Editorial: The limitations of using operating room utilisation to allocate surgeons more or less surgical block time in the USA

Anaesthesia

Volumn 65, Issue 6, 2010, Pages 548-552

  MacArio, A ^a  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL DECISION MAKING; CLINICAL EFFECTIVENESS; EDITORIAL; HOSPITAL COST; HOSPITAL PERSONNEL; HOSPITAL PLANNING; HOSPITAL UTILIZATION; NERVE BLOCK; OPERATING ROOM; PERFORMANCE MEASUREMENT SYSTEM; RESOURCE ALLOCATION; SURGEON; TIME; UNITED STATES; GENERAL SURGERY; HOSPITAL MANAGEMENT; HUMAN; NOTE; ORGANIZATION AND MANAGEMENT; UTILIZATION REVIEW;

APPOINTMENTS AND SCHEDULES; GENERAL SURGERY; HUMANS; OPERATING ROOMS; UNITED STATES;

EID: 77952275714     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/j.1365-2044.2010.06374.x     Document Type: Editorial

References (19)

1. Pandit JJ, Pandit MJ, Reynard JM. Understanding waiting lists as the matching of surgical capacity to demand: are we wasting enough surgical time? Anaesthesia 2010 65 : 625 640.
2. Dexter F, Macario A, Cerone S. Hospital profitability for a surgeon's common procedures predicts the surgeon's overall profitability for the hospital. Journal of Clinical Anesthesia 1998 10 : 457 463.
3. Dexter F, Macario A, Traub R, Lubarsky D. Operating room utilization alone is not an accurate metric for the allocation of operating room block time to individual surgeons with low caseloads. Anesthesiology 2003 98 : 1243 1256.
4. Wachtel RE, Dexter F. Tactical increases in operating room block time for capacity planning should not be based on utilization. Anesthesia and Analgesia 2008 106 : 215 226.
5. Dexter F, Macario A, Traub RD, Hopwood M, Lubarsky DA. An operating room scheduling strategy to maximize the use of operating room block time: computer simulation of patient scheduling and survey of patients' preferences for surgical waiting time. Anesthesia and Analgesia 1999 89 : 7 20.
6. Macario A, Dexter F, Traub RD. Hospital profitability per hour of operating room time can vary among surgeons. Anesthesia and Analgesia 2001 93 : 669 675.
7. Zonderland ME, Boer F, Boucherie RJ, de Roode A, van Kleef JW. Redesign of a university hospital preanesthesia evaluation clinic using a queuing theory approach. Anesthesia and Analgesia 2009 109 : 1612 1621.
8. Dexter F, Macario A, Lubarsky D. Impact on revenue of increasing patient volume at surgical suites with relatively high operating room utilization. Anesthesia and Analgesia 2001 92 : 1215 1221.
9. Masursky D, Dexter F, O'Leary CE, Applegeet C, Nussmeier NA. Long-term forecasting of anesthesia workload in operating rooms from changes in a hospital's local population can be inaccurate. Anesthesia and Analgesia 2008 106 : 1223 1231.
10. Macario A, Vitez T, Dunn B, McDonald T. What does perioperative care really cost? Analysis of hospital costs and charges for inpatient surgical care. Anesthesiology 1995 83 : 1138 1144.
11. Vitez TS, Macario A. Setting performance standards for an anesthesia department. Journal of Clinical Anesthesia 1998 10 : 166 175.
12. Macario A. Are your hospital operating rooms "efficient"? A scoring system with eight performance indicators. Anesthesiology 2006 105 : 237 240.
13. Dexter F, Ledolter J, Wachtel RE. Tactical decision making for selective expansion of operating room resources incorporating financial criteria and uncertainty in sub-specialties' future workloads. Anesthesia and Analgesia 2005 100 : 1425 1432.
14. Donham RT, Mazzei WJ, Jones RL. Procedural times glossary. American Journal of Anesthesiology 1996 23 (Suppl 5.
15. Dexter F, Epstein RH, Marcon E, Ledolter J. Estimating the incidence of prolonged turnover times and delays by time of day. Anesthesiology 2005 102 : 1242 1248.
16. Dexter F, Macario A, Ledolter J. Identification of systematic underestimation (bias) of case durations during case scheduling would not markedly reduce overutilized operating room time. Journal of Clinical Anesthesia 2007 19 : 198 203.
17. Macario A. Truth in scheduling: is it possible to accurately predict how long a surgical case will last? Anesthesia and Analgesia 2009 108 : 681 685.
18. Strum DP, Vargas LG, May JH. Surgical subspecialty block utilization and capacity planning. A minimal cost analysis model. Anesthesiology 1999 90 : 1176 1185.
19. McIntosh C, Dexter F, Epstein RH. Impact of service-specific staffing, case scheduling, turnovers, and first-case starts on anesthesia group and operating room productivity: tutorial using data from an Australian hospital. Anesthesia and Analgesia 2006 103 : 1499 1516.