Economics and Mathematics of Decreasing
Anesthesia,
Turnover, or Surgical Times
(last
updated 02/03/08)
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.
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
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
[PDF]
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 Anaesthesia 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 Anaesthesia 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
[PDF]
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.
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
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
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, 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
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
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
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