Strategies to reduce delays in admission into a postanesthesia care unit from operating rooms

Dexter, Franklin; Epstein, Richard H.; Marcon, Eric; Matta, Renato de

doi:10.1016/j.jopan.2005.01.001

Cited by 67 publications

(71 citation statements)

References 34 publications

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“…This category groups criteria related to, for instance, the use of additional capacity of specific resources [58,95,102,114,117], delays in PACU admissions [34,82] or operating room target allocation [13,14,23,101].…”

Section: Performance Measuresmentioning

confidence: 99%

“…Mulholland et al [87], for instance, report on the application of linear programming to determine the mix of patients that optimizes the financial outcome of both physicians and the hospital, taking into account the resulting consumption of multiple [7,22,50,52,77,93] column generation [51,52,62,75,77,114] branch-and-price [7,22,50,116] other [36,85,93,94] simulation discrete-event [3,5,17,18,20,34 [17,27,37,63,75,76,78,89,92] constructive heuristic [6,9,23,25,26,39,41,44,45,59,63,71,…”

Section: Solution Techniquementioning

confidence: 99%

See 1 more Smart Citation

Operating room planning and scheduling: A literature review

Cardoen

Demeulemeester

Beliën

2010

European Journal of Operational Research

881

514

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Section: Performance Measuresmentioning

confidence: 99%

Section: Solution Techniquementioning

confidence: 99%

Operating room planning and scheduling: A literature review

Cardoen

Demeulemeester

Beliën

2010

European Journal of Operational Research

881

514

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“…There are two metaanalyses that include studies of health sector working hours, reflecting the sizeable number of studies in this field. 298,299 However, none of the studies described below has been included in these existing reviews. This sample therefore adds to the review literature on this topic.…”

Section: Staffing Level and Working Hoursmentioning

confidence: 99%

Systematic review of the links between human resource management practices and performance

Patterson

Rick²,

Wood³

et al. 2010

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of project...

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“…To our knowledge, few papers studied case scheduling with the aim of improving both the efficiency of use of OR time and the PACU nurses [16]. The latter involves predominantly maintaining a low and relatively even number of PACU patients throughout the workday [13,16,17].…”

Section: Introductionmentioning

confidence: 99%

“…The latter involves predominantly maintaining a low and relatively even number of PACU patients throughout the workday [13,16,17]. Dexter et al [13,16] observed that although a reduction in the recovery time of PACU patients can decrease the number of PACU nurses, the relationship is weak. Rather, the number of PACU nurses needed in any given day depends highly on the peak number of patients during the workday [13,16].…”

Section: Introductionmentioning

confidence: 99%

Impact of surgical sequencing on post anesthesia care unit staffing

Marcon

Dexter

2006

Health Care Manage Sci

Self Cite

115

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This paper analyzes the impact of sequencing rules on the phase I post anesthesia care unit (PACU) staffing and over-utilized operating room (OR) time resulting from delays in PACU admission. The sequencing rules are applied to each surgeon's list of cases independently. Discrete event simulation shows the importance of having a sufficient number of PACU nurses. Sequencing rules have a large impact on the maximum number of patients receiving care in the PACU (i.e., peak of activity). Seven sequencing rules are tested, over a wide range of scenarios. The largest effect of sequencing was on the percentage of days with at least one delay in PACU admission. The best rules are those that smooth the flow of patients entering in the PACU (HIHD (Half Increase in OR time and Half Decrease in OR time) and MIX (MIX OR time)). We advise against using the LCF (Longest Cases First) and equivalent sequencing methods. They generate more over-utilized OR time, require more PACU nurses during the workday, and result in more days with at least one delay in PACU admission.

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Strategies to reduce delays in admission into a postanesthesia care unit from operating rooms

Cited by 67 publications

References 34 publications

Operating room planning and scheduling: A literature review

Operating room planning and scheduling: A literature review

Systematic review of the links between human resource management practices and performance

Impact of surgical sequencing on post anesthesia care unit staffing

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