OBJECTIVES To explore the value of simulation modelling in evaluating the effects of strategies to plan and schedule operating room (OR) resources aimed at reducing time to surgery for non-elective orthopaedic inpatients at a Swedish hospital. METHODS We applied discrete-event simulation modelling. The model was populated with real world data from a university hospital with a strong focus on ...

OBJECTIVES Waiting lists for elective surgery are a persistent problem faced by health systems. The progression through elective surgery waiting lists can be likened to a game of snakes and ladders where barriers (snakes) delay access to surgery and facilitators (ladders) expedite access. The aim of the present study was to describe the barriers and facilitators to delivery of total hip- and to...

abstract oculocardiac reflex (ocr) sometimes occurs as a result of pressure on the eye or traction of the intraorbital surrounding structures during ophthalmic surgery. this can result in bradycardiac arrhythmia and cardiac arrest. a 45-year-old female was undergoing an elective squint correction surgery of one eye under local anaesthesia in a private hospital in december 2013. the patient was ...