Targeting operating room inefficiencies in the complex management of vision-threatening diseases in children

Michael M. Vigoda, Steven Gayer, Jacqueline Tutiven, Alice Mueller, Mary Murtha, Amy C. Schefler, Timothy G. Murray

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Objective: To review the effect of interventions designed to decrease turnover time in infants and children (median age, 2.6 years; range, 1 month to 10 years) who required examinations under anesthesia. Methods: Five efficiency interventions (3 anesthesia providers for 2 rooms, digital remote communication, change in patient scheduling, standardization of case order, and streamlining administration of preoperative medications) were implemented during a 4 1/2-year period from January 2003 to July 2007. Using data from our in-house operating room information system, we analyzed turnover times (time it took 1 patient to leave the operating room and the next to enter). Results: The mean turnover times decreased from 12.1 minutes to 3.8 minutes. The 90th percentile of longest turnover times decreased from 14.5 minutes in 2003 to 5.8 minutes in 2007, despite a progressive increase in the number of cases per day. Conclusion: Caring for children who require extensive examinations under anesthesia can be efficiently achieved in nonpediatric environments.

Original languageEnglish (US)
Pages (from-to)1241-1243
Number of pages3
JournalArchives of ophthalmology
Volume126
Issue number9
DOIs
StatePublished - Sep 1 2008

ASJC Scopus subject areas

  • Ophthalmology

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