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Journal of Investigative Surgery Volume 28, 2015 - Issue 2
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Original Articles

Process Redesign to Improve First Case Surgical Starts in an Academic Institution

Niharika SawDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
, MD,
Joshua C. VacantiDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
, MD,
Xiaoxia LiuDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
, MS,
Monica SaRegoDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
, MD,
Hugh FlanaganDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
, MD,
Bhavani Shankar KodaliDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
, MD &
Richard D. UrmanDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USACorrespondence[email protected]
, MD, MBA show all
Pages 95-102 | Received 02 Jul 2014, Accepted 10 Nov 2014, Published online: 17 Dec 2014

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Tori Sutherland, Jo Ann David-Kasdan, Jennifer Beloff, Ariel Mueller, Edward E. Whang, Ronald Bleday & Richard D. Urman. (2016) Patient and Provider-Identified Factors Contributing to Surgical Readmission After Colorectal Surgery. Journal of Investigative Surgery 29:4, pages 195-201.
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Articles from other publishers (14)

Dimuthu Rathnayake, Mike Clark, Viraj Jayasinghe, Viraj Udayanga & Eiad Qudairat. (2022) Perioperative time-management methods to reduce waiting times for elective surgery: a systematic review. British Journal of Healthcare Management 28:12, pages 1-8.
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Patrick R. Ng, Mark M. Zaki, Chris G. Collier, Faith C. Robertson, Blake M. Hauser, Scott Farren, Maya Babu, James Rhee, Wilton Levine, Oluwaseun Akeju & Brian V. Nahed. (2022) Systems analysis of neurosurgical first-case delays identifies opportunities to optimize operating room efficiency. Perioperative Care and Operating Room Management 28, pages 100262.
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Trung Du, Vidya Chidambaran, Setenay Tuncel Kara, Matthew Frazier, Jennifer Anadio, Sandra Girten, Stacy Levi, Donna Allen, Charles Dean Kurth, Peter Sturm & Anna Varughese. (2022) Timely completion of spinal fusion: A multidisciplinary quality improvement initiative to improve operating room efficiency. Pediatric Anesthesia 32:8, pages 926-936.
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Sandy D. Morel & Nicole A. Gonzaga Gomez. (2021) Improving On-Time First Case Starts: An Integrative Review and Quality Improvement Project Plan. Journal of PeriAnesthesia Nursing 36:6, pages 717-723.
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Lauren Wallace, Mathew Muir, Linda Romano, Tracey Wyllie, Dennis Gyomber & Russell Hodgson. (2021) Assessing operating theatre efficiency: a prospective cohort study to identify intervention targets to improve efficiency. ANZ Journal of Surgery 91:11, pages 2382-2388.
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Christopher Joos & Martin Schuster. (2021) Der pünktliche morgendliche OP-Beginn. OP-Management up2date 1:03, pages 227-246.
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Melissa M. J. Chua, Keith Lewis, Yi-An Huang, Mary Fingliss & Alik Farber. (2020) A Successful Organized Effort to Improve Operating Room First-Case Starts in a Tertiary Academic Medical Center. The American Surgeon 87:2, pages 259-265.
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Frank W. Dupont, Avery Tung, Sajid S. Shahul, Anne PohlmanSilas Joseph, Ori Gottlieb, Michael F. O’Connor & Thomas W. Cutter. (2019) Transport of Critically Ill Patients by the Anesthesia Versus the Intensive Care Unit Service: A Before–After Study of Operating Room Workflows. Anesthesia & Analgesia 129:3, pages 671-678.
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Usman A. Halim, Mohammed A. Khan & Adam M. Ali. (2018) Strategies to Improve Start Time in the Operating Theatre: a Systematic Review. Journal of Medical Systems 42:9.
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Julia Geynisman-Tan, Oluwateniola Brown, Margaret Mueller, Katarzyna Bochenska, Sarah Collins, Christina Lewicky-Gaupp & Kimberly Kenton. (2018) Operating Room Efficiency: Examining the Impact of Personnel Handoffs. Female Pelvic Medicine & Reconstructive Surgery 24:2, pages 87-89.
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Catherine L. Chen & Mark D. Neuman. (2018) Do Anesthetic Choices Signal Quality?. Anesthesiology 128:3, pages 429-430.
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José María Maestre, Juan Pedraja, Laura Herrero, Marina Cano, Elena Rojo, Ceferina Suárez, Juan Manuel Odriozola, Raquel Gomez, Loli Cuerno, Iñigo Romon, Virginia Terán, María Fernández & Concepción Fariñas-Alvarez. (2018) Simulación clínica para la mejora de la calidad en la atención a la hemorragia posparto. Journal of Healthcare Quality Research 33:2, pages 88-95.
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Pedro Ramos, Eloisa Bonf?Patr?cia Goulart, Marion Medeiros, N?lson Cruz, Pedro Puech-Le?o & Brigitte Feiner. (2016) First-case tardiness reduction in a tertiary academic medical center operating room: A lean six sigma perspective. Perioperative Care and Operating Room Management 5, pages 7-12.
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York Chen, Rodney A. Gabriel, Bhavani S. Kodali & Richard D. Urman. (2016) Effect of Anesthesia Staffing Ratio on First-Case Surgical Start Time. Journal of Medical Systems 40:5.
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