Journal of Surgical Research
Volume 139, Issue 1 , Pages 61-67 , 1 May 2007

Adapting to a New System of Surgical Technologies and Perioperative Processes Among Clinicians

  • James E. Stahl, M.D., C.M., M.P.H.

      Affiliations

    • MGH-Institute for Technology Assessment, Massachusetts General Hospital, Boston, Massachusetts
    • Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
    • Corresponding Author InformationTo whom correspondence and reprint requests should be addressed at Massachusetts General Hospital, MGH-Institute for Technology Assessment, 101 Merimac Street, 10th floor, Boston, MA 02114.
    • ,
  • Julian M. Goldman, M.D.

      Affiliations

    • Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • David W. Rattner, M.D.

      Affiliations

    • Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • G. Scott Gazelle, M.D., M.P.H., Ph.D.

      Affiliations

    • MGH-Institute for Technology Assessment, Massachusetts General Hospital, Boston, Massachusetts
    • Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts

Received 26 April 2006

References 

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  2. Dexter F, Macario A, Traub RD, et al. An operating room scheduling strategy to maximize the use of operating room block time: computer simulation of patient scheduling and survey of patients’ preferences for surgical waiting time. Anesth Analg. 1999;89:7
  3. Dexter F, Macario A, O’Neill L. Scheduling surgical cases into overflow block time—computer simulation of the effects of scheduling strategies on operating room labor costs. Anesth Analg. 2000;90:980
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  7. Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery. 2005;137:518
  8. Stahl JE, Rattner D, Wiklund R, et al. Reorganizing the system of care surrounding laparoscopic surgery: a cost-effectiveness analysis using discrete-event simulation. Med Decis Making. 2004;24:461
  9. Smith A. In:  Cannan E editors. The Wealth of Nations. New York: Random House; 1994;
  10. Agatstein K. Oscillating Systems II: Sustained Oscillation (MIT Systems Dynamics in Education Project, System Dynamics Group, Sloan School of Management, Massachusetts Institute of Technology). 2001;
  11. Luenberger D. Introduction to Dynamic Systems: Theory, Models, and Applications. New York: Wiley; 1979;
  12. Eubank R. Spline Smoothing and Nonparametric Regression. New York: Marcel Dekker, Inc; 1988;
  13. Sandberg WS, Daily B, Egan M, et al. Deliberate perioperative systems design improves operating room throughput. Anesthesiology. 2005;103:406
  14. Stahl JE, Sandberg WS, Daily B, et al. Reorganizing patient care and workflow in the operating room: a cost-effectiveness study. Surgery. 2006;139:717

PII: S0022-4804(06)00474-4

doi: 10.1016/j.jss.2006.08.030

Journal of Surgical Research
Volume 139, Issue 1 , Pages 61-67 , 1 May 2007

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