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Chapter 2 - Defining ‘Efficiency’

Published online by Cambridge University Press:  09 November 2018

By
Jaideep J. Pandit
Edited by
Jaideep J. Pandit
Jaideep J. Pandit
Affiliation:
Oxford University Hospitals
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Practical Operating Theatre Management
Measuring and Improving Performance and Patient Experience
 , pp. 7 - 37
Publisher: Cambridge University Press
Print publication year: 2018

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References

Abouleish, AE, Hensley, SL, Zornow, MH, Prough, DS. 2003. Inclusion of turnover time does not influence identification of surgical services that over- and underutilize allocated block time. Anesthesia and Analgesia 96: 8138.Google Scholar
Association of Anaesthetists of Great Britain and Ireland. 2003. Theatre Efficiency, Safety, Quality of Care and Optimal Use of Resources. London: AAGBI.Google Scholar
Audit Commission. 2003. Operating Theatres: Review of National Findings. London: HMSO.Google Scholar
Audit Commission. 2004. Payment by Results: Key Risks and Questions to Consider for Trust and PCT Managers and Non-Executives. London: HMSO.Google Scholar
Berwick, DM. 2005. Measuring NHS productivity: how much health for the pound, not how many events to the pound. British Medical Journal 330: 975–6.Google Scholar
Calvert, N, Hind, D, McWilliams, R, Davidson, A, Beverley, CA, Thomas, AM. 2004. Ultrasound for central venous cannulation: economic evaluation of cost-effectiveness. Anaesthesia 59: 1116–20.Google Scholar
Cegan, PC. 2005. The easiest cut: managing elective surgery in the public sector. Medical Journal of Australia 182: 605–6.Google Scholar
Collantes, E, Mauffrey, C, Brewster, M. 2008. A review of 1241 trauma cases: a study of efficiency in trauma theatres. Injury: International Journal of the Care of the Injured 39: 742–7.CrossRefGoogle Scholar
Cutter, RW, Carli, N, O’Connor, M. 2008. The modified staggered start. Anesthesia and Analgesia 106: S–72.Google Scholar
Dexter, F, Abouleish, AE, Epstein, RH, Whitten, CW, Lubarsky, DA. 2003. Use of an operating room information system data to predict the impact of reducing turnover times on staffing costs. Anesthesia and Analgesia 97: 119–26.Google Scholar
Dexter, F, Macario, A. 1999. Application of information systems to operating room scheduling. Anesthesiology 91: 1501–8.Google Scholar
Dexter, F, Wachtel, RF. 2009. Influence of the operating room schedule on tardiness from scheduled start times. Anesthesia and Analgesia 108: 1889–901.Google Scholar
Durani, P, Seagrave, M, Neumann, L. 2005. The use of theatre time in elective orthopaedic surgery. Annals of the Royal College of Surgeons (Suppl.) 87: 170–2.Google Scholar
Faiz, O, Tekkis, P, Mcguire, A, Papagrigoriadis, S, Renni, J, Leather, A. 2008. Is theatre utilization a valid performance indicator for NHS operating theatres? BMC Health Services Research 8: 28.Google Scholar
Foundation Trust Network. 2010. FTN Benchmarking: Driving Performance Improvement in Operating Theatres. London: NHS Confederation.Google Scholar
Gabel, RA. 2003. Performance measurement. American Society of Anesthesiologists Newsletter 67: 5–6.Google Scholar
Gordon, T, Paul, S, Lyles, A, Fountain, J. 1988. Surgical unit time utilization review: resource utilization and management implications. Journal of Medical Systems 12: 169–79.CrossRefGoogle ScholarPubMed
Gupta, B, Agrawal, P, D’souza, N, Soni, KD. 2011. Start time delays in operating room: different perspectives. Saudi Journal of Anaesthesia 5: 286–8.Google Scholar
Healey, A, Undre, S, Vincent, CA. 2004. Developing observational measures of performance in surgical teams. Quality and Safety in Health Care 13 (Suppl. 1): i33–i40.Google Scholar
House of Commons Public Accounts Committee. 2006. The Use of Operating Theatres in Northern Ireland. Health and Personal Social Services, Seventh Report of Session 2005–6, London, HMSO.Google Scholar
Ivarson, B, Kimbald, PO, Sjöberg, T, Larsson, S. 2002. Patient reactions to cancelled or postponed heart operations. Journal of Nursing Management 10: 75–81.Google Scholar
Joshi, GP. 2008. Efficiency in ambulatory center surgery. Current Opinion in Anesthesiology 21: 695–8.Google Scholar
Kelly, MG, Eastham, A, Bowling, GS. 1985. Efficient OR scheduling: a study to reduce cancellations. Association of Perioperative Registered Nurses (AORN) Journal 41: 565–7.Google Scholar
Koenig, T, Neumann, C, Ocker, T, Kramer, S, Spies, C, Schuster, M. 2011. Estimating the time needed for induction of anaesthesia and its importance in balancing anaesthetists’ and surgeons’ waiting times around the start of surgery. Anaesthesia 66: 556–62.CrossRefGoogle ScholarPubMed
Lawrentschuk, N, Hewitt, PM, Pritchard, MG. 2003. Elective laparoscopic cholecystectomy: implications of prolonged waiting times for surgery. Australian and New Zealand Journal of Surgery 73: 890–3.Google ScholarPubMed
Macario, A. 2006. Are your hospital operating rooms ‘efficient’?: A scoring system with eight performance indicators. Anesthesiology 105: 237–40.Google Scholar
Macario, A. 2011. The limitations of using operating room utilisation to allocate surgeons more or less surgical block time in the USA. Anaesthesia 65: 548–52.Google Scholar
Mangan, JL, Walsh, C, Kernohan, WG, et al. 1992. Total joint replacement: implication of cancelled operations for hospital costs and waiting list management. Quality in Health Care 1: 34–7.Google ScholarPubMed
McIntosh, C, Dexter, F, Epstein, RH. 2006. The impact of service specific staffing, case scheduling, turnovers, and first-case starts on anaesthesia group and operating room productivity: a tutorial using data from an Australian hospital. Anesthesia and Analgesia 103: 1499–516.CrossRefGoogle ScholarPubMed
McWhinnie, DL, Michaels, JA, Collin, J, Morris, PJ. 1994. Resource implications of cancelled operations. British Medical Journal 398: 138–9.Google Scholar
Munoz, E, Tortella, B, Jaker, M. 1994. Surgical resource consumption in an academic health consortium. Surgery 115: 411–6.Google Scholar
New South Wales Health Department. 2002. Operating Theatre Management Report. Sydney: Health Department.Google Scholar
Northern Ireland Audit Office. 2003. The Use of Operating Theatres in the Northern Ireland Health and Personal Social Services. Belfast: HMSO.Google Scholar
Office for National Statistics. 2004. Public Service Productivity: Health, October 2004. London: Office for National Statistics.Google Scholar
Overdyk, FJ, Harvey, SC, Fishman, RL, Shippey, F. 1996. Successful strategies for improving operating room efficiency at academic institutions. Anesthesia and Analgesia 85: 1232–4.Google Scholar
Pandit, JJ, Abbott, T, Pandit, M, Kapila, A, Abraham, R. 2012. Is ‘starting on time’ useful (or useless) as a surrogate measure for 'surgical theatre efficiency'? Anaesthesia 67: 823–32.Google Scholar
Pandit, JJ, Carey, A. 2006. Estimating the duration of common elective operations: implications for operating list management. Anaesthesia 61: 768–76.Google Scholar
Pandit, JJ, Westbury, S, Pandit, M. 2007. The concept of surgical operating list ‘efficiency’: a formula to describe the term. Anaesthesia 62: 895–903.CrossRefGoogle ScholarPubMed
Pitches, D, Burls, A, Fry-Smith, A. 2003. How to make a silk purse from a sow’s ear – a comprehensive review of strategies to optimise data for corrupt managers and incompetent clinicians. British Medical Journal 327: 1436–9.Google Scholar
Queensland Health. 2005. Policy Framework for Elective Surgery Services. Queensland Government.Google Scholar
Rai, M, Pandit, JJ. 2003. Day of surgery cancellations after nurse-led preassessment in an elective surgical centre: the first 2 years. Anaesthesia 58: 692–9.Google Scholar
Ray, N, Tung, A, Glick, DB. 2008. Who cares if I’m on time? Anesthesia and Analgesia 106: S–71.Google Scholar
Ray, N, Tung, A, Glick, DB. 2008. Why rush? You won’t get out any earlier!! Anesthesia and Analgesia 106: S–73. 43Google Scholar
De Riso, B, Cantees, K, Watkins, WD. 1995. The operating room: cost center management in a managed care environment. International Anesthesiology Clinics 33: 133–50.Google Scholar
Saskatchewan Provincial Wait List Strategy Team. 2002. Surgical Wait List Management: A Strategy for Saskatchewan. Saskatchewan: Health Department of Saskatchewan.Google Scholar
Scottish Executive. 2006. National Theatres Project: Final Report. Edinburgh: HMSO.Google Scholar
Shafer, S. 2006. Case scheduling for dummies. Anesthesia and Analgesia 103: 1351–2.Google Scholar
Sier, D, Tobin, P, McGurk, C. 1997. Scheduling surgical procedures. Journal of the Operational Research Society 48: 884–91.Google Scholar
Silber, JH, Rosenbaum, PR, Zhang, X, Even-Shoshan, O. 2007. Influence of patient and hospital characteristics on anesthesia time in Medicare patients undergoing general and orthopedic surgery. Anesthesiology 106: 356–64.Google Scholar
Sokolovic, E, Biro, P, Wyss, P, et al. 2002. Impact of the reduction of anaesthesia turnover time on operating room efficiency. European Journal of Anaesthesiology 19: 560–3.Google Scholar
Strum, DP, Vargas, LG, May, JH, et al. 1997. Surgical suite utilization and capacity planning: a minimal cost analysis model. Journal of Medical Systems 21: 309–22.CrossRefGoogle ScholarPubMed
Sury, MR, Palmer, JH, Cook, TM, Pandit, JJ. 2014. The state of UK anaesthesia: a survey of National Health Service activity in 2013. British Journal of Anaesthesia 113: 575–84.CrossRefGoogle ScholarPubMed
Tait, AR, Voepel-Lewis, T, Munro, HM, Gutstein, HB, Reynolds, PI. 1997. Cancellation of pediatric outpatient surgery: economic and emotional implications for patients and their families. Journal of Clinical Anesthesia 9: 213–9.Google Scholar
Tessler, MJ, Kleiman, SJ, Huberman, MM. 1997. A ‘zero tolerance’ for overtime increases surgical per case costs. Canadian Journal of Anaesthesia 44: 1036–41.Google Scholar
Walsh, U, Alfhaily, F, Gupta, R, Vinayagam, D, Whitlow, B. 2010. Theatre sending: how long does it take and what is the cost of late starts? Gynecological Surgery 7: 307–10.Google Scholar
Ward, M, Sanders, M. 2006. Section 13.4: Efficient Use of Planned Operating Lists. In Colvin, JR (ed.). Raising the Standard: a Compendium of Audit Recipes for Continuous Quality Improvement in Anaesthesia, 2nd edn. London: RCOA.Google Scholar
Weinbroum, AA, Ekstein, P, Ezri, T. 2003. Efficiency of the operating room suite. American Journal of Surgery 185: 244–50.CrossRefGoogle ScholarPubMed
Widdison, AL. 1995. Can we predict when an operating list will finish? Annals of the Royal College of Surgeons (Suppl.) 77: 304–6.Google Scholar
Wright, I, Kooperberg, C, Bonar, B, Bashein, G. 1996. Statistical modeling to predict elective surgery time: a comparison with a computer scheduling system and surgeon-provided estimates. Anesthesiology 85: 1235–45.Google Scholar
Wu, R. 2005. Cancellation of operations on the day of surgery at a major Australian referral hospital. Medical Journal of Australia 183: 551.CrossRefGoogle Scholar

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