Operating room efficiency and scheduling

Current Opinion in Anaesthesiology
Franklin Dexter, Richard H Epstein

Abstract

The review focuses on six papers published in 2004 that pertain to operating room (OR) efficiency. When to release OR time was much less important than was having the correct OR allocations in the first place. If OR time must be released, then this decision should be based on the historical scheduled workload. Several interventions combined can reduce average turnover times by 7 min per case, probably reducing labor costs by approximately 1.5%. Use of a block room for patients undergoing brachial plexus anesthesia for upper extremity surgery reduces overall OR time by 4 min per upper extremity case. Improving prediction of case duration can reduce over-utilized OR time by just 5.4 min per OR per workday. Interventions studied included changing when OR time was released, reducing surgical times, reducing turnover times, reducing OR times with block rooms, and improving prediction of case duration. The incremental improvements in OR efficiency and reductions in labor costs were small as compared with allocating OR time and scheduling cases appropriately.

References

Jan 8, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Pierre Drolet, Michel Girard
Jan 8, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kevin P J Armstrong, Richard A Cherry
Jan 24, 2004·Anesthesiology·Amr E AbouleishDonald S Prough
Feb 26, 2004·Anesthesia and Analgesia·Franklin Dexter, Alex Macario
Mar 17, 2004·The Journal of Nursing Administration·Rella AdamsTom Goulding

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Citations

Sep 11, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Patrick J TigheAzra Bihorac
Dec 18, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Justin UppPatrick J Tighe
Dec 20, 2007·Nursing for Women's Health·Maribeth McLaughlinDan Wassilchalk
Oct 12, 2010·Computer Methods and Programs in Biomedicine·Charles C H LiuPa-Chun Wang
Jun 10, 2008·Journal of Critical Care·Mark Van HoudenhovenGeert Kazemier
Mar 30, 2016·The Journal of Surgical Research·Panos KougiasDavid H Berger
Jun 23, 2015·Journal of the American College of Surgeons·Charles W KimbroughCharles R Scoggins
Jun 24, 2015·Gastroenterology Research and Practice·Lukejohn W Day, David Belson
Oct 30, 2016·AORN Journal·Matthew D WelderDouglas R Stoddard
Jan 10, 2012·The Annals of Otology, Rhinology, and Laryngology·Neil Bhattacharyya
Nov 18, 2017·World Journal of Surgery·Meghan PrinAnthony Charles
Mar 21, 2012·Regional Anesthesia and Pain Medicine·Patrick J TigheAzra Bihorac
Jan 15, 2010·Current Opinion in Anaesthesiology·André BaumgartAlexander Schleppers
Jan 5, 2018·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Rachel Ozer, Gregory Richards
Jul 15, 2016·BMC Health Services Research·Roland KaddoumGhada El Eid
Jan 7, 2019·Journal of Medical Systems·Beiqun ZhaoRodney A Gabriel
Feb 15, 2008·Journal of Perioperative Practice·Helen Lloyd
Feb 2, 2021·The Bone & Joint Journal·Eli M CahanDerek F Amanatullah
Nov 11, 2020·The American Surgeon·Karim JreijeJeremy Schweitzer

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