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Nonoperating Room Anesthesia Tardiness

Sarraf, Elie, MDCM*; Breidenstein, Max W., BS*; Carslon, Rachel E., MD*; O’Donnell, Stephen E., MD*; Tsai, Mitchell H., MD, MMM*,†,‡

doi: 10.1213/XAA.0000000000000814

Tardiness in the operating room has been shown to decline in the day as a result of operational decisions on the day of surgery. This article studies nonoperating room anesthesia (NORA) tardiness at the University of Vermont Medical Center in cases performed in the 2015 calendar year. Tardiness was measured by subtracting actual start times from extracted scheduled start times for each NORA services line. On average, tardiness in NORA sites increased as the day progressed, with the exception of diagnostic radiology. This is likely due to limited tactical and operational opportunities to improve workflow.

From the *Department of Anesthesiology, University of Vermont Larner College of Medicine, Burlington, Vermont

Departments of Orthopaedics and Rehabilitation (by courtesy)

Surgery (by courtesy), University of Vermont Larner College of Medicine, Burlington, Vermont.

Accepted for publication May 8, 2018.

Funding: None.

The authors declare no conflicts of interest.

Presented at the Annual Meeting of the American Society of Anesthesiologists, Boston, MA, October 2017.

Address correspondence to Mitchell H. Tsai, MD, MMM, Department of Anesthesiology, University of Vermont Medical Center, 111 Colchester Ave, Burlington, VT. Address e-mail to

© 2018 International Anesthesia Research Society
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