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Martin J. Heslin, MD, FACS, Barbara E. Doster, RN, Sandra L

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Presentation on theme: "Martin J. Heslin, MD, FACS, Barbara E. Doster, RN, Sandra L"— Presentation transcript:

1 Durable Improvements in Efficiency, Safety, and Satisfaction in the Operating Room 
Martin J. Heslin, MD, FACS, Barbara E. Doster, RN, Sandra L. Daily, RN, Michael R. Waldrum, MD, MPH, Arthur M. Boudreaux, MD, A. Blair Smith, MD, Glenn Peters, MD, FACS, Debbie B. Ragan, RN, Scott Buchalter, MD, Kirby I. Bland, MD, FACS, Loring W. Rue, MD, FACS  Journal of the American College of Surgeons  Volume 206, Issue 5, Pages (May 2008) DOI: /j.jamcollsurg Copyright © 2008 American College of Surgeons Terms and Conditions

2 Figure 1 On-time start percentage for first case of the day in each operating room. FY, fiscal year; Q, quarter. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2008 American College of Surgeons Terms and Conditions

3 Figure 2 Assigned and overall block use. Also included is the “after-hours” use as a percentage of total use for the general operating room. FY, fiscal year; Q, quarter. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2008 American College of Surgeons Terms and Conditions

4 Figure 3 Timeline of nursing hires and the distribution of full-time employees (FTEs), traveling nurses, and the introduction of orientees into the FTE pool. FY, fiscal year; Q, quarter. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2008 American College of Surgeons Terms and Conditions

5 Figure 4 Nursing vacancy rate by time in perioperative services. FY, fiscal year; Q, quarter. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2008 American College of Surgeons Terms and Conditions

6 Figure 5 Case cart, tray errors, and point-of-service (POS) sterilization with time. FY, fiscal year; Q, quarter. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2008 American College of Surgeons Terms and Conditions

7 Figure 6 Total cases completed in fiscal years 2004, 2005, and FY, fiscal year; OR, operating room; Q, quarter. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2008 American College of Surgeons Terms and Conditions

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