Measuring the quantitative performance of surgical operating lists: Theoretical modelling of 'productive potential' and 'efficiency'

Anaesthesia

Volumn 64, Issue 5, 2009, Pages 473-486

  Pandit, Jaideep J ^a   Stubbs, D ^a   Pandit, M ^b  

^a JOHN RADCLIFFE HOSPITAL   (United Kingdom)

^b DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CALCULATION; MATHEMATICAL ANALYSIS; MATHEMATICAL MODEL; PERFORMANCE MEASUREMENT SYSTEM; PRODUCTIVITY; THEORETICAL STUDY;

EFFICIENCY, ORGANIZATIONAL; HEALTH SERVICES RESEARCH; HUMANS; MODELS, ORGANIZATIONAL; QUALITY ASSURANCE, HEALTH CARE; SURGERY DEPARTMENT, HOSPITAL; TERMINOLOGY AS TOPIC; WAITING LISTS;

EID: 66049104242     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/j.1365-2044.2008.05854.x     Document Type: Article

References (51)

1. Audit Commission. Operating Theatres. Review of National Findings. London: HMSO, 2003.
2. Pandit JJ, Westbury S, Pandit M. The concept of surgical operating list 'efficiency': a formula to describe the term. Anaesthesia 2007; 62: 895-903.
3. McIntosh C, Dexter F, Epstein RH. The impact of service-specific staffing, case scheduling, turnovers, and first-case starts on anaesthesia group and operating room productivity: a tutorial using data from an Australian hospital. Anesthesia and Analgesia 2006; 103: 1499-1516
4. Sanders D, Grayling M, Lillie H. Defining efficiency requires more fidelity. Anaesthesia 2008; 63: 205-206
5. Pandit JJ, Westbury S, Pandit MJ. A reply. Anaesthesia 2008; 63: 205-206
6. Organisation for Economic Co-operation and Development. Measuring Productivity. OECD Manual: Measurement of Aggregate and Industry-Level Productivity Growth. Paris: OECD Publications, 2001.
7. Schreyer P. Measures of productivity. Proceedings of the Conference on Next Steps for the Japanese System of National Accounts, March 2005. http://www.esri.go.jp/en/workshop/050325/0503325main-e.html (accessed 18 December 2008).
8. Zbinden AM. Introducing a balanced scorecard management system in a university anesthesiology department. Anesthesia and Analgesia 2002; 95: 1731-1738 (Pubitemid 35423972)
9. Macario A. Are your operating rooms 'efficient?': a scoring system with eight performance indicators. Anesthesiology 2006; 105: 237-240
10. Dexter F, O'Neill L. Data envelopment analysis to determine by how much hospitals can increase elective inpatient surgical workload for each specialty. Anesthesia and Analagesia 2004; 99: 1492-1500 (Pubitemid 39407304)
11. Basson MD, Butler T. Evaluation of operating suite efficiency in the Veterans Health Administration system by using data-envelopment analysis. American Journal of Surgery 2006; 192: 649-656 (Pubitemid 44634337)
12. Lehtonen J-M, Kukala J, Kouri J, Hippeläinen M. Cardiac surgery productivity and throughput improvements. International Journal of Health Care Quality Assurance 2007; 20: 30-52.
13. Maione G, Sansalone CV, Aseni P. Laprascopic hand-assisted living donor nephrectomy: the Niguarda experience. Transplantation Proceedings 2005; 37: 2445. (Pubitemid 41354629)
14. Bridgewater B. Mortality data in adult cardiac surgery for named surgeons: retrospective examination of prospectively-collected data on coronary artery surgery and aortic valve replacement. British Medical Journal 2005; 330: 506-510 (Pubitemid 40343351)
15. Schmenner RW. Service business and productivity. Decision Sciences 2004; 35: 333-347
16. Pandit JJ, Carey A. Estimating the duration of common elective operations: implications for operating list management. Anaesthesia 2006; 61: 768-776 (Pubitemid 44027407)
17. Silber JH, Rosenbaum PR, Zhang X, Even-Shoshan O. Influence of patient and hospital characteristics on anesthesia time in medicare patients undergoing general and orthopedic surgery. Anesthesiology 2007; 106: 356-364 (Pubitemid 46185182)
18. Pandit JJ. Similarity of operation times for common general surgical procedures in the United Kingdom and the United States. Anesthesiology 2007; 107: 512-513 (Pubitemid 47329554)
19. Harvey J. Measuring productivity in professional services. Public Productivity Review 1987; 11: 29-38.
20. Starosel'skii VA, Khanin MN. Economic efficiency of specialized instrument maintenance. Measurement Techniques 1969; 12: 1762-1766
21. East Kent Hospitals University NHS Trust. Trust Board Papers, Sept 2007. http://www.ekht.nhs.uk/home-page/about-the-trust/the-trust-board/ trust-board-meetingsminutes-and-agendas/trust-board-papers-and-minutes-7- september-2007/ (accessed 5 September 2008).
22. Abouleish A. Increasing operating room throughput: just buzzwords for this decade? Anesthesiology 2008; 109: 3-4.
23. Smith MP, Sandberg WS, Foss J, et al. High-throughput operating room system for joint arthroplasties durably outperforms routine processes. Anesthesiology 2008; 109: 25-35.
24. Northern Ireland Audit Office. The Use of Operating Theatres in the Northern Ireland Health and Personal Social Services. Belfast: HMSO, 2003.
25. Office for National Statistics. Public Service Productivity: Health. London: Office for National Statistics, 2006. http://www.statistics.gov.uk/ articles/nojournal/PublicService ProductivityHealth(27-2-06).pdf (accessed 18 December 2008).
26. Scottish Executive. National Theatres Project: Final Report. Edinburgh: HMSO, 2006.
27. Nath B, Silverman BG, Mukherjee A, Stout RG, Holt N. Relationship of system-specific disorders in the pre-anesthesia evaluation to hospital length of stay. Anesthesia and Analgesia 2008; 106: S70.
28. The Audit Commission. The Right Result? Payment by Results 2003-2007. London: Audit Commission, 2008.
29. Goldstein LB, Moore WS, Robertson ST, Chaturvedi S. Complication rates for carotid endarterectomy: a call to arms. Stroke 1997; 28: 889-890 (Pubitemid 27209128)
30. Pandit JJ, Satya-Krishna R, Gration P. Superficial or deep cervical plexus block for carotid endarterectomy: a systematic review of complications. British Journal of Anaesthesia 2007; 99: 159-169 (Pubitemid 47249386)
31. American Association of Anesthesia Clinical Directors. Glossary of times used for scheduling and monitoring of diagnostic and therapeutic procedures. AORN Journal 1997; 66: 601-606
32. Norton A. The (anaesthetic) times, they are a-changin'. Bulletin of the Royal College of Anaesthetists 2008; 48: 2462-2464
33. Durani P, Seagrave M, Neumann L. The use of theatre time in elective orthopaedic surgery. Annals of the Royal College of Surgeons 2005; 87 (Suppl.): 170-172
34. Pitches D, Burls A, Fry-Smith A. How to make a silk purse from a sow's ear - a comprehensive review of strategies to optimise data for corrupt managers and incompetent clinicians. British Medical Journal 2003; 327: 1436-1439 (Pubitemid 38045814)
35. Royal Statistical Society Working Party on Performance Monitoring in the Public Service (2004). Performance indicators: good, bad and ugly. Journal of the Royal Statistical Society A 2005; 168: 1-27.
36. Tessler MJ, Kleiman SJ, Huberman MM. A 'zero tolerance for overtime' increases surgical per case costs. Canadian Journal of Anaesthesia 1997; 44: 1036-1041 (Pubitemid 27517492)
37. Cook TM. The concept of surgical operating list 'efficiency': a formula to describe the term. Anaesthesia 2007; 63: 98.
38. Pandit JJ, Westbury S, Pandit MJ. A reply. Anaesthesia 2008; 63: 98-99
39. Lebowitz P. Why can't my procedures start on time? AORN Journal 2003; 77: 594-597
40. Ray N, Tung A, Glick DB. Who cares if I'm on time? Anesthesia and Analgesia 2008; 106: S-71.
41. Cutter RW, Carli N, O'Connor M. The modified staggered start. Anesthesia and Analgesia 2008; 106: S-72.
42. Ray N, Tung A, Glick DB. Why rush? You won't get out any earlier!! Anesthesia and Analgesia 2008; 106: S-73.
43. Abouleish AE, Hensley SL, Zornow MH, Prough DS. Inclusion of turnover time does not influence identification of surgical services that over- and underutilize allocated block time. Anesthesia and Analgesia 2003; 96: 813-818 (Pubitemid 36245574)
44. 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. Anesthesia and Analgesia 2003; 97: 1119-1126 (Pubitemid 37158700)
45. Mathias JM. Operating room efficiency: benchmarking operating room turnover times. Operating Room Manager 2000; 16: 1-4.
46. Brenn BR, Reilly JS, Deutsch ES, Hettrick MH, Cook SC. Analysis of efficiency of common otolaryngology operations: comparison of operating room vs. short procedure room in a pediatric tertiary hospital. Archives of Otoloaryngology, Head and Neck Surgery 2003; 129: 435-437
47. Strum DP, Sampson AR, May JH, Vargas LG. Surgeon and type of anesthesia predict variability in surgical procedure times. Anesthesiology 2000; 92: 1454-1466 (Pubitemid 30257207)
48. Seim AR, Dahl DM, Sandberg WS. Small changes in operative time can yield discrete increases in operating room throughput. Journal of Endourology 2007; 7: 703-708 (Pubitemid 47311410)
49. Sumanth DJ. Productivity Engineering and Management. New York: McGraw-Hill, 1984.
50. Scott S. Productivity Management: Planning, Measurement and Evaluation, Control and Improvement. New York: John Wiley and Sons, 1987.
51. Wen GJ. Total factor productivity change in China's farming sector: 1952-1989. Economic Development and Cultural Change 1993; 42: 1-41.