Maximizing operating room and recovery room capacity in an era of constrained resources.

Maximizing operating room and recovery room capacity in an era of constrained resources. Research Abstract Details 

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Maximizing operating room and recovery room capacity in an era of constrained resources. Abstract Text:

Franklin Dexter,Ruth E Wachtel,

HYPOTHESIS: Three parallel processing operating rooms (ORs) (concurrent induction and turnover) with a dedicated 3-bed mini-recovery room (mini-postanesthesia care unit [PACU]) will optimize patient throughput and main PACU workload when compared with 4 traditional ORs or 4 parallel processing ORs. DESIGN: Statistical and mathematical models projected the impact of parallel processing on case throughput and PACU use. SETTING: Academic medical center with 48 traditional ORs using serial induction and turnover and 1 experimental OR, the operating room of the future, with parallel processing. PARTICIPANTS: All surgical cases from October 2002 through March 2004 (N = 49 887). INTERVENTIONS: A statistical model projected the duration of induction, surgery, turnover, and PACU stay for cases performed in a traditional OR (n = 48 667) based on the operating room of the future (n = 1220) experience. A fluid queuing model compared each combination using specific probability density functions. MAIN OUTCOME MEASURES: Each OR configuration was evaluated for case throughput and minutes of work sent to the PACU. RESULTS: Although all cases save OR time with parallel processing, only select surgeon-case combinations translate time saved into additional cases per day (26%). Without additional PACU slots, output from 4 parallel processing ORs further stresses the PACU. Three parallel processing ORs and a mini-PACU balances incremental volume by offsetting PACU utilization in 84% of cases. CONCLUSION: In a PACU-constrained environment, 3 parallel processing ORs with a mini-PACU configuration offers increased throughput and decreased PACU workload.

Maximizing operating room and recovery room capacity in an era of constrained resources. Publishing Authors By Initials

F Dexter,RE Wachtel,

For similar organization and administration: personnel management: workload research abstracts see: organization and administration: personnel management: workload research

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Maximizing operating room and recovery room capacity in an era of constrained resources. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Archives of surgery (Chicago, Ill. : 1960)

VOLUME: 141

Page Numbers: 389-93; discussion 393-5

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ISSN: 0004-0010

DAY: 29

MONTH: Apr

YEAR: 2006

Maximizing operating room and recovery room capacity in an era of constrained resources. Information

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LANGUAGE: eng

NlmUniqueID: 9716528

Maximizing operating room and recovery room capacity in an era of constrained resources. Keywords Mesh Terms:

KEYWORDS: Workload

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Maximizing operating room and recovery room capacity in an era of constrained resources.

AFFILIATION: Center for Clinical Effectiveness in Surgery and Department of Surgery, Massachusetts General Hospital, Boston 02114, USA.

Country: United States

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MEDLINETA: Arch Surg

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