnover times in a tertiary care academic medical center. Journal of Surgical Research 187:403-411, 2014

Kodali BS, Kim KD, Flanagan H, Ehrenfeld JM, Urman RD. Variability of subspecialty-specific anesthesia-controlled times at two academic institutions. Journal of Medical Systems 38:11, 2014

Luo L, Yao DD, Huang X, You Y, Cheng Y, Shi Y, Liu J, Gong R. Sequence-dependent anesthesia-controlled times: a retrospective study in an ophthalmology department of a single-site hospital. Anesthesia & Analgesia 119:151-162, 2014

Scalea TM, Carco D, Reece M, Fouche YL, Pollak AN, Nagarkatti SS. Effect of a novel financial incentive program on operating room efficiency. JAMA Surgery 149:920-924, 2014

van Veen-Berkx E, Elkhuizen SG, Kalkman CJ, Buhre WF, Kazemier G. Successful interventions to reduce first-case tardiness in Dutch university medical centers: results of a nationwide operating room benchmark study. The American Journal of Surgery 207:949-959, 2014

Yeo CH, Gordon R, Nusem I. Improving operating theatre communication between the orthopaedics surgeon and radiographer. ANZ Journal of Surgery 84:316-319, 2014

2013

Dexter F, Epstein RH. Increased mean time from end of surgery to operating room exit in a historical cohort of cases with prolonged time to extubation. Anesthesia & Analgesia 117:1453-1459, 2013  

Epstein RH, Dexter F, Brull SJ. Cohort study of cases with prolonged tracheal extubation times to examine the relationship with duration of workday. Canadian Journal of Anaesthesia 60:1070-1076, 2013  

Panni MK, Shah SJ, Chavarro C, Rawl M, Wojnarwsky PK, Panni JK. Improving operating room first start efficiency - value of both checklist and a pre-operative facilitator. Acta Anaesthesiologica Scandinavica 57:1118-1123, 2013

Papaconstantinou HT, Smythe WR, Reznik SI, Sibbitt S, Wehbe-Janek H. Surgical safety checklist and operating room efficiency: results from a large multispecialty tertiary care hospital. The American Journal of Surgery 206:853-860, 2013

Porta CR, Foster A, Causey MW, Cordier P, Ozbirn R, Bolt S, Allison D, Rush R. Operating room efficiency improvement after implementation of a postoperative team assessment. Journal of Surgical Research 180:15-20, 2013

Radcliff KE, Rasouli MR, Neusner A, Kepler CK, Albert TJ, Rihn JA, Hilibrand AS, Vaccaro AR. Preoperative delay of more than 1 hour increases the risk of surgical site infection. Spine 38:1318-1323, 2013

Schuster M, Pezzella M, Taube C, Bialas E, Diemer M, Bauer M. Delays in starting morning operating lists: an analysis of more than 20,000 cases in 22 German hospitals. Deutsches Arteblatt International 110:237-243, 2013

Varu VN, Greenberg JI, Lee JT. Improved efficiency and safety for EVAR with utilization of a hybrid room. European Journal of Vascular and Endovascular Surgery 46:675-679, 2013

Wang J, Dexter F, Yang K. A behavioral study of daily mean turnover times and first case of the day start tardiness. Anesthesia & Analgesia 116:1333-1141, 2013  

Warner CJ, Walsh DB, Horvath AJ, Walsh TR, Herrick DP, Prentiss SJ, Powell RJ. Lean principles optimize on-time vascular surgery operating room starts and decrease resident work hours. Journal of Vascular Surgery 58:1417-1422, 2013

2012

Collar RM, Shuman AG, Feiner S, McGonegal AK, Heidel N, Duck M, McLean SA, Billi JE, Healy DW, Bradford CR. Lean management in academic surgery. Journal of the American College of Surgeons 214:928-936, 2012

Ernst C, Szczesny A, Soderstrom N, Siegmund F, Schleppers A. Success of commonly used operating room management tools in reducing tardiness of first case of the day starts: evidence from german hospitals. Anesthesia & Analgesia 115:671-677, 2012

Masursky D, Dexter F, Kwakye MO, Smallman B. Measure to quantify the influence of time from end of surgery to tracheal extubation on operating room workflow. Anesthesia & Analgesia 115:402-406, 2012  

Urman RD, Sarin P, Mitani A, Philip B, Eappen S. Presence of anesthesia resident trainees in day surgery unit has mixed effects on operating room efficiency measures. The Ochsner Journal 12:25-29, 2012

Varughese AM, Hagerman N, Patino M, Wittkugel E, Schnell B, Salisbury S, Kurth D. A comparison of inhalational inductions for children in the operating room vs the induction room. Paediatric Anaesthesia 22:327-334, 2012

2011

Cima RR, Brown MJ, Hebl JR, Moore R, Rogers JC, Kollengode A, Amstutz GJ, Weisbrod CA, Narr BJ, Deschamps C. Use of lean and six sigma methodology to improve operating room efficiency in a high-volume tertiary-care academic medical center. Journal of the American College of Surgeons 213:83-92, 2011

Head SJ, Seib R, Osborn JA, Schwarz SK. A "swing room" model based on regional anesthesia reduces turnover time and increases case throughput. Canadian Journal of Anesthesia 58:725-732, 2011

Jericó Mde C, Perroca MG, Penha VC. Measuring quality indicators in the operating room: cleaning and turnover time. Revista Latino-Americana de Enfermagem 19:1239-1246, 2011

Masursky D, Dexter F, Isaacson SA, Nussmeier NA.  Surgeons’ and anesthesiologists’ perceptions of turnover times. Anesthesia & Analgesia 112:440-444, 2011  

Wachtel RE, Dexter F, Epstein RH, Ledolter J. Meta-analysis of desflurane and propofol average times and variability in times to extubation and following commands. Canadian Journal of Anesthesia 58:714-724, 2011  

2010

Dexter F, Bayman EO, Epstein RH. Statistical modeling of average and variability of time to extubation for meta-analysis comparing desflurane to sevoflurane. Anesthesia & Analgesia 110:570-580, 2010  

Stepaniak PS, Vrijland WW, de Quelerij M, de Vries G, Heij C. Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. Archives of Surgery 145:1165-1170, 2010

Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. Annals of Surgery 252:477-483, 2010

Wright JG, Roche A, Khoury AE. Improving on-time surgical starts in an operating room. Canadian Journal of Surgery 53:167-170, 2010

2009

Dexter F, Marcon E, Aker J, Epstein RH. Numbers of simultaneous turnovers calculated from anesthesia or operating room information management system data. Anesthesia & Analgesia 109:900-905, 2009  

Mariano ER, Chu LF, Peinado CR, Mazzei WJ. Anesthesia-controlled time and turnover time for ambulatory upper extremity surgery performed with regional versus general anesthesia. Journal of Clinical Anesthesia 21:253-257, 2009

Marjamaa RA, Torkki PM, Hirvensalo EJ, Kirvelä OA. What is the best workflow for an operating room? A simulation study of five scenarios. Health Care Management Science 12:142-146, 2009

2008

Krupka DC, Sathaye S, Sandberg WS. Reducing non-operative time: methods and impact on operating room economics. International Journal of Healthcare Technology and Management 19:325-352, 2008

Nundy S, Mukherjee A, Sexton JB, Pronovost PJ, Knight A, Rowen LC, Duncan M, Syin D, Makary MA. Impact of preoperative briefings on operating room delays: a preliminary report. Archives of Surgery 143:1068-1072, 2008

Schuster M, Kotjan T, Fiege M, Goetz AE. Influence of resident training on anaesthesia induction times. British Journal of Anaesthesia 101:640-647, 2008

Smith MP, Sandberg WS, Foss J, Massoli K, Kanda M, Barsoum W, Schubert A. High-throughput operating room system for joint arthroplasties durably outperforms routine processes. Anesthesiology 109:25-35, 2008

Vigoda MM, Gayer S, Tutiven J, Mueller A, Murtha M, Schefler AC, Murray TG. Targeting operating room inefficiencies in the complex management of vision-threatening diseases in children. Archives of Ophthalmology 126:1241-1243, 2008

2007

Eappen S, Flanagan H, Lithman R, Bhattacharyya N. The addition of a regional block team to the orthopedic operating rooms does not improve anesthesia-controlled times and turnover time in the setting of long turnover times. Journal of Clinical Anesthesia 19:85-91, 2007

Seim AR, Dahl DM, Sandberg WS. Small changes in operative time can yield discrete increases in operating room throughput. Journal of Endourology 21:703-708, 2007

2006

Cendan JC, Good M. Interdisciplinary work flow assessment and redesign decreases operating room turnover time and allows for additional caseload. Archives of Surgery 141:65-69, 2006

Friedman DM, Sokal SM, Chang Y, Berger DL. Increasing operating room efficiency through parallel processing. Annals of Surgery 243:10-14, 2006

Harders M, Malangoni MA, Weight S, Sidhu T. Improving operating room efficiency through process redesign. Surgery 140:509-516, 2006

Seim A, Andersen B, Sandberg WS. Statistical process control as a tool for monitoring nonoperative time. Anesthesiology 105:370-380, 2006

Stahl JE, Sandberg WS, Daily B, Wiklund R, Egan MT, Goldman JM, Isaacson KB, Gazelle S, Rattner DW. Reorganizing patient care and workflow in the operating room: a cost-effectiveness study. Surgery 139:717-728, 2006

2005

Dexter F, Epstein RH, Marcon E, Ledolter J. Estimating the incidence of prolonged turnover times and delays by time of day. Anesthesiology 102:1242-1248, 2005  

Dexter F. Deciding whether your hospital can apply clinical trial results of strategies to increase productivity by reducing anesthesia and turnover times. Anesthesiology 103:225-228, 2005  

Hanss R, Buttgereit B, Tonner PH, Bein B, Schleppers A, Steinfath M, Scholz J, Bauer M. Overlapping induction of anesthesia: An analysis of benefits and costs. Anesthesiology 103:391-400, 2005

Pakdil F, Harwood TN. Factors that influence efficiency in performing ENT cases: A qualitative and quantitative analysis. Journal of Medical Systems 29:285-301, 2005

Sandberg WS, Daily B, Egan M, Stahl JE, Goldman JM, Wiklund RA, Rattner D. Deliberate perioperative systems design improves operating room throughput. Anesthesiology 103:406-418, 2005

Schuster M, Standl T, Reissmann H, Kuntz L, Am Esch JS. Reduction of anesthesia process times after the introduction of an internal transfer pricing system for anesthesia services. Anesthesia & Analgesia 101:187-194, 2005

Torkki PM, Marjamaa RA, Torkki MI, Kallio PE, Kirvela OA. Use of anesthesia induction rooms can increase the number of urgent orthopedic cases completed within 7 hours. Anesthesiology 103:401-405, 2005

2004

Abouleish AE, Dexter F, Whitten CW, Zavaleta JR, Prough DS. Quantifying net staffing costs due to longer-than-average surgical case durations. Anesthesiology 100:403-412, 2004  

Adams R, Warner P, Hubbard B, Goulding T. Decreasing turnaround time between general surgery cases. Journal of Nursing Administration 34:140-148, 2004

Armstrong KP, Cherry RA. Brachial plexus anesthesia compared to general anesthesia when a block room is available. Canadian Journal of Anesthesia 51:41-44, 2004

Babineau TJ, Becker J, Gibbons G, Sentovich S, Hess D, Robertson S, Stone M. The "cost" of operating training for surgical residents. Archives of Surgery 139:366-370, 2004

Drolet P, Girard M. Regional anesthesia, block room and efficiency: putting things in perspective. Canadian Journal of Anesthesia 51:41-44, 2004

Gupta A, Stierer T, Zuckerman R, Sakima N, Parker SD, Fleisher LA. Comparison of recovery profile after ambulatory anesthesia with propofol, isoflurane, sevoflurane, and desflurane: a systematic review. Anesthesia & Analgesia 98:632-641, 2004

Hsiao KC, Machaidze Z, Pattaras JG. Time management in the operating room: an analysis of the dedicated minimally invasive surgery suite. Journal of the Society of Laparoendoscopic Surgeons 8:300-3, 2004

Koperna T. How long do we need teaching in the operating room? The true costs of achieving surgical routine. Langenbecks Archives of Surgery 389:204-8, 2004

Stahl JE, Rattner D, Wiklund R, Lester J, Beinfeld M, Gazelle GS. Reorganizing the system of care surrounding laparoscopic surgery: a cost-effectiveness analysis using discrete-event simulation. Medical Decision Making 24:461-471, 2004

2003

Champault A, Arsena V, Barrat C, Bayeh P, Champault G. Can the time between interventions be reduced in the operating theater? Ann Chir 128:599-602, 2003

Dexter F, Abouleish AE, Epstein RH, Whitten CW, Lubarsky DA. Use of operating room information system data to predict the impact of reducing turnover times on staffing costs. Anesthesia & Analgesia 97:1119-1126, 2003  

2002

Sokolovic E, Biro P, Wyss P, Werthemann C, Haller U, Spahn D, Szucs T. Impact of the reduction of anaesthesia turnover time on operating room efficiency. European Journal of Anaesthesiology 19:560-563, 2002

2001

Kenyon TA, Urbach DR, Speer JB, Waterman-Hukari B, Foraker GF, Hansen PD, Swanstrom LL. Dedicated minimally invasive surgery suites increase operating room efficiency. Surgical Endoscopy 15:1140-1143, 2001

2000

Williams BA, Kentor ML, Williams JP, Figallo CM, Sigl JC, Anders JW, Bear TC, Tullock WC, Bennett CH, Harner CD, Fu FH. Process analysis in outpatient knee surgery - Effects of regional and general anesthesia on anesthesia-controlled time. Anesthesiology 93:529-538, 2000

1999

Dexter F, Macario A, Manberg PJ, Lubarsky DA. Computer simulation to determine how rapid anesthetic recovery protocols to decrease the time for emergence or increase the phase I post anesthesia care unit bypass rate affect staffing of an ambulatory surgery center. Anesthesia & Analgesia 88:1053-1063, 1999  

Dexter F, Macario A. Decrease in case duration required to complete an additional case during regularly scheduled hours in an operating room suite - a computer simulation study. Anesthesia & Analgesia 88:72-76, 1999  

Kain ZN, Faulo A, Rimar S. Establishment of a pediatric surgery center: Increasing anesthetic efficiency. Journal of Clinical Anesthesia 11:540-544, 1999

1998

Overdyk FJ, Harvey SC, Fishman RL, Shippey F. Successful strategies for improving operating room efficiency at academic institutions. Anesthesia & Analgesia 86:896-906, 1998

Williams BA, DeRiso BM, Engel LB, Figallo CM, Anders JW, Engel LB, Sproul KA, Ilkin H, Harner CD, Fu FH, Nagarajan NJ, Evans JH 3rd, Watkins WD. Benchmarking the Perioperative process: III. Effects of regional anesthesia clinical pathway techniques on process efficiency and recovery profile in ambulatory orthopedic surgery. Journal of Clinical Anesthesia 10:570-568, 1998

Williams BA, DeRiso BM, Engel LB, Figallo CM, Anders JW, Sproul KA, Ilkin H, Harner CD, Fu FH, Nagarajan NJ, Evans JH 3rd, Watkins WD. Benchmarking the Perioperative process: II. Introducing anesthesia clinical pathways to improve processes and outcomes and to reduce nursing labor intensity in ambulatory orthopedic surgery. Journal of Clinical Anesthesia 10:561-569, 1998

1996

Dexter F, Macario A. Applications of information systems to operating room scheduling. Anesthesiology 85:1232-1234, 1996  

1995

Dexter F, Coffin S, Tinker JH. Decreases in anesthesia-controlled time cannot permit one additional surgical operation to be scheduled during the workday. Anesthesia & Analgesia 81:1263-1268, 1995  

Dexter F, Tinker JH. Comparisons between desflurane and isoflurane or propofol on time to following commands and time to discharge: a metaanalysis. Anesthesiology 83:77-82, 1995  

1994

Mazzei WJ. Operating room start times and turnover times in a university hospital. Journal of Clinical Anesthesia 6:405-408, 1994