Files and links (1)
Published, Version of Record (VoR)CC BY V4.0, Open
Journal article
Using operating room turnover time by anesthesia trainee level to assess improving systems-based practice milestones
BMC medical education, v 18(1), pp 295-295
05 Dec 2018
PMID: 30518428
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Operating room (OR) metrics are frequently cited when optimizing cost efficacy and quality of care (Weiss et al, Characteristics of operating room procedures in U.S. hospitals, 2011: Statistical brief #170, 2013; Macario A, Anesthesiology 105:237-240, 2006; Childers et al, JAMA Surg 153:e176233, 2018). Little has been reported to evaluate how anesthesia trainees change anesthesia-related efficiencies in the OR. Statistical correlation may demonstrate awareness and implementation of efficient systems-based practice.
Methods: Utilizing computerized OR information systems, specific data regarding anesthesia controlled turnover times were collected (546 data points) over the course of 4 months. The type of surgery performed, patient's American Society of Anesthesiologists (ASA) physical status and OR turnover times were compared for clinical anesthesia (CA) trainee levels CA1, CA2, CA3 and CRNAs. Standard descriptive statistics were computed. Analysis of variance (ANOVA) was performed to compare the average turnover time.
Results: Average OR turnover time was 31 min ranging from 8 to 60 min. There was a significant difference between the OR turnover time of CA-1 (32 min) compared to CA-3 (29 min) (p = 0.017) and CA-1 compared to CRNA (30 min) (p = 0.016). OR turnover time was significantly shorter in CA-3 and CRNA. The analysis showed no differences between OR turnover time of ASA categories.
Conclusions: These findings posit that trainees improve efficiency over time, but that education may for a time come at the expense of productivity. This trend may demonstrate a more profound understanding and mastery of a learner progressing in the graduate medical education system. This interplay plays a key role in clinical and academic shared success.
Metrics
Details
- Title
- Using operating room turnover time by anesthesia trainee level to assess improving systems-based practice milestones
- Creators
- Christopher Ryan Hoffman - Hahnemann University HospitalMichael Stuart Green - Hahnemann University HospitalJasmine Liu - Hahnemann University HospitalUsama Iqbal - Hahnemann University HospitalKirtanaa Voralu - Methodist Hospital
- Publication Details
- BMC medical education, v 18(1), pp 295-295
- Publisher
- Springer Nature
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Anesthesiology and Perioperative Medicine
- Web of Science ID
- WOS:000452276600001
- Scopus ID
- 2-s2.0-85058569969
- Other Identifier
- 991019169561304721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education & Educational Research
- Education, Scientific Disciplines