Estimating the incidence of prolonged turnover times and delays by time of day

Anesthesiology

Volumn 102, Issue 6, 2005, Pages 1242-1248

  Dexter, Franklin ^a,b   Epstein, Richard H ^b,c,d   Marcon, Eric ^b,e   Ledolter, Johannes ^a,b  

^a UNIVERSITY OF IOWA   (United States)

^b UNIVERSITY OF IOWA   (United States)

^c THOMAS JEFFERSON UNIVERSITY   (United States)

^d Medical Data Applications Ltd   (United States)

^e UNIVERSITÉ JEAN MONNET   (France)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CIRCADIAN RHYTHM; HOSPITAL MANAGEMENT; HUMAN; JOB SATISFACTION; MONTE CARLO METHOD; OPERATING ROOM; PRIORITY JOURNAL; TURNOVER TIME; WORK SCHEDULE; WORKLOAD;

ACADEMIC MEDICAL CENTERS; APPOINTMENTS AND SCHEDULES; HUMANS; INCIDENCE; MONTE CARLO METHOD; OPERATING ROOM INFORMATION SYSTEMS; OPERATING ROOMS; SURGERY DEPARTMENT, HOSPITAL; TIME FACTORS;

EID: 19744371731     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-200506000-00026     Document Type: Article

References (17)

1. 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. Anesth Analg 2003; 97:1119-26
2. Vitez TS, Macario A: Setting performance standards for an anesthesia department. J Clin Anesth 1998; 10:166-75
3. Overdyk FJ, Harvey SC, Fishman RL, Shippey F: Successful strategies for improving operating room efficiency at academic institutions. Anesth Analg 1998; 86:896-906
4. Adams R, Warner P, Hubbard B, Goulding T: Decreasing turnaround time between general surgery cases: A six sigma initiative. J Nurs Adm 2004; 34:140-8
5. Dexter F, Macario A, Qian F, Traub RD: Forecasting surgical groups' total hours of elective cases for allocation of block time: Application of time series analysis to operating room management. ANESTHESIOLOGY 1999; 91:1501-8
6. Hahn GJ, Meeker WQ: Statistical Intervals: A Guide for Practitioners. New York, John Wiley & Sons, 1991, pp 123
7. Soon G, Huque M: Confidence intervals associated with multiple comparisons. 2003 Proceedings of the American Statistical Association. Alexandria, VA, American Statistical Association, pp 4012-4
8. Abouleish AE, Dexter F, Epstein RH, Lubarsky DA, Whitten CW, Prough DS: Labor costs incurred by anesthesiology groups because of operating rooms not being allocated and cases not being scheduled to maximize operating room efficiency. Anesth Analg 2003; 96:1109-13
9. Dexter F, Epstein RH: Optimizing second shift OR staffing. AORN J 2003; 77:825-30
10. Abouleish AE, Hensley SL, Zornow MH, Prough DS: Inclusion of turnover time does not influence identification of surgical services that over- and under-utilize allocated block time. Anesth Analg 2003; 96:813-8
11. Epstein RH, Dexter F: Uncertainty in knowing the operating rooms in which cases were performed has little effect on operating room allocations or efficiency. Anesth Analg 2002; 95:1726-30
12. Banks J, Carson J, Nelson B: Discrete-Event System Simulation, 3rd edition. Paramus, New Jersey, Prentice Hall, 2000, pp 1-40
13. 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. Anesth Analg 1999; 88:1053-63
14. Kennedy, MH: Bin-packing, Knapsack, and Change-constrained Approaches to Operating Room Scheduling [dissertation]. Troy, New York, Rensselaer Polytechnic Institute, Department of Decision Sciences and Engineering Systems, 1992, pp 83-86, 90, 99
15. Goldman J, Knappenberger HA, Shearon WT: A study of variability of surgical estimates. Hosp Manag 1970; 110:46-46D
16. Dexter F, Macario A, O'Neill L: Scheduling surgical cases into overflow block time: computer simulation of the effects of scheduling strategies on operating room labor costs. Anesth Analg 2000; 90:980-6
17. Newcombe RG: Two-sided confidence intervals for the single proportion: Comparison of seven methods. Stat Med 1998; 17:857-72