ArticleJournal of medical systems2007
Closing emergency operating rooms improves efficiency.
Article in Journal of medical systems, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 161 citations in OpenAlex.
- Quantification of emergency operating theatre process performance: a systematic review of clinical studies.British journal of anaesthesia · 2026Pooled it
- A Robust ORMS Framework for Taiwanese Healthcare: Taguchi's Dynamic Method in Action.Healthcare (Basel, Switzerland) · 2025Article
- Leveraging the potential of the German operating room benchmarking initiative for planning: A ready-to-use surgical process data set.Health care management science · 2024Article
- The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey.Updates in surgery · 2024Article
- Increasing cardio-thoracic productivity at Erasmus MC.Health systems (Basingstoke, England) · 2022Article
- [Implementation of emergency classifications-Where do we stand? : Results of a nationwide survey].Der Anaesthesist · 2021Article
- Simulation-based evaluation of operating room management policies.BMC health services research · 2021Article
- Globalization, sustainable development, and variation in cost of power plant technologies: A perspective of developing economies.Environmental science and pollution research international · 2021Article
- Operating Rooms Scheduling for Elective Surgeries in a Hospital Affected by War-Related Incidents.Journal of medical systems · 2019Article
- Determinants of operative time in thyroid surgery: A prospective multicenter study of 3454 thyroidectomies.PloS one · 2017Article
- Operation room management in Korea: results of a survey.Korean journal of anesthesiology · 2016Article
- Forecasting the Emergency Department Patients Flow.Journal of medical systems · 2016Article
- Predictive / Reactive Planning and Scheduling of a Surgical Suite with Emergency Patient Arrival.Journal of medical systems · 2016Article
- How many operating rooms are needed to manage non-elective surgical cases? A Monte Carlo simulation study.BMC health services research · 2015Article
- Impact of changed management policies on operating room efficiency.BMC health services research · 2014Article
- Dedicated operating room for emergency surgery improves access and efficiency.Canadian journal of surgery. Journal canadien de chirurgie · 2013Article
- Reducing elective general surgery cancellations at a Canadian hospital.Canadian journal of surgery. Journal canadien de chirurgie · 2013Article
- Operational research in the management of the operating theatre: a survey.Health care management science · 2011Article
- Planning and scheduling of semi-urgent surgeries.Health care management science · 2010Article
- Improving the efficiency of physical examination services.Journal of medical systems · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Long waiting times for emergency operations increase a patient's risk of postoperative complications and morbidity. Reserving Operating Room (OR) capacity is a common technique to maximize the responsiveness of an OR in case of arrival of an emergency patient. This study determines the best way to reserve OR time for emergency surgery. In this study two approaches of reserving capacity were compared: (1) concentrating all reserved OR capacity in dedicated emergency ORs, and (2) evenly reserving capacity in all elective ORs. By using a discrete event simulation model the real situation was modelled. Main outcome measures were: (1) waiting time, (2) staff overtime, and (3) OR utilisation were evaluated for the two approaches. Results indicated that the policy of reserving capacity for emergency surgery in all elective ORs led to an improvement in waiting times for emergency surgery from 74 (+/-4.4) minutes to 8 (+/-0.5) min. Working in overtime was reduced by 20%, and overall OR utilisation can increase by around 3%. Emergency patients are operated upon more efficiently on elective Operating Rooms instead of a dedicated Emergency OR. The results of this study led to closing of the Emergency OR in the Erasmus MC (Rotterdam, The Netherlands).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.