What is the best workflow for an operating room? A simulation study of five scenarios.

Parallel induction of anesthesia improves operating room (OR) efficiency. To support decision-making as to optimal facilities and optimal use of resources, we compared the cost-efficiency of several workflow models of parallel induction to that of the traditional model, using discrete-event simulati...

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Publicado en:Health Care Management Science Vol. 12; no. 2; pp. 142 - 147
Autores principales: Marjamaa RA, Torkki PM, Hirvensalo EJ, Kirvelä OA, Marjamaa, Riitta A, Torkki, Paulus M, Hirvensalo, Eero J, Kirvelä, Olli A
Formato: research Journal Article
Publicado: Springer Nature Jun2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: What is the best workflow for an operating room? A simulation study of five scenarios.
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        au:
          Marjamaa RA
          Torkki PM
          Hirvensalo EJ
          Kirvelä OA
          Marjamaa, Riitta A
          Torkki, Paulus M
          Hirvensalo, Eero J
          Kirvelä, Olli A
        affil: Department of Anesthesia and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki, Finland
      sug:
        subj:
          Anesthesiology Service Administration
          Computer Simulation
          Decision Support Techniques
          Operating Rooms Administration
          Organizational Efficiency
          Health Facility Administration
          Management
          Personnel Staffing and Scheduling Administration
          Time Factors
      ab: Parallel induction of anesthesia improves operating room (OR) efficiency. To support decision-making as to optimal facilities and optimal use of resources, we compared the cost-efficiency of several workflow models of parallel induction to that of the traditional model, using discrete-event simulation. For each scenario, average number of procedures performed, surgery time, daily over- and underutilized time, and staffing costs per operation were assessed. We also studied whether scheduling short and long procedures in separate rooms would amplify the effects of the parallel processing. All parallel work-flow models demonstrated better cost-efficiency than the traditionally sequenced working pattern. Staffing costs per procedure were 7% lower in the best induction model than in the traditional model. When short procedures were scheduled separately, differences between induction models were small.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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