UNLABELLED We considered elective case scheduling at hospitals and surgical centers at which surgeons and patients choose the day of surgery, cases are not turned away, and anesthesia and nursing staffing are adjusted to maximize the efficiency of use of operating room (OR) time. We investigated scheduling a new case into an OR by using two patient-scheduling rules: Earliest Start Time or Lates...

AIMS/BACKGROUND This review examines current research on teamwork in highly dynamic domains of healthcare such as operating rooms, intensive care, emergency medicine, or trauma and resuscitation teams with a focus on aspects relevant to the quality and safety of patient care. RESULTS Evidence from three main areas of research supports the relationship between teamwork and patient safety: (1) ...

PURPOSE The purpose of this study was to review the published literature on modern arthroscopic simulator training models to (1) determine the ability to transfer skills learned on the model to the operating room and (2) determine the learning curve required to translate such skills. METHODS A systematic review of all studies using PRISMA (Preferred Reporting Items for Systematic Reviews and ...

This is not all blame, far from it, for Dr. Lilienthal's heavy handsome volume is welcome ii not necessary, and will I?e an addition to the surgeon's library. From the Preface we gather that the book has been written for the " practitioner of medicine who rarely takes up the scalpel, the specialist whose path seldom leads him to the operating room, and the recent graduate who, though versed in ...

Hospital costs have continued to rise at rates well in excess of inflation generally, even after the introduction of Medicare's per case prospective payment system (PPS). This article uses a hospital subscriber microcost reporting system to show trends in costs, wages, labor hours, and outputs for more than 50 individual departments from 1980-92. Descriptive results show dramatic growth in the ...

The current challenge of preoperative evaluation is to perform value based, efficient and effective preoperative assessments which result in maximum operating room efficiency. In an era of diminishing health care resources, efficient organization and utilization of those resources available in the preoperative clinic will result in cost savings via reductions in operating room delays and cancel...

INTRODUCTION The trauma room at Oslo University Hospital- Ulleval is fully equipped for major damage control procedures, in order to minimize delay to surgery. Since 2006, patients in need of immediate laparotomy have increasingly been transferred to a dedicated trauma operating room (OR). We wanted to determine the decrease in number of procedures performed in the emergency department (ED), th...

BACKGROUND Since their introduction, electrocautery and laser technologies have become indispensable for surgical intervention. Unfortunately, the smoke plumes produced by using these techniques contain numerous substances harmful to those who inhale them due to their toxic nature, particulate size, and byproducts. Literature exists describing the dangers of surgical smoke, yet surgeons—includi...

BACKGROUND Unexpected obstetric emergencies threaten the safety of pregnant women. As emergencies are rare, they are difficult to learn. Therefore, simulation-based medical education (SBME) seems relevant. In non-systematic reviews on SBME, medical simulation has been suggested to be associated with improved learner outcomes. However, many questions on how SBME can be optimized remain unanswere...

In an effort better to understand the application of pharmaceutical services in the operating room (OR) we conducted a survey among OR department directors of 526 hospitals throughout Japan. A total of 202 directors responded to the survey. Pharmacists are expected to achieve better outcomes in pharmacotherapy as well as play major roles as members of diverse perioperative care teams. Besides i...