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Scheduling for anesthesia at geographic locations remote from the operating room

Dexter, Franklina; Wachtel, Ruth E.b

Current Opinion in Anaesthesiology:
doi: 10.1097/ACO.0000000000000085
ANESTHESIA OUTSIDE THE OPERATING ROOM: Edited by Marc Van de Velde
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Abstract

Purpose of review: Providing general anesthesia at locations away from the operating room, called remote locations, poses many medical and scheduling challenges. This review discusses how to schedule procedures at remote locations to maximize anesthesia productivity (see Video, Supplemental Digital Content 1, http://links.lww.com/COAN/A35).

Recent findings: Anesthesia labour productivity can be maximized by assigning one or more 8-h or 10-h periods of allocated time every 2 weeks dedicated specifically to each remote specialty that has enough cases to fill those periods. Remote specialties can then schedule their cases themselves into their own allocated time. Periods of allocated time (called open, unblocked or first come first served time) can be used by remote locations that do not have their own allocated time. Unless cases are scheduled sequentially into allocated time, there will be substantial extra underutilized time (time during which procedures are not being performed and personnel sit idle even though staffing has been planned) and a concomitant reduction in percent productivity. Allocated time should be calculated on the basis of usage.

Summary: Remote locations with sufficient hours of cases should be allocated time reserved especially for them in which to schedule their cases, with a maximum waiting time of 2 weeks, to achieve an average wait of 1 week.

Video abstract: http://links.lww.com/COAN/A35

Author Information

aDivision of Management Consulting

bDepartment of Anesthesia, University of Iowa, Iowa City, Iowa, USA

Correspondence to Franklin Dexter, MD, PhD, Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA 52246, USA. Tel: +1 319 621 6360; e-mail: Franklin-Dexter@UIowa.edu

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.co-anesthesiology.com).

© 2014 Lippincott Williams & Wilkins, Inc.