Access the full text.
Sign up today, get DeepDyve free for 14 days.
W. Sandberg, B. Daily, Marie Egan, J. Stahl, J. Goldman, R. Wiklund, D. Rattner (2005)Deliberate Perioperative Systems Design Improves Operating Room Throughput
D. Segev, R. Levi, P. Dunn, W. Sandberg (2012)Modeling the impact of changing patient transportation systems on peri-operative process performance in a large hospital: insights from a computer simulation study
Health Care Management Science, 15
M. Harders, M. Malangoni, S. Weight, T. Sidhu, D. Krupka, W. Sandberg (2009)Increasing operating room throughput via parallel processing may not require extra resources.
Anesthesiology, 110 2
T. Perneger (2006)A research agenda for patient safety.
International journal for quality in health care : journal of the International Society for Quality in Health Care, 18 1
Paul Mercereau, B. Lee, S. Head, S. Schwarz (2012)A regional anesthesia-based “swing” operating room model reduces non-operative time in a mixed orthopedic inpatient/outpatient population
Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 59
A. Law, W. Kelton (1991)Simulation Modeling & Analysis
D. Tran, Kevin Pham, S. Dugani, R. Finlayson (2011)A Prospective, Randomized Comparison Between Double-, Triple-, and Quadruple-Injection Ultrasound-Guided Axillary Brachial Plexus Block
Regional Anesthesia & Pain Medicine, 37
F. Dexter, R. Epstein, R. Traub, Yan Xiao (2004)Making Management Decisions on the Day of Surgery Based on Operating Room Efficiency and Patient Waiting Times
David Friedman, S. Sokal, Yuchiao Chang, D. Berger (2006)Increasing Operating Room Efficiency Through Parallel Processing
Annals of Surgery, 243
D. Tran, P. Bertini, C. Zaouter, L. Muñoz, R. Finlayson (2009)A Prospective, Randomized Comparison Between Single- and Double-Injection Ultrasound-Guided Infraclavicular Brachial Plexus Block
Regional Anesthesia & Pain Medicine, 35
J. Jun, S. Jacobson, J. Swisher (1999)Application of discrete-event simulation in health care clinics: A survey
Journal of the Operational Research Society, 50
B. Berg, B. Denton, H. Nelson, H. Balasubramanian, Ahmed Rahman, Angela Bailey, K. Lindor (2010)A Discrete Event Simulation Model to Evaluate Operational Performance of a Colonoscopy Suite
Medical Decision Making, 30
J. Stahl, W. Sandberg, B. Daily, R. Wiklund, Marie Egan, J. Goldman, K. Isaacson, S. Gazelle, D. Rattner (2006)Reorganizing patient care and workflow in the operating room: a cost-effectiveness study.
Surgery, 139 6
P. Torkki, R. Marjamaa, M. Torkki, P. Kallio, O. Kirvelä (2005)Use of Anesthesia Induction Rooms Can Increase the Number of Urgent Orthopedic Cases Completed within 7 Hours
J. Clague, P. Reed, J. Barlow, R. Rada, M. Clarke, R. Edwards (1997)Improving outpatient clinic efficiency using computer simulation.
International journal of health care quality assurance incorporating Leadership in health services, 10 4-5
B. DeRiso, K. Cantees, W. Watkins (1995)The Operating Rooms: Cost Center Management in a Managed Care Environment
International Anesthesiology Clinics, 33
T. Rohleder, Peter Lewkonia, D. Bischak, P. Duffy, Rosa Hendijani (2011)Using simulation modeling to improve patient flow at an outpatient orthopedic clinic
Health Care Management Science, 14
R. Cima, Michael Brown, J. Hebl, Robin Moore, James Rogers, A. Kollengode, Gwendolyn Amstutz, Cheryl Weisbrod, B. Narr, C. Deschamps (2011)Use of lean and six sigma methodology to improve operating room efficiency in a high-volume tertiary-care academic medical center.
Journal of the American College of Surgeons, 213 1
R. Hanss, B. Buttgereit, P. Tonner, B. Bein, A. Schleppers, M. Steinfath, J. Scholz, M. Bauer (2005)Overlapping Induction of Anesthesia: An Analysis of Benefits and Costs
F. Dexter, A. Macario, L. O'Neill (2000)Scheduling Surgical Cases into Overflow Block Time— Computer Simulation of the Effects of Scheduling Strategies on Operating Room Labor Costs
Anesthesia & Analgesia, 90
S. Head, R. Seib, Jill Osborn, S. Schwarz (2011)A “swing room” model based on regional anesthesia reduces turnover time and increases case throughput
Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 58
K. Armstrong, R. Cherry (2004)Brachial plexus anesthesia compared to general anesthesia when a block room is available
Canadian Journal of Anesthesia, 51
Lance Farnworth, David Lemay, Todd Wooldridge, Jay Mabrey, M. Blaschak, T. Decoster, D. Wascher, Robert Schenck (2001)A comparison of operative times in arthroscopic ACL reconstruction between orthopaedic faculty and residents: the financial impact of orthopaedic surgical training in the operating room.
The Iowa orthopaedic journal, 21
Purpose – Parallel processing of regional anesthesia may improve operating room (OR) efficiency in patients undergoes upper extremity surgical procedures. The purpose of this paper is to evaluate whether performing regional anesthesia outside the OR in parallel increases total cases per day, improve efficiency and productivity. Design/methodology/approach – Data from all adult patients who underwent regional anesthesia as their primary anesthetic for upper extremity surgery over a one-year period were used to develop a simulation model. The model evaluated pure operating modes of regional anesthesia performed within and outside the OR in a parallel manner. The scenarios were used to evaluate how many surgeries could be completed in a standard work day (555 minutes) and assuming a standard three cases per day, what was the predicted end-of-day time overtime. Findings – Modeling results show that parallel processing of regional anesthesia increases the average cases per day for all surgeons included in the study. The average increase was 0.42 surgeries per day. Where it was assumed that three cases per day would be performed by all surgeons, the days going to overtime was reduced by 43 percent with parallel block. The overtime with parallel anesthesia was also projected to be 40 minutes less per day per surgeon. Research limitations/implications – Key limitations include the assumption that all cases used regional anesthesia in the comparisons. Many days may have both regional and general anesthesia. Also, as a case study, single-center research may limit generalizability. Practical implications – Perioperative care providers should consider parallel administration of regional anesthesia where there is a desire to increase daily upper extremity surgical case capacity. Where there are sufficient resources to do parallel anesthesia processing, efficiency and productivity can be significantly improved. Originality/value – Simulation modeling can be an effective tool to show practice change effects at a system-wide level.
International Journal of Health Care Quality Assurance – Emerald Publishing
Published: Oct 7, 2014
Access the full text.
Sign up today, get DeepDyve free for 14 days.