Introduction of Anesthesia Resident Trainees to the Operating Room Does Not Lead to Changes in Anesthesia-controlled Times for Efficiency Measures

Abstract

Although statistically significant time differences were found, these data strongly suggest that the initiation of anesthesia trainees to the operating room has no clinically or economically meaningful adverse effect on the anesthesia-controlled time component of operating room efficiency.

Seasonal Variation in Surgical Outcomes as Measured by the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP)

“…[7][8][9][10][11][12][13] Presumably, this is because existing quality metrics in surgery have not been sufficiently standardized and risk adjusted to allow valid month-to-month comparisons on a large scale basis. A multicenter risk-adjusted analysis with sufficient statistical power to detect differences became possible with the institution of the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP), the first nationally validated outcome-based and risk-adjusted program for the enhancement of surgical quality.…”

The July Spike in Operating Room Management: Reality or Perception?

“…Another study has demonstrated that trained solo practitioners had shorter start and extubation times than new residents. 9 These delays did not improve after the residents were transitioned through an OR orientation program. 9 Limitations of our study include data that are specific only to the perioperative service level and the single institution nature of our observation.…”

“…9 These delays did not improve after the residents were transitioned through an OR orientation program. 9 Limitations of our study include data that are specific only to the perioperative service level and the single institution nature of our observation. Furthermore, we aggregated data over monthly time periods.…”

The addition of a regional block team to the orthopedic operating rooms does not improve anesthesia-controlled times and turnover time in the setting of long turnover times

“…This system has been described previously [6] and is routinely used to measure OR times. At the conclusion of the period, two sets of data were available: one set of times for days in which a regional block time was available to assist with orthopedic case turnover, and one set of data for days without regional block team availability.…”