Deliberate Perioperative Systems Design Improves Operating Room Throughput

Sandberg, Warren S.; Daily, Bethany; Egan, Marie T.; Stahl, James E.; Goldman, Julian M.; Wiklund, Richard A.; Rattner, David W.

doi:10.1097/00000542-200508000-00025

Cited by 187 publications

(133 citation statements)

References 16 publications

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“…The additional implant cost may be offset by shorter operative times if long-term clinical outcomes are equivalent. Operating room time is estimated at $10-30 per min [23]. The mean time difference of 20 min observed in our study would closely equal the implant cost of $495 [30].…”

Section: Discussionsupporting

confidence: 49%

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Avant

Nydick²,

White

et al. 2014

Hand (New York, N,Y.)

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Background Our purpose was to compare the outcomes of patients with severe basilar thumb osteoarthritis treated with trapeziectomy and suspensionplasty using abductor pollicis longus (APL) tendon versus a suture button device. Methods A retrospective study was performed for patients undergoing trapeziectomy and suspensionplasty with APL tendon or suture button fixation. Outcome measures included disabilities of the arm, shoulder, and hand (DASH); visual analog score (VAS); grip strength; key pinch; tip pinch; and thumb opposition. Radiographic measurements, surgical times, and complications were recorded. Results Thirty-three patients in the APL tendon group and 27 patients in the suture button group had a minimum 6-month follow-up. VAS, DASH, and functional measurements improved after surgery for both groups. Mean operative time was 68 min for the APL tendon group and 48 min for the suture button group. Complications were similar between groups.Conclusions The use of suture button fixation when compared to APL tendon suspensionplasty offers similar clinical outcomes.Type of study/level of evidence: Therapeutic III

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Section: Discussionsupporting

confidence: 49%

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Avant

Nydick²,

White

et al. 2014

Hand (New York, N,Y.)

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“…The focus has been on surgical workflow optimization, system integration and standardization, in particular in new clinical fields like image guided surgery. Parallel to these studies, different testbeds have been established to experiment and report on the development of advanced surgery rooms [32,1,20].…”

Section: Motivationmentioning

confidence: 99%

Statistical modeling and recognition of surgical workflow

Padoy

Blum

Ahmadi

et al. 2012

Medical Image Analysis

222

164

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“…2 The interval between the end of one surgery on a patient and the beginning of the next surgery on another patient is known as the OR turnaround time; this should be distinguished from OR turnover time which conventionally indicates the interval between the previous patient leaving the OR and the next patient entering the room, although these terms are sometimes used interchangeably. [3][4][5][6] Various factors have been shown to influence OR turnaround times; for example, the time of day of the surgery, the age and American Society of Anesthesiology physical status of the patient and the assignment of the right anaesthesiologist to a surgeon have all been associated with a reduction in OR overutilisation. 4,5,7,8 In contrast, a change in surgeon has been found to have no significant impact on OR efficiency.…”

mentioning

confidence: 99%

Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany

Morgenegg

Heinze

Wieferich

et al. 2018

Sultan Qaboos Univ Med J

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abstract:Objectives: While several factors have been shown to influence operating room (OR) turnaround times, few comparisons of planned and actual OR turnaround times have been performed. This study aimed to compare planned and actual OR turnaround times at a large rural hospital in Northern Germany. Methods: This retrospective study examined the OR turnaround data of 875 elective surgery cases scheduled at the Marienhospital, Vechta, Germany, between July and October 2014. The frequency distributions of planned and actual OR turnaround times were compared and correlations between turnaround times and various factors were established, including the time of day of the procedure, patient age and the planned duration of the surgery. Results: There was a significant difference between mean planned and actual OR turnaround times (0.32 versus 0.64 hours; P <0.001). In addition, significant correlations were noted between actual OR turnaround times and the time of day of the surgery, patient age, actual duration of the procedure and staffing changes affecting the surgeon or the medical specialty of the surgery (P <0.001 each). The quotient of actual/planned OR turnaround times ranged from 1.733-3.000. Conclusion: Significant discrepancies between planned and actual OR turnaround times were noted during the study period. Such findings may be potentially used in future studies to establish a tool to improve OR planning, measure OR management performance and enable benchmarking.

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Deliberate Perioperative Systems Design Improves Operating Room Throughput

Cited by 187 publications

References 16 publications

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Statistical modeling and recognition of surgical workflow

Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany

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