Task analysis of the preincision surgical period: An independent observer-based study of 1558 cases

Anesthesia and Analgesia

Volumn 103, Issue 4, 2006, Pages 922-927

  Escobar, Alejandro ^a   Davis, Elizabeth A ^a   Ehrenwerth, Jan ^a   Watrous, Gail A ^a   Fisch, Gene S ^a   Kain, Zeev N ^a   Barash, Paul G ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ANESTHESIA; ANESTHESIA INDUCTION; ANESTHESIA RELEASE TIME; ANESTHESIST; ARTICLE; ELECTIVE SURGERY; HEALTH CARE UTILIZATION; HUMAN; JOB PERFORMANCE; MAJOR CLINICAL STUDY; NURSING STAFF; OBSERVATIONAL STUDY; OPERATING ROOM; PATIENT MONITORING; PREOPERATIVE CARE; PREOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RESIDENCY EDUCATION; SURGEON;

ADULT; ANESTHESIA; HUMANS; OBSERVATION; OPERATING ROOMS; PROSPECTIVE STUDIES; SURGICAL PROCEDURES, OPERATIVE; TIME MANAGEMENT;

EID: 33750060461     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ane.0000232443.24914.8d     Document Type: Article

References (36)

1. Dexter F, Epstein RH, Ippolito GV. Practical application of research on operating room efficiency and utilization. Adv Anesth 2004;22:29-59.
2. Schuster M, Standl T, Wagner JA, et al. Effect of different cost drivers on cost per anesthesia minutes in different anesthesia subspecialties. Anesthesiology 2004;101:1435-43.
3. Udelsman R. The operating room: war results in casualties. Anesth Analg 2003;97:936-7.
4. Dexter F, Abouleish AE, Epstein RH, et al. Use of operating room information system data to predict the impact of reducing turnover times on staffing costs. Anesth Analg 2003;97:1119-26.
5. Macario A, Dexter F, Traub RD. Hospital profitability per hour of operating room time can vary among surgeons. Anesth Analg 2001;93:669-75.
6. Macario A, Vitez TS, Dunn B, et al. Hospital costs and severity of illness in three types of elective surgery. Anesthesiology 1997;86:92-100.
7. Macario A, Vitez TS, Dunn B, McDonald T. Where are the costs in perioperative care? Analysis of hospital costs and charges for inpatient surgical care. Anesthesiology 1995;83:1138-44.
8. Overdyk FJ, Harvey SC, Fishman RL, Shippey F. Successful strategies for improving operating room efficiency at academic institutions. Anesth Analg 1998;86:896-906.
9. Gaba DM, Howard SK, Jump B. Production pressure in the work environment. Anesthesiology 1994;81:488-500.
10. Vredenburgh AG, Weinger MB, Williams KJ, et al. Developing a technique to measure anesthesiologists' real-time workload. Proceedings of The International Ergonomics Association (IEA)/ and The Human Factors and Ergonomics Society (HFES) Congress 2000;44:241-4.
11. Weinger MB, Reddy SB, Slagle JM. Multiple measures of anesthesia workload during teaching and nonteaching cases. Anesth Analg 2004;98:1419-25.
12. Weinger MB, Vredenburgh AG, Schumann CM, et al. Quantitative description of the workload associated with airway management procedures. J Clin Anesth 2000;12:273-82.
13. Kain ZN, Chan KM, Katz JD, et al. Anesthesiologists and acute perioperative stress: a cohort study. Anesth Analg 2002;95:177-83.
14. Abouleish AE, Apfelbaum JL, Prough DS, et al. The prevalence and characteristics of incentive plans for clinical productivity among academic anesthesiology programs. Anesth Analg 2005;100:493-501.
15. Miller RD. Academic anesthesia faculty salaries: incentives, availability and productivity. Anesth Analg 2005;100:487-9.
16. Miller RD, Cohen NH. The impact of productivity-based incentives on faculty salary-based compensation. Anesth Analg 2005;101:195-9.
17. Fernandopulle R. Six lessons from the research. Lesson #3: No "lockbox," putting everything on the table. In: Fernandopulle R, The Clinical Advisory Board, eds. Surgical services reform: executive briefing for clinical leaders. Washington, DC: The Advisory Board Company, 2001:74-5.
18. Britton P, Miller C. Front-loaded anesthesia prep. In: Britton P, Miller C, and The Clinical Advisory Board, eds. Clockwork surgery: hardwiring efficiency into the perioperative process. Washington, DC: The Advisory Board Company, 2001:57-61.
19. Vitez TS, Macario A. Setting performance standards for an anesthesia department. J Clin Anesth 1998;10:166-75.
20. Dexter F, Macario A. Applications of information systems to operating room scheduling. Anesthesiology 1996;85:1232-4.
21. Strum DP, Sampson AR, May JH, Vargas LG. Surgeon and type of anesthesia predict variability in surgical procedure times. Anesthesiology 2000;92:1454-66.
22. Sandberg WS, Daily B, Egan M, et al. Deliberate perioperative systems design improves operating room throughput. Anesthesiology 2005;103:406-18.
23. Eappen S, Flanagan H, Bhattacharyya N. Introduction of anesthesia resident trainees to the operating room does not lead to changes in anesthesia controlled times for efficiency measures. Anesthesiology 2004;101:1210-4.
24. Donham RT. Defining measurable OR-PR scheduling, efficiency and utilization data elements: the Association of Anesthesia Clinical Directors Procedural Times Glossary. Int Anesthesiol Clin 1998;36:15-29.
25. Specifications manual for National Implementation of Hospital Core Measures. 2003. (v. 2.0) Section 4:1-6. Available at http://www.jcaho.org/pms/ core+measures/0btableofcontents1.pdf. Accessed September 26, 2005.
26. Davis EA, Escobar A, Ehrenwerth J, et al. Resident teaching versus the operating room schedule: an independent observer based study of 1558 cases. Anesth Analg 2006;103:932-7.
27. St. Jacques P, James H, Higgins M. Level of training of anesthesiology residents or nurse anesthetist affects anesthesiology controlled intraoperative time periods [abstract]. J Clin Anesth 2003;15:77-8.
28. Nielsen KC, Guller U, Steele SM, et al. Influence of obesity on surgical regional anesthesia in the ambulatory setting: an analysis of 9,038 blocks. Anesthesiology 2005;102:181-7.
29. Juvin P, Blarel A, Bruno F, Desmonts JM. Is peripheral line placement more difficult in obese than in lean patients? Anesth Analg 2003;96:1218.
30. Juvin P, Lavaut E, Dupont H, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg 2003;97:595-600.
31. Carles M, Pulcini A, Macchi P, et al. An evaluation of the brachial plexus block at the humeral canal using a neurostimulator (1417 patients): the efficacy, safety and predictive criteria of failure. Anesth Analg 2001;92:194-8.
32. Conn RA, Cofield RH, Byer DE, Linstromberg JW. Interscalene block anesthesia for shoulder surgery. Clin Orthop 1987;216:94-8.
33. Mazzei WJ. Operating rooms start times and turnover time in a university hospital. J Clin Anesth 1994;6:405-8.
34. Sanborn KV, Castro J, Kuroda M, Thys DM. Detection of intraoperative incidents by electronic scanning of computerized anesthesia records: comparison with voluntary reporting. Anesthesiology 1996;85:977-87.
35. Weinger MB, Gonzalez DC, Slagle J, Syeed M. Video capture of clinical care to enhance patient safety. Qual Saf Health Care 2004;13:136-44.
36. Slagle J, Weinger MB, Dinh M-TT, et al. Assessment of the intrarater and interrater reliability of an established clinical task analysis methodology. Anesthesiology 2002;96:1129-39.