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Article
Assigning surgical cases with regional anesthetic blocks to anesthetists and operating rooms based on operating room efficiency
AANA Journal
  • Cormac T. O'Sullivan, University of Iowa
  • F. Dexter
Document Type
Article
Peer Reviewed
1
Publication Date
6-1-2006
NLM Title Abbreviation
Aana J
PubMed ID
16786915
Abstract

The popularity of regional anesthesia blocks for both intraoperative anesthesia and postoperative pain management supports the inclusion of the administration of regional anesthesia into discussions about operating room (OR) efficiency. This article reviews the literature on OR efficiency with a focus on day-of-surgery decision making. Vignettes show regional anesthesia block placement is a variable that can affect the efficiency of use of OR time. Clinical examples highlight OR management issues and staff assignment decisions on the day of surgery. Regional anesthetic block placement can affect surgical schedules, and thus OR efficiency. When patient safety is unaffected, rearranging OR schedules on the day of surgery to place regional blocks, meet surgeon requests, or move up incision times should generally not be done if doing so results in otherwise unnecessary increases in overutilized OR time.

Keywords
  • Anesthesia,
  • Epidural/utilization,
  • Anesthesiology/economics/manpower,
  • Appointments and Schedules,
  • Decision Making,
  • Organizational,
  • Efficiency,
  • Organizational,
  • Humans,
  • Nerve Block/utilization,
  • Nursing Staff,
  • Hospital/economics/supply & distribution,
  • Operating Rooms/organization & administration,
  • Personnel Staffing and Scheduling/organization & administration,
  • Safety Management/organization & administration,
  • Time Management
Published Article/Book Citation
AANA Journal, 74:3 (2006) pp.213-218.
Disciplines
Citation Information
Cormac T. O'Sullivan and F. Dexter. "Assigning surgical cases with regional anesthetic blocks to anesthetists and operating rooms based on operating room efficiency" AANA Journal Vol. 74 Iss. 3 (2006) p. 213 - 218 ISSN: 0094-6354
Available at: http://works.bepress.com/cormac_osullivan/5/