TY - JOUR
T1 - Targeting operating room inefficiencies in the complex management of vision-threatening diseases in children
AU - Vigoda, Michael M.
AU - Gayer, Steven
AU - Tutiven, Jacqueline
AU - Mueller, Alice
AU - Murtha, Mary
AU - Schefler, Amy C.
AU - Murray, Timothy G.
PY - 2008/9
Y1 - 2008/9
N2 - Objective: To review the effect of interventions designed to decrease turnover time in infants and children (median age, 2.6 years; range, 1 month to 10 years) who required examinations under anesthesia. Methods: Five efficiency interventions (3 anesthesia providers for 2 rooms, digital remote communication, change in patient scheduling, standardization of case order, and streamlining administration of preoperative medications) were implemented during a 4 1/2-year period from January 2003 to July 2007. Using data from our in-house operating room information system, we analyzed turnover times (time it took 1 patient to leave the operating room and the next to enter). Results: The mean turnover times decreased from 12.1 minutes to 3.8 minutes. The 90th percentile of longest turnover times decreased from 14.5 minutes in 2003 to 5.8 minutes in 2007, despite a progressive increase in the number of cases per day. Conclusion: Caring for children who require extensive examinations under anesthesia can be efficiently achieved in nonpediatric environments.
AB - Objective: To review the effect of interventions designed to decrease turnover time in infants and children (median age, 2.6 years; range, 1 month to 10 years) who required examinations under anesthesia. Methods: Five efficiency interventions (3 anesthesia providers for 2 rooms, digital remote communication, change in patient scheduling, standardization of case order, and streamlining administration of preoperative medications) were implemented during a 4 1/2-year period from January 2003 to July 2007. Using data from our in-house operating room information system, we analyzed turnover times (time it took 1 patient to leave the operating room and the next to enter). Results: The mean turnover times decreased from 12.1 minutes to 3.8 minutes. The 90th percentile of longest turnover times decreased from 14.5 minutes in 2003 to 5.8 minutes in 2007, despite a progressive increase in the number of cases per day. Conclusion: Caring for children who require extensive examinations under anesthesia can be efficiently achieved in nonpediatric environments.
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U2 - 10.1001/archopht.126.9.1241
DO - 10.1001/archopht.126.9.1241
M3 - Article
C2 - 18779484
AN - SCOPUS:51649124501
VL - 126
SP - 1241
EP - 1243
JO - Archives of Ophthalmology
JF - Archives of Ophthalmology
SN - 0003-9950
IS - 9
ER -