TY - CHAP M1 - Book, Section TI - The Economics of Operating Room Anesthesia Practice A1 - Dexter, Franklin A1 - Epstein, Richard H. A2 - Longnecker, David E. A2 - Mackey, Sean C. A2 - Newman, Mark F. A2 - Sandberg, Warren S. A2 - Zapol, Warren M. PY - 2017 T2 - Anesthesiology, 3e AB - KEY POINTSEfforts to increase anesthesia group productivity are essentially indistinguishable from efforts to increase the efficiency of use of operating room (OR) time and vice versa.To describe operational reality, the mathematics of service-specific staffing is based on the surgeon and patient having open access to OR time on the workday of their choosing.Scheduling cases and making decisions on the day of surgery to increase OR efficiency are worthwhile interventions to increase anesthesia group productivity. However, the most important step, by far, is the allocation of OR time (ie, the planning of service-specific staffing) appropriately 2-3 months before the day of surgery.Reducing surgical, turnover times, or first case of the day start delays generally provides small increases in anesthesia group productivity, but results vary widely because they are highly sensitive to both the OR allocations (ie, staffing) and the appropriateness of those OR allocations.To use OR allocations in practice on the day of surgery, data needed include the forecasted time remaining in ongoing cases. These forecasts affect decisions such as calling for the next patient, moving cases among rooms, staff relief, and scheduling add-on cases. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1144138570 ER -