Operating Room Efficiency: Examining the Impact of Personnel Handoffs

Geynisman‐Tan, Julia; Brown, Oluwateniola; Mueller, Margaret; Bochenska, Katarzyna; Collins, S.; Lewicky-Gaupp, Christina; Kenton, Kimberly

doi:10.1097/spv.0000000000000555

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…These estimated OR times were summed for each OR 34. Anesthesia handoffs do not affect surgical case durations 35…”

Section: Staff Assignment To Reduce Permanent Handoffsmentioning

confidence: 99%

<p>Improving intraoperative handoffs for ambulatory anesthesia: challenges and solutions for the anesthesiologist</p>

Dexter¹,

Osman²,

Epstein³

2019

LRA

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Permanent transitions of care from one anesthesia provider to another are associated with adverse events and mortality. There are currently no available data on how to mitigate these poor patient outcomes other than to reduce the occurrence of such handoffs. We used data from an ambulatory surgery center to demonstrate the steps that can be taken to achieve this goal. First, perform statistical forecasting using many months of historical data to create optimal, as opposed to arbitrary shift durations. Second, consider assigning the anesthesia providers designated to work late, if necessary, to the ORs estimated to finish the earliest, rather than latest. We performed multiple analyses showing the quantitative advantage of this strategy for the ambulatory surgery center with multiple brief cases. Third, sequence the cases in the 1 or 2 ORs with the latest scheduled end times so that the briefest cases are finished last. If a supervising anesthesiologist needs to be relieved early for administrative duties (eg, head of the group to meet with administrators or surgeons), assign the anesthesiologist to an OR that finishes with several brief cases. The rationale for these recommendations is that such strategies provide multiple opportunities for a different anesthesia provider to assume responsibility for the patients between cases, thus avoiding a handoff altogether.

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“…These estimated OR times were summed for each OR 34. Anesthesia handoffs do not affect surgical case durations 35…”

Section: Staff Assignment To Reduce Permanent Handoffsmentioning

confidence: 99%