Operating room management: Why, how and by whom?

Acta Anaesthesiologica Scandinavica

Volumn 52, Issue 5, 2008, Pages 596-600

  Marjamaa, R ^a   Vakkuri, A ^a   Kirvela O ^b  

^a PEIJAS HOSPITAL   (Finland)

^b Toolo Hospital   (Finland)

Author keywords

Management; Operating room; Parallel processing; Personnel; Resources

Indexed keywords

ANESTHETIC AGENT; LOCAL ANESTHETIC AGENT; SHORT ACTING DRUG;

ANESTHESIOLOGICAL TECHNIQUES; ANESTHESIST; BRACHIAL PLEXUS ANESTHESIA; CLINICAL COMPETENCE; EMERGENCY CARE; EMOTIONAL INTELLIGENCE; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE MANAGEMENT; HEALTH CARE UTILIZATION; HEMODYNAMIC MONITORING; HUMAN; INFORMATION TECHNOLOGY; INTENSIVE CARE UNIT; LARYNGEAL MASK; LEADERSHIP; MEDICAL DECISION MAKING; MOTIVATION; NURSE; OPERATING ROOM; OPERATING ROOM PERSONNEL; OUTCOME ASSESSMENT; PATIENT MONITORING; PHYSICIAN; PREOPERATIVE CARE; PRIORITY JOURNAL; PROFIT; RELIABILITY; RESIDENT; REVIEW; SURGEON; TREATMENT PLANNING;

ANESTHESIOLOGY; APPOINTMENTS AND SCHEDULES; EFFICIENCY, ORGANIZATIONAL; HOSPITAL COSTS; HUMANS; INFORMATION MANAGEMENT; NURSES; OPERATING ROOMS; PATIENT CARE TEAM; TIME MANAGEMENT; WORKLOAD;

EID: 42249087294     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/j.1399-6576.2008.01618.x     Document Type: Review

References (52)

1. Abouleish AE, Hensley SL, Zornow MH et al. Inclusion of turnover time does not influence identification of surgical services that over- and underutilize allocated block time. Anesth Analg 2003 96 : 813 8.
2. Purkayastha S, Tilney HS, Georgiou P et al. Laparoscopic cholecystectomy versus mini-laparotomy cholecystectomy: a meta-analysis of randomised control trials. Surg Endosc 2007 21 : 1294 300.
3. Dexter F, Davis M, Egger Halbeis CB et al. Mean operating room times differ by 50% among hospitals in different countries for laparoscopic cholecystectomy and lung lobectomy. J Anesth 2006 20 : 319 22.
4. Strum DP, Sampson AR, May JH et al. Surgeon and type of anesthesia predict variability in surgical procedure times. Anesthesiology 2000 92 : 1454 66.
5. Abouleish AE, Prough DS, Zornow MH et al. The impact of longer-than-average anesthesia times on the billing of academic anesthesiology departments. Anesth Analg 2001 93 : 1537 43.
6. Babineau TJ, Becker J, Gibbons G et al. The "cost" of operative training for surgical residents. Arch Surg 2004 139 : 366 9.
7. Bridges M, Diamond DL. The financial impact of teaching surgical residents in the operating room. Am J Surg 1999 177 : 28 32.
8. Traverso LW, Koo KP, Hargrave K et al. Standardizing laparoscopic procedure time and determining the effect of patient age/gender and presence or absence of surgical residents during operation. A prospective multicenter trial. Surg Endosc 1997 11 : 226 9.
9. Korndorffer JR Jr., Dunne JB, Sierra R et al. Simulator training for laparoscopic suturing using performance goals translates to the operating room. J Am Coll Surg 2005 201 : 23 9.
10. Koperna T. How long do we need teaching in the operating room? The true costs of achieving surgical routine. Langenbecks Arch Surg 2004 389 : 204 8.
11. Seim AR, Dahl DM, Sandberg WS. Small changes in operative time can yield discrete increases in operating room throughput. J Endourol 2007 21 : 703 8.
12. Kain ZN, Fasulo A, Rimar S. Establishment of a pediatric surgery center: increasing anesthetic efficiency. J Clin Anesth 1999 11 : 540 4.
13. 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.
14. Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth 2007 98 : 462 9.
15. Saadat H, Escobar A, Davis EA et al. Task analysis of the preincision period in a pediatric operating suite: an independent observer-based study of 656 cases. Anesth Analg 2006 103 : 928 31.
16. Escobar A, Davis EA, Ehrenwerth J et al. Task analysis of the preincision surgical period: an independent observer-based study of 1558 cases. Anesth Analg 2006 103 : 922 7.
17. Williams BA, Kentor ML, Williams JP et al. Process analysis in outpatient knee surgery: effects of regional and general anesthesia on anesthesia-controlled time. Anesthesiology 2000 93 : 529 38.
18. Chan VW, Peng PW, Kaszas Z et al. A comparative study of general anesthesia, intravenous regional anesthesia, and axillary block for outpatient hand surgery: clinical outcome and cost analysis. Anesth Analg 2001 93 : 1181 4.
19. Nordin P, Zetterstrom H, Gunnarsson U et al. Local, regional, or general anaesthesia in groin hernia repair: multicentre randomised trial. Lancet 2003 362 : 853 8.
20. Song D, Greilich NB, White PF et al. Recovery profiles and costs of anesthesia for outpatient unilateral inguinal herniorrhaphy. Anesth Analg 2000 91 : 876 81.
21. Friedman DM, Sokal SM, Chang Y et al. Increasing operating room efficiency through parallel processing. Ann Surg 2006 243 : 10 4.
22. Vakkuri A, Yli-Hankala A, Sandin R et al. Spectral entropy monitoring is associated with reduced propofol use and faster emergence in propofol-nitrous oxide-alfentanil anesthesia. Anesthesiology 2005 103 : 274 9.
23. Hartmann B, Banzhaf A, Junger A et al. Laryngeal mask airway versus endotracheal tube for outpatient surgery: analysis of anesthesia-controlled time. J Clin Anesth 2004 16 : 195 9.
24. Lebowitz P. Schedule the short procedure first to improve OR efficiency. Aorn J 2003 78 : 651 4, 7-9.
25. Dexter F, Epstein RH, Traub RD et al. Making management decisions on the day of surgery based on operating room efficiency and patient waiting times. Anesthesiology 2004 101 : 1444 53.
26. Armstrong KP, Cherry RA. Brachial plexus anesthesia compared to general anesthesia when a block room is available. Can J Anaesth 2004 51 : 41 4.
27. Sandberg WS, Daily B, Egan M et al. Deliberate perioperative systems design improves operating room throughput. Anesthesiology 2005 103 : 406 18.
28. Torkki PM, Marjamaa RA, Torkki MI et al. Use of anesthesia induction rooms can increase the number of urgent orthopedic cases completed within 7 hours. Anesthesiology 2005 103 : 401 5.
29. Sokolovic E, Biro P, Wyss P et al. Impact of the reduction of anaesthesia turnover time on operating room efficiency. Eur J Anaesthesiol 2002 19 : 560 3.
30. Hanss R, Buttgereit B, Tonner PH et al. Overlapping induction of anesthesia: an analysis of benefits and costs. Anesthesiology 2005 103 : 391 400.
31. Eappen S, Flanagan H, Lithman R et al. 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. J Clin Anesth 2007 19 : 85 91.
32. Stahl JE, Sandberg WS, Daily B et al. Reorganizing patient care and workflow in the operating room: a cost-effectiveness study. Surgery 2006 139 : 717 28.
33. Cendan JC, Good M. Interdisciplinary work flow assessment and redesign decreases operating room turnover time and allows for additional caseload. Arch Surg 2006 141 : 65 9.
34. Harders M, Malangoni MA, Weight S et al. Improving operating room efficiency through process redesign. Surgery 2006 140 : 509 14.
35. Sieber TJ, Leibundgut DL. Operating room management and strategies in Switzerland: results of a survey. Eur J Anaesthesiol 2002 19 : 415 23.
36. Weinbroum AA, Ekstein P, Ezri T. Efficiency of the operating room suite. Am J Surg 2003 185 : 244 50.
37. Overdyk FJ, Harvey SC, Fishman RL et al. Successful strategies for improving operating room efficiency at academic institutions. Anesth Analg 1998 86 : 896 906.
38. Lapierre SD, Batson C, McCaskey S. Improving on-time performance in health care organizations: a case study. Health Care Manage Sci 1999 2 : 27 34.
39. Marjamaa RA, Torkki PM, Torkki MI et al. Time accuracy of a radio frequency identification patient tracking system for recording operating room timestamps. Anesth Analg 2006 102 : 1183 6.
40. Torkki PM, Alho AI, Peltokorpi AV et al. Managing urgent surgery as a process: case study of a trauma center. Int J Technol Assess Health Care 2006 22 : 255 60.
41. Vitez TS, Macario A. Setting performance standards for an anesthesia department. J Clin Anesth 1998 10 : 166 75.
42. Macario A. Are your hospital operating rooms "efficient"? A scoring system with eight performance indicators. Anesthesiology 2006 105 : 237 40.
43. Fasting S, Gisvold SE. Statistical process control methods allow the analysis and improvement of anesthesia care. Can J Anaesth 2003 50 : 767 74.
44. Seim A, Andersen B, Sandberg WS. Statistical process control as a tool for monitoring nonoperative time. Anesthesiology 2006 105 : 370 80.
45. Macario A, Vasanawala M. Technology and computing in the surgical suite: key features of an or management information system and opportunities for the future. Anesth Analg 2002 95 : 1120 1.
46. Correll DJ, Bader AM, Hull MW et al. Value of preoperative clinic visits in identifying issues with potential impact on operating room efficiency. Anesthesiology 2006 105 : 1254 9.
47. Sokal SM, Craft DL, Chang Y et al. Maximizing operating room and recovery room capacity in an era of constrained resources. Arch Surg 2006 141 : 389 93 discussion 93-5.
48. Bhattacharyya T, Vrahas MS, Morrison SM et al. The value of the dedicated orthopaedic trauma operating room. J Trauma 2006 60 : 1336 40.
49. Vakkuri A, Niskanen M, Meretoja OA et al. Allocation of tasks between anesthesiologists and anesthesia nurses in Finland. Acta Anaesthesiol Scand 2006 50 : 659 63.
50. St Jacques PJ, Patel N, Higgins MS. Improving anesthesiologist performance through profiling and incentives. J Clin Anesth 2004 16 : 523 8.
51. Flin R, Fletcher G, McGeorge P et al. Anaesthetists' attitudes to teamwork and safety. Anaesthesia 2003 58 : 233 42.
52. Marjamaa RA, Kirvela OA. Who is responsible for operating room management and how do we measure how well we do it? Acta Anaesthesiol Scand 2007 51 : 809 14.