TY - JOUR
T1 - The effects of surgeons and anesthesiologists on operating room efficiency
AU - Timoney, Nessa
AU - Procter, Levi
AU - Liau, James
AU - Chang, Phillip
AU - Pittman, Thomas
N1 - Publisher Copyright:
© 2016 Published by Elsevier B.V.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Object The impact of surgeons and anesthesiologists, both individually and paired, on the length of operative procedures was studied. Methods Five general surgeons, six neurosurgeons, and 21 anesthesiologists all completed two personality assessments. A retrospective review of OR records of six procedure types performed by those in the study (2,087 neurosurgical and 2,107 general surgery) was conducted. Statistical analysis was employed to estimate various effects on OR times and to identify the importance of each factor. Results Surgeon effect on OR time varies with procedure type but was greater in neurosurgical cases: LMD (16%), ACDF (14.5%), cranioplasties (6.6%). The combination of surgeon and anesthesiologist had a significant effect on length of the operation: ACDF (7.6%) and LMD (12.5%). Conclusion In some procedures types a significant part of the variability in operative time is due to the interaction between the surgeon and anesthesiologist. Reviewing operative records should allow identification of efficient/inefficient combinations.
AB - Object The impact of surgeons and anesthesiologists, both individually and paired, on the length of operative procedures was studied. Methods Five general surgeons, six neurosurgeons, and 21 anesthesiologists all completed two personality assessments. A retrospective review of OR records of six procedure types performed by those in the study (2,087 neurosurgical and 2,107 general surgery) was conducted. Statistical analysis was employed to estimate various effects on OR times and to identify the importance of each factor. Results Surgeon effect on OR time varies with procedure type but was greater in neurosurgical cases: LMD (16%), ACDF (14.5%), cranioplasties (6.6%). The combination of surgeon and anesthesiologist had a significant effect on length of the operation: ACDF (7.6%) and LMD (12.5%). Conclusion In some procedures types a significant part of the variability in operative time is due to the interaction between the surgeon and anesthesiologist. Reviewing operative records should allow identification of efficient/inefficient combinations.
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U2 - 10.1016/j.inat.2016.06.001
DO - 10.1016/j.inat.2016.06.001
M3 - Article
AN - SCOPUS:84976449550
SN - 2214-7519
VL - 5
SP - 38
EP - 42
JO - Interdisciplinary Neurosurgery: Advanced Techniques and Case Management
JF - Interdisciplinary Neurosurgery: Advanced Techniques and Case Management
ER -