Influence of Annual Meetings of the American Society of Anesthesiologists and of Large National Surgical Societies on Caseloads of Major Therapeutic Procedures.
Statistical methods to calculate the hours into which cases are scheduled, based on minimizing the inefficiency of use of anesthesia and/or operating room (OR) time, assure that anesthesiologists and OR nurses are available on each day to care for patients while infrequently working late. The method...
| Publicado en: | Journal of Medical Systems Vol. 42; no. 12; pp. 1 - 2 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133352454&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 133352454 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: Dec2018 vid: 42 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 133352454 133352454 133352454 10.1007/s10916-018-1114-3 133352454 ppf: 1 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Influence of Annual Meetings of the American Society of Anesthesiologists and of Large National Surgical Societies on Caseloads of Major Therapeutic Procedures. aug: au: Dexter, Franklin Epstein, Richard H. affil: Department of Anesthesia, University of Iowa, 200 Hawkins Drive, 6 JCP, 52242, Iowa City, IA, USA sug: subj: Anesthesiology Organizations Surgery, Operative Organizations Meetings Iowa Anesthesiologists Labor Supply Perioperative Nursing Labor Supply Personnel Staffing and Scheduling Workload Organizational Efficiency Human United States Treatment Duration Anesthesia Utilization Anniversaries and Special Events Nonexperimental Studies Case Studies Iowa Organizations, Nonprofit Descriptive Statistics Retrospective Design Inpatients Outpatients International Classification of Diseases Coding Length of Stay Kendall's tau Pearson's Correlation Coefficient Inferential Statistics Two-Tailed Test Paired T-Tests Wilcoxon Signed Rank Test Data Analysis Software Fisher's Exact Test Funding Source ab: Statistical methods to calculate the hours into which cases are scheduled, based on minimizing the inefficiency of use of anesthesia and/or operating room (OR) time, assure that anesthesiologists and OR nurses are available on each day to care for patients while infrequently working late. The method assumes that anesthesia staffing is planned based on the workload and not vice-versa. We used the American Society of Anesthesiologists (ASA) meeting to test the assumption across a large population. The observational study cohort was all 3,191,282 major therapeutic procedures performed during 2,517,842 cases at all 121 non-federal hospitals in the State of Iowa, 2007-16. The Fridays to Wednesdays of the annual ASA meetings were compared pairwise by year with those days of the other (mean = 43.0 [SE =0.3]) weeks without a federal holiday. Differences in counts of procedures (P = 0.45, 0.5% [0.7%]) and cases performed (P = 0.93, 0.1% [1.0%]) were not significant. In contrast, compared to non-meeting weeks, during the American College of Surgeons meeting, there were fewer general surgery procedures performed (P = 0.0009, −9.1% [1.9%]), fewer procedures performed of any type (P = 0.022, −2.1% [0.8]), and fewer cases of any type (P = 0.003, −2.5% [0.6%]). Similarly, during the American Academy of Orthopaedic Surgeons meeting, there were fewer joint arthroplasties performed (P < 0.0001, −27.1% [3.1%]), fewer procedures (P = 0.011, −6.3% [2.0%]), and fewer cases (P = 0.018, −5.9% [2.0%]). The results show that, in routine practice, anesthesia staffing and staff scheduling are being chosen to prevent the meeting from affecting patients' and surgeons' access to OR time. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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