Advanced Search
MyIDEAS: Login

Observational study of operating room times for knee and hip replacement surgery at nine U.S. community hospitals

Contents:

Author Info

  • Franklin Dexter

    ()

  • Lori Weih
  • Ross Gustafson
  • Linda Stegura
  • Mary Oldenkamp
  • Ruth Wachtel
Registered author(s):

    Abstract

    Knee (N = 185) and hip (N = 140) replacement cases were studied at nine community hospitals in the midwestern United States to determine whether certain management interventions could decrease case durations and reduce labor costs. Substantive (10 min) reductions in operating room (OR) time per case were not associated with: 1) increases in OR staffing, such as the addition of a surgical assistant; 2) complete elimination of all delays; or 3) increases in anesthesiologists’ presence in the ORs. Substantive (10 min) increases in OR time per case were not associated with: 1) reductions in anesthesiologists’ presence in the ORs or 2) changes in case scheduling to run fewer ORs, with some cases starting later in the day. Even if these factors had been associated with differences in OR time per case, any changes resulting from management interventions would still not have reduced labor costs. At these hospitals, OR nursing and anesthesia labor costs were fixed costs, because the OR workload averaged only 5.6 hr of cases per day. Copyright Springer Science + Business Media, LLC 2006

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://hdl.handle.net/10.1007/s10729-006-9997-9
    Download Restriction: Access to full text is restricted to subscribers.

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Springer in its journal Health Care Management Science.

    Volume (Year): 9 (2006)
    Issue (Month): 4 (November)
    Pages: 325-339

    as in new window
    Handle: RePEc:kap:hcarem:v:9:y:2006:i:4:p:325-339

    Contact details of provider:
    Web page: http://www.springerlink.com/link.asp?id=101767

    Related research

    Keywords: Community hospital; Knee replacement; Hip replacement; Arthroplasty; replacement; knee; Arthroplasty; replacement; hip; Surgical procedures; operative; Surgery; Operating rooms; Anesthesia department; hospital; Anesthesia department; organization & administration;

    References

    No references listed on IDEAS
    You can help add them by filling out this form.

    Citations

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:kap:hcarem:v:9:y:2006:i:4:p:325-339. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Guenther Eichhorn) or (Christopher F. Baum).

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.