Methemoglobinemia in critically ill burned patients.
Explore the source record for details and available documents.
Burns↗
Biomedical subjects
Philip Lebowitz
Publications and source records attributed to Philip Lebowitz.
Schedule the short procedure first to improve OR efficiency.
OPERATING ROOM MANAGERS are hampered in their efforts to optimize OR efficiency by surgical procedures that last a longer or shorter time than scheduled. The lack of predictability is a result of inaccuracy in scheduling and variability in the duration of procedures. SCHEDULING SHORT PROCEDURES before long procedures theoretically limits this variability. MONTE CARLO SIMULATION of ORs scheduled with various combinations of short and long procedures supports this concept's validity. RESULTS INDICATE that scheduling short procedures first can improve on-time performance and decrease staff member overtime expense without reducing surgical throughput.
Appointments and Schedules↗
Why can't my procedures start on time?
Despite OR practice improvements, approximately 50% of second or subsequent surgical procedures will not start on time because of procedure duration overruns caused by preceding procedures. Operating room scheduling that uses reliable historical data about specific surgeon and procedure combinations and computerized scheduling systems can minimize overruns. Statistical variability in procedure durations, however, implies that one-half of the procedures will run longer than the calculated mean, resulting in wait times for time-scheduled surgeons and their patients. Managers must understand the tradeoffs between the competing goals of surgical throughput and decreasing patient wait times in their efforts to optimize the OR schedule.
Appointments and Schedules↗