Dr. Cartier
Decreases in Anesthesia-Controlled Time
Cannot Permit One Additional Surgical Operation to Be Reliably Scheduled During
the Workday.
Franklin Dexter, M.D., Ph.D.; Stacy
Coffin, M.D.; and John H. Tinker, M.D.;Anesthesia & Analgesia, Vol. 81, pp.
1263-1268, 1995
This
study was designed in order to analyze how anesthesia controlled time (ACT) can
be more effectively managed in order more efficiently treat patients, and thus
optimizing the number of cases performed in a given work day. ACT was defined as the time the patient
arrived in the OR until the patient left the OR, minus the surgical case
time. 709 consecutive cases were
statistically analyzed, and the results showed that ACT would have to be
decreased by over 100% in order to permit increasing the total number of cases
by one case in a given workday. This is
a very interesting study. It seems to
indicate that at this particular facility the ACT was already fairly efficient
if such a drastic improvement would be necessary in order to increase the case
load by one, suggesting that perhaps other factors, such as surgical time, or
check-in/nursing factors may need to be analyzed to more effectively operate
more cases in one day.
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