With directed study before a 4-day operating room management course, trust in the content did not change progressively during the classroom time

Dexter, Franklin; Epstein, Richard H.; Fahy, Brenda G.; Swol, Lyn M. Van

doi:10.1016/j.jclinane.2017.08.003

Cited by 8 publications

(6 citation statements)

References 38 publications

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“…Such heuristics perform poorly, and people do not realize the extent to which their case scheduling decisions are suboptimal [108,[124][125][126][127][128]. The knowledge and problem-solving skills to make those decisions well are not learned on the job by experience [108,[124][125][126][127][128], but rather by study (e.g., a formal course in operating room management) [129][130][131][132][133][134].…”

Section: Ambulatory Surgery With Aerosol Production With or Without mentioning

confidence: 99%

Strategies for daily operating room management of ambulatory surgery centers following resolution of the acute phase of the COVID-19 pandemic

Dexter

Elhakim

Loftus

et al. 2020

Journal of Clinical Anesthesia

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Section: Ambulatory Surgery With Aerosol Production With or Without mentioning

confidence: 99%

Strategies for daily operating room management of ambulatory surgery centers following resolution of the acute phase of the COVID-19 pandemic

Dexter

Elhakim

Loftus

et al. 2020

Journal of Clinical Anesthesia

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“…After the study of searching OR management articles was completed in 2013, 2 the website was expanded to include long versions of all lectures, case problems, and example reports from the authors' OR management course. 2,[4][5][6][7][8][9] Every lecture slide has the reference of the matching article (eg, "Strum et al J Med Syst 1997" for the development of the mathematics of the inefficiency of use of OR time). 4,10 The lectures are posted for prior course participants to access them using Google or Bing Advanced Search.…”

Section: Anesthesiology Journals Have Been Publishingmentioning

confidence: 99%

“…4,10 The lectures are posted for prior course participants to access them using Google or Bing Advanced Search. 2,5,7,8 Having learned the scientific vocabulary, participants (eg, anesthesiologists serving as OR managers) can find the specific reference(s) for their hospitals' OR management problem and thus apply suitable methods. 2,5,7,8 The lectures are updated consistently when new methods have been developed or managerial epidemiology results are reported to help guide solutions at participants' hospitals.…”

Section: Anesthesiology Journals Have Been Publishingmentioning

confidence: 99%

“…Therefore, a consequence of the greater numbers of publications per year in the field was an increase over time in the need for educational programs in the science of OR management. [4][5][6][7][8][9] Learning the vocabulary of OR management as used in the publications makes comprehensive literature searches possible. 2 With study, constraints included in models can be realistic and rational based on managerial epidemiological studies.…”

Section: Implications For or Management Investigators With Little Ear...mentioning

confidence: 99%

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Bibliometric Analysis of Contributions of Anesthesiology Journals and Anesthesiologists to Operating Room Management Science

Dexter,

Scheib,

Xie

et al. 2023

Anesthesia &Amp; Analgesia

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BACKGROUND: Anesthesiology journals appear to have been progressively publishing a smaller percentage of operating room (OR) management studies. Similarly, non-anesthesiologists have increasingly been authors of these publications. Five hypotheses were formulated to evaluate these impressions based on 2 of the authors’ curation of an online, comprehensive bibliography of OR management articles and corresponding referenced course materials. METHODS: We studied all 2938 publications having Scopus’ SciVal topic T.6319 (OR management) more than 28 years from 1996 through May 2023, including 8608 distinct authors. RESULTS: Half (50%) of the publications were absent from PubMed, and the percentage absent has been increasing progressively (Kendall’s τ = 0.71; P < .0001). Fewer than half were published in journals including anesthesiology as the sole classification (20%) or as one of the classifications (27%). The anesthesiology journals have been publishing a progressively decreasing fraction (τ = −0.61; P < .0001). Among the 11 authors each contributing at least 1% of the OR management science publications, 9 were anesthesiologists and the other 2 had anesthesiologists as coauthors on all these publications. Only 3% of authors had at least 10 OR management publications from earlier years. There were 75% of authors with no such earlier publications and 85% with 0 or 1. There was a progressive increase in the number of authors publishing OR management annually and with at most 1 such earlier publication (τ = 0.90; P < .0001). Only 20% of publications had any author with at least 10 earlier OR management publications, 48% had every author with no such earlier publications, and 60% had all authors with 0 or 1. CONCLUSIONS: Although most of the authors with the greatest production of OR management science were anesthesiologists, the percentage of publications in anesthesiology journals has been decreasing progressively. Anesthesiologists cannot rely solely on anesthesiology journals to keep up with the field. For most publications, every author had few or no earlier publications on the topic. Clinicians and managers relying on OR management science will continue to need to apply more information when judging whether published results can reliably be applied to their facilities.

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“…Typically, managers reserve too much time for surgeons with high daily caseloads and too little time, collectively, for surgeons with low daily caseloads [11,17]. Courses in the relevant management science significantly increase trust in the relevant mathematical techniques and improve managerial skill in their application [14,15,[18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Association of surgeons’ gender with elective surgical lists in the State of Florida is explained by differences in mean operative caseloads

2023

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Background A recent publication reported that at three hospitals within one academic health system, female surgeons received less surgical block time than male surgeons, suggesting potential gender-based bias in operating room scheduling. We examined this observation’s generalizability. Methods Our cross-sectional retrospective cohort study of State of Florida administrative data included all 4,176,551 ambulatory procedural encounters and inpatient elective surgical cases performed January 2017 through December 2019 by 8875 surgeons (1830 female) at all 609 non-federal hospitals and ambulatory surgery centers. There were 1,509,190 lists of cases (i.e., combinations of the same surgeon, facility, and date). Logistic regression adjusted for covariables of decile of surgeon’s quarterly cases, surgeon’s specialty, quarter, and facility. Results Selecting randomly a male and a female surgeons’ quarter, for 66% of selections, the male surgeon performed more cases (P < .0001). Without adjustment for quarterly caseloads, lists comprised one case for 44.2% of male and 54.6% of female surgeons (difference 10.4%, P < .0001). A similar result held for lists with one or two cases (difference 9.1%, P < .0001). However, incorporating quarterly operative caseloads, the direction of the observed difference between male and female surgeons was reversed both for case lists with one (-2.1%, P = .03) or one or two cases (-1.8%, P = .05). Conclusions Our results confirm the aforementioned single university health system results but show that the differences between male and female surgeons in their lists were not due to systematic bias in operating room scheduling (e.g., completing three brief elective cases in a week on three different workdays) but in their total case numbers. The finding that surgeons performing lists comprising a single case were more often female than male provides a previously unrecognized reason why operating room managers should help facilitate the workload of surgeons performing only one case on operative (anesthesia) workdays.

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With directed study before a 4-day operating room management course, trust in the content did not change progressively during the classroom time

Cited by 8 publications

References 38 publications

Strategies for daily operating room management of ambulatory surgery centers following resolution of the acute phase of the COVID-19 pandemic

Strategies for daily operating room management of ambulatory surgery centers following resolution of the acute phase of the COVID-19 pandemic

Bibliometric Analysis of Contributions of Anesthesiology Journals and Anesthesiologists to Operating Room Management Science

Association of surgeons’ gender with elective surgical lists in the State of Florida is explained by differences in mean operative caseloads

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