Influence of supervision ratios by anesthesiologists on first-case starts and critical portions of anesthetics

Anesthesiology

Volumn 116, Issue 3, 2012, Pages 683-691

  Epstein, Richard H ^a   Dexter, Franklin ^b  

^a THOMAS JEFFERSON UNIVERSITY   (United States)

^b UNIVERSITY OF IOWA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHESIOLOGIST SUPERVISION; ANESTHESIST; ARTICLE; HOSPITAL MANAGEMENT; HUMAN; PATIENT CARE; PREDICTION; PRIORITY JOURNAL; PROBABILITY; SIMULATION; TIME; WORKLOAD;

ANESTHESIOLOGY; ANESTHETICS; HUMANS; LEADERSHIP; MONITORING, INTRAOPERATIVE; PERSONNEL STAFFING AND SCHEDULING; PHYSICIANS;

EID: 84859104545     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0b013e318246ec24     Document Type: Article

References (31)

1. Rolly G, MacRae WR, Blunnie WP, Dupont M, Scherpereel P: Anaesthesiological manpower in Europe. Eur J Anaesthesiol 1996; 13:325-32
2. Freund PR, Posner KL: Sustained increases in productivity with maintenance of quality in an academic anesthesia practice. Anesth Analg 2003; 96:1104-8 (Pubitemid 36359051)
3. Demeere JL: Anaesthesia manpower in Belgium until 2020: Nurse anaesthetists - a possible solution? Eur J Anaesthesiol 2002; 19:755-9
4. Posner KL, Freund PR: Trends inquality of anesthesia care associated with changing staffing patterns, productivity, and concurrency of case supervision in a teaching hospital. ANESTHESIOLOGY 1999; 91:839-47 (Pubitemid 29418666)
5. Kheterpal S, Tremper KK, Shanks A, Morris M: Brief report: Workforce and finances of the United States anesthesiology training programs: 2009-2010. Anesth Analg 2011; 112:1480-6
6. Abenstein JP, Long KH, McGlinch BP, Dietz NM: Is physician anesthesia cost-effective? Anesth Analg 2004; 98:750-7 (Pubitemid 38252671)
7. Baker AB: Anaesthesia workforce in Australia and New Zealand. Anaesth Intensive Care 1997; 25:60-7
8. Schubert A, Eckhout G, Cooperider T, Kuhel A: Evidence of acurrent and lasting national anesthesia personnel shortfall: Scope and implications. Mayo Clin Proc 2001; 76:995-1010 (Pubitemid 32946012)
9. Bayman EO, Dexter F, Laur JJ, Wachtel RE: National incidence of use of monitored anesthesia care. Anesth Analg 2011; 113:165-9
10. Pontone S, Brouard N: Despite corrective measures, will there still be a lack of anaesthetists and intensive care physicians in France by 2020? Annales Françaises d'Anesthésie et de Réanimation 2010; 29:862-7
11. Dexter EU, Dexter F, Masursky D, Garver MP, Nussmeier NA: Both bias and lack of knowledge influence organizational focus on first case of the day starts. Anesth Analg 2009; 108:1257-61
12. Dexter F, Epstein RH: Typical savings from each minute reduction in tardy first case of the day starts. Anesth Analg 2009; 108:1262-7
13. McIntosh C, Dexter F, Epstein RH: The impact of servicespecific staffing, case scheduling, turnovers, and first-case starts on anesthesia group and operating room productivity: Tutorial using data from an Australian hospital. Anesth Analg 2006; 103:1499-516 (Pubitemid 44949221)
14. 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 (Pubitemid 36359052)
15. Dexter F, Weih LS, Gustafson RK, Stegura LF, Oldenkamp MJ, Wachtel RE: Observational study of operating room times for knee and hip replacement surgery at nine US community hospitals. Health Care Manag Sci 2006; 9:325-39 (Pubitemid 44736857)
16. Wachtel RE, Dexter F: Influence of the operating room schedule on tardiness from scheduled start times. Anesth Analg 2009; 108:1889-901
17. Burstin HR, Lipsitz SR, Brennan TA: Socioeconomic status and risk for substandard medical care. JAMA 1992; 268:2383-7
18. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Herbosa T, Joseph S, Kibatala PL, Lapital MC, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA, Safe Surgery Saves Lives Study Group: A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360:491-9
19. Paoletti X, Marty J: Consequences of running more operating theatres than anaesthetists to staff them: A stochastic simulation study. Br JAnaesth 2007; 98:462-9 (Pubitemid 47072645)
20. Koenig T, Neumann C, Ocker T, Kramer S, Spies C, Schuster M: Estimating the time needed for induction of anaesthesia and its importance in balancing anaesthetists' and surgeons' waiting times around the start of surgery. Anaesthesia 2011; 66:556-62
21. Escobar A, Davis EA, Ehrenwerth J, Watrous GA, Fisch GS, Kain ZN, Barash PG: Task analysis of the preincision surgical period: An independent observer-based study of 1558 cases. Anesth Analg 2006; 103:922-7 (Pubitemid 44576698)
22. Epstein RH, Dexter F, Piotrowski E: Automated correction of room location errors in anesthesia information management systems. Anesth Analg 2008; 107:965-71
23. Wright MC, Phillips-Bute B, Mark JB, Stafford-Smith JB, Grichnik KP, Andregg BC, Taekman JM: Time of day effects on the incidence of anesthetic adverse events. QualSaf Health Care 2006; 15:258-63
24. Dexter F, Epstein RH: Calculating institutional support that benefits both the anesthesia group and hospital. Anesth Analg 2008; 106:544-53 (Pubitemid 351156683)
25. Masursky D, Dexter F, Isaacson SA, Nussmeier NA: Surgeons'and anesthesiologists' perceptions of turnover times. Anesth Analg 2011; 112:440-4,
26. Dexter F, Epstein RH, Traub RD, Xiao Y: Making management decisions onthe day of surgery based on operating room efficiency and patient waiting times. ANESTHESIOLOGY 2004; 101:1444-53 (Pubitemid 39565003)
27. Dexter F, Willemsen-Dunlap A, Lee JD: Operating room managerial decision-making on the day of surgery with and without computer recommendations and status displays. Anesth Analg 2007; 105:419-29
28. Sandberg WS, Daily B, Egan M, Stahl JE, Goldman M, Wiklund RA, Rattner D: Deliberate perioperative systems design improves operating room throughput. ANESTHESIOLOGY 2005;103:406-18 (Pubitemid 41076739)
29. Ehrenfeld JM, Funk LM, Van Schalkwyk J, Merry AF, Sandberg WS, Gawande A: The incidence of hypoxemia during surgery: Evidence from two institutions. Can J Anesth 2010; 57:888-97
30. Reich DL, Bennett-Guerrero E, Bodian CA, Hossain S, Winfree W, Krol M: Intraoperative tachycardia and hypertension are independently associated with adverse outcome in noncardiac surgery of long duration. Anesth Analg 2002; 95:273-7 (Pubitemid 34793082)
31. Reich DL, Hossain S, Krol M, Baez B, Patel P, Bernstein A, Bodian CA: Predictors of hypotension after induction of general anesthesia. Anesth Analg 2005; 622-8 (Pubitemid 41208481)