Maximizing operating room and recovery room capacity in an era of constrained resources

Archives of Surgery
Suzanne M SokalDavid L Berger

Abstract

Three parallel processing operating rooms (ORs) (concurrent induction and turnover) with a dedicated 3-bed mini-recovery room (mini-postanesthesia care unit [PACU]) will optimize patient throughput and main PACU workload when compared with 4 traditional ORs or 4 parallel processing ORs. Statistical and mathematical models projected the impact of parallel processing on case throughput and PACU use. Academic medical center with 48 traditional ORs using serial induction and turnover and 1 experimental OR, the operating room of the future, with parallel processing. All surgical cases from October 2002 through March 2004 (N = 49 887). A statistical model projected the duration of induction, surgery, turnover, and PACU stay for cases performed in a traditional OR (n = 48 667) based on the operating room of the future (n = 1220) experience. A fluid queuing model compared each combination using specific probability density functions. Each OR configuration was evaluated for case throughput and minutes of work sent to the PACU. Although all cases save OR time with parallel processing, only select surgeon-case combinations translate time saved into additional cases per day (26%). Without additional PACU slots, output from 4 parallel proce...Continue Reading

Citations

Jun 12, 2010·International Journal of Health Care Quality Assurance·J R C van SambeekJ J Krabbendam
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Dec 20, 2007·Nursing for Women's Health·Maribeth McLaughlinDan Wassilchalk
Apr 19, 2008·Acta Anaesthesiologica Scandinavica·R MarjamaaO Kirvelä
Aug 28, 2016·The Journal of Surgical Research·Abigail J FongAlexander Langerman
Oct 16, 2014·Journal of Medical Systems·Rodney A GabrielRichard D Urman
Jan 15, 2020·Journal of Robotic Surgery·Tara N CohenDaniel Shouhed
Aug 5, 2009·The Journal of Bone and Joint Surgery. American Volume·Khaled J SalehRichard Siegrist
Mar 6, 2018·International Journal of Health Care Quality Assurance·Charles Hubert Blouin-DelisleEric Daneau
Jul 23, 2021·Orthopedics·David MansourWalid K Yassir

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