Economics and Mathematics of Decreasing Anesthesia,
Turnover, or Surgical Times
(last updated 06/28/10)

2010

2009

Mariano ER, Chu LF, Peinado CR, Mazzei WJ. Anesthesia-controlled time and turnover time for ambulatory upper extremity surgery performed with regional versus general anesthesia. Journal of Clinical Anesthesia 21:253-257, 2009

Marjamaa RA, Torkki PM, Hirvensalo EJ, Kirvelä OA. What is the best workflow for an operating room? A simulation study of five scenarios. Health Care Management Science 12:142-146, 2009
 

2008

Krupka DC, Sathaye S, Sandberg WS. Reducing non-operative time: methods and impact on operating room economics. International Journal of Healthcare Technology and Management 19:325-352, 2008

Nundy S, Mukherjee A, Sexton JB, Pronovost PJ, Knight A, Rowen LC, Duncan M, Syin D, Makary MA. Impact of preoperative briefings on operating room delays: a preliminary report. Archives of Surgery 143:1068-1072, 2008

Schuster M, Kotjan T, Fiege M, Goetz AE. Influence of resident training on anaesthesia induction times. British Journal of Anaesthesia 101:640-647, 2008

Smith MP, Sandberg WS, Foss J, Massoli K, Kanda M, Barsoum W, Schubert A. High-throughput operating room system for joint arthroplasties durably outperforms routine processes. Anesthesiology 109:25-35, 2008

Vigoda MM, Gayer S, Tutiven J, Mueller A, Murtha M, Schefler AC, Murray TG. Targeting operating room inefficiencies in the complex management of vision-threatening diseases in children. Archives of Ophthalmology 126:1241-1243, 2008
 

2007

Eappen S, Flanagan H, Lithman R, Bhattacharyya N. 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. Journal of Clinical Anesthesia 19:85-91, 2007

Seim AR, Dahl DM, Sandberg WS. Small changes in operative time can yield discrete increases in operating room throughput. Journal of Endourology 21:703-708, 2007
 

2006

Cendan JC, Good M. Interdisciplinary work flow assessment and redesign decreases operating room turnover time and allows for additional caseload. Archives of Surgery 141:65-69, 2006

Friedman DM, Sokal SM, Chang Y, Berger DL. Increasing operating room efficiency through parallel processing. Annals of Surgery 243:10-14, 2006

Harders M, Malangoni MA, Weight S, Sidhu T. Improving operating room efficiency through process redesign. Surgery 140:509-516, 2006

Seim A, Andersen B, Sandberg WS. Statistical process control as a tool for monitoring nonoperative time. Anesthesiology 105:370-380, 2006

Stahl JE, Sandberg WS, Daily B, Wiklund R, Egan MT, Goldman JM, Isaacson KB, Gazelle S, Rattner DW. Reorganizing patient care and workflow in the operating room: a cost-effectiveness study. Surgery 139:717-728, 2006
 

2005

Dexter F. Deciding whether your hospital can apply clinical trial results of strategies to increase productivity by reducing anesthesia and turnover times. Anesthesiology 103:225-228, 2005

Dexter F, Epstein RH, Marcon E, Ledolter J. Estimating the incidence of prolonged turnover times and delays by time of day. Anesthesiology 102:1242-1248, 2005  [PDF]

2001

Kenyon TA, Urbach DR, Speer JB, Waterman-Hukari B, Foraker GF, Hansen PD, Swanstrom LL. Dedicated minimally invasive surgery suites increase operating room efficiency. Surgical Endoscopy 15:1140-1143, 2001
 

2000

Williams BA, Kentor ML, Williams JP, Figallo CM, Sigl JC, Anders JW, Bear TC, Tullock WC, Bennett CH, Harner CD, Fu FH. Process analysis in outpatient knee surgery - Effects of regional and general anesthesia on anesthesia-controlled time. Anesthesiology 93:529-538, 2000
 

1999

Dexter F, Macario A. Decrease in case duration required to complete an additional case during regularly scheduled hours in an operating room suite - a computer simulation study. Anesthesia & Analgesia 88:72-76, 1999

Dexter F, Macario A, Manberg PJ, Lubarsky DA. Computer simulation to determine how rapid anesthetic recovery protocols to decrease the time for emergence or increase the phase I post anesthesia care unit bypass rate affect staffing of an ambulatory surgery center. Anesthesia & Analgesia 88:1053-1063, 1999

Kain ZN, Faulo A, Rimar S. Establishment of a pediatric surgery center: Increasing anesthetic efficiency. Journal of Clinical Anesthesia 11:540-544, 1999
 

1998

Overdyk FJ, Harvey SC, Fishman RL, Shippey F. Successful strategies for improving operating room efficiency at academic institutions. Anesthesia & Analgesia 86:896-906, 1998

Williams BA, DeRiso BM, Engel LB, Figallo CM, Anders JW, Sproul KA, Ilkin H, Harner CD, Fu FH, Nagarajan NJ, Evans JH 3rd, Watkins WD. Benchmarking the Perioperative process: II. Introducing anesthesia clinical pathways to improve processes and outcomes and to reduce nursing labor intensity in ambulatory orthopedic surgery. Journal of Clinical Anesthesia 10:561-569, 1998

Williams BA, DeRiso BM, Engel LB, Figallo CM, Anders JW, Engel LB, Sproul KA, Ilkin H, Harner CD, Fu FH, Nagarajan NJ, Evans JH 3rd, Watkins WD. Benchmarking the Perioperative process: III. Effects of regional anesthesia clinical pathway techniques on process efficiency and recovery profile in ambulatory orthopedic surgery. Journal of Clinical Anesthesia 10:570-568, 1998
 

1996

Dexter F, Macario A. Applications of information systems to operating room scheduling. Anesthesiology 85:1232-1234, 1996
 

1995

Dexter F, Coffin S, Tinker JH. Decreases in anesthesia-controlled time cannot permit one additional surgical operation to be scheduled during the workday. Anesthesia & Analgesia 81:1263-1268, 1995

Dexter F, Tinker JH. Comparisons between desflurane and isoflurane or propofol on time to following commands and time to discharge: a metaanalysis. Anesthesiology 83:77-82, 1995
 

1994

Mazzei WJ. Operating room start times and turnover times in a university hospital. Journal of Clinical Anesthesia 6:405-408, 1994