caa a22 4500 46793536X CHVBK 20180406152955.0 cr unu---uuuuu 170328e20061101xx s 000 0 eng 10.1007/s10729-006-9997-9 doi (NATIONALLICENCE)springer-10.1007/s10729-006-9997-9 Observational study of operating room times for knee and hip replacement surgery at nine U.S. community hospitals [Elektronische Daten] [Franklin Dexter, Lori Weih, Ross Gustafson, Linda Stegura, Mary Oldenkamp, Ruth Wachtel] 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 (10min) 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 (10min) 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 5.6hr of cases per day. Springer Science + Business Media, LLC, 2006 Community hospital nationallicence Knee replacement nationallicence Hip replacement nationallicence Arthroplasty, replacement, knee nationallicence Arthroplasty, replacement, hip nationallicence Surgical procedures, operative nationallicence Surgery nationallicence Operating rooms nationallicence Anesthesia department, hospital nationallicence Anesthesia department, organization & administration nationallicence Dexter Franklin Division of Management Consulting, Departments of Anesthesia and Health Management & Policy, University of Iowa, 52242, Iowa City, IA, USA aut Weih Lori Knowledge Services, VHA Upper Midwest, Irving, TX, USA aut Gustafson Ross Knowledge Services, VHA Upper Midwest, Irving, TX, USA aut Stegura Linda Performance Improvement, VHA Upper Midwest, Irving, TX, USA aut Oldenkamp Mary Performance Improvement, VHA Upper Midwest, Irving, TX, USA aut Wachtel Ruth Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA, USA aut Health Care Management Science Kluwer Academic Publishers 9/4(2006-11-01), 325-339 1386-9620 9:4<325 2006 9 10729 https://doi.org/10.1007/s10729-006-9997-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10729-006-9997-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dexter Franklin Division of Management Consulting, Departments of Anesthesia and Health Management & Policy, University of Iowa, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Weih Lori Knowledge Services, VHA Upper Midwest, Irving, TX, USA aut NATIONALLICENCE 700 1- Gustafson Ross Knowledge Services, VHA Upper Midwest, Irving, TX, USA aut NATIONALLICENCE 700 1- Stegura Linda Performance Improvement, VHA Upper Midwest, Irving, TX, USA aut NATIONALLICENCE 700 1- Oldenkamp Mary Performance Improvement, VHA Upper Midwest, Irving, TX, USA aut NATIONALLICENCE 700 1- Wachtel Ruth Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA, USA aut NATIONALLICENCE 773 0- Health Care Management Science Kluwer Academic Publishers 9/4(2006-11-01), 325-339 1386-9620 9:4<325 2006 9 10729 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer