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Secondary outcome measurements included average individual patient operative costs and average operating room time.
Most studies have been based on a consecutive series of patients in a single hospital, usually with a single surgeon, and the learning effect is often evaluated with measures related to the operation only (e.g. operating room time, blood loss).
We developed a high efficiency endocrine operative protocol based on a mathematical programming approach, process reengineering, and value-stream mapping to increase the number of operations completed per day without increasing operating room time at a tertiary-care, academic center.
This allows trainees to focus more on operative strategy and managing operative complications rather than wasting valuable and expensive operating room time on the initial refinement of psychomotor skills [ 21].
One baseball team executive, who was not authorized to speak publicly, cited recent cases of insurance company reimbursement for the costs of Tommy John surgery, including the fees for the surgeon, the anesthesia and the operating room time.
For those who balk at the new bills, it is useful to remember that those high co-payments are largely a function of the uniquely high price of medical services in the United States — everything from drugs to scans to operating room time.
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To show that efficiency of operating room times can be improved significantly using rapid changes between operative procedures.
Fig. 1 Adjusted Mean Operating Room Times of the Study Groups with Surgical Resections.
Operating room times and blood loss were not reported.
To enhance the model, future research will include the investigation of additional patient-level variables, as well as outcome variables (e.g., operating room times, discharge disposition, admission source, HOBIC scores, etc).
Intrapartum caesarean section is associated with increased risk of maternal and neonatal morbidities and has resource implications, especially if the procedure occurs outside usual operating room times [ 9, 10].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com