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At least 145 records · Page 8Linked to original sources
PubMedDate not supplied

Time management in the operating room: an analysis of the dedicated minimally invasive surgery suite.

BACKGROUND: Dedicated minimally invasive surgery suites are available that contain specialized equipment to facilitate endoscopic surgery. Laparoscopy performed in a general operating room is hampered by the multitude of additional equipment that must be transported into the room. The objective of this study was to compare the preparation times between procedures performed in traditional operating rooms versus dedicated minimally invasive surgery suites to see whether operating room efficiency is improved in the specialized room. METHODS: The records of 50 patients who underwent laparoscopic procedures between September 2000 and April 2002 were retrospectively reviewed. Twenty-three patients underwent surgery in a general operating room and 18 patients in an minimally invasive surgery suite. Nine patients were excluded because of cystoscopic procedures undergone prior to laparoscopy. Various time points were recorded from which various time intervals were derived, such as preanesthesia time, anesthesia induction time, and total preparation time. A 2-tailed, unpaired Student t test was used for statistical analysis. RESULTS: The mean preanesthesia time was significantly faster in the minimally invasive surgery suite (12.2 minutes) compared with that in the traditional operating room (17.8 minutes) (P=0.013). Mean anesthesia induction time in the minimally invasive surgery suite (47.5 minutes) was similar to time in the traditional operating room (45.7 minutes) (P=0.734). The average total preparation time for the minimally invasive surgery suite (59.6 minutes) was not significantly faster than that in the general operating room (63.5 minutes) (P=0.481). CONCLUSION: The amount of time that elapses between the patient entering the room and anesthesia induction is statically shorter in a dedicated minimally invasive surgery suite. Laparoscopic surgery is performed more efficiently in a dedicated minimally invasive surgery suite versus a traditional operating room.

Efficiency, Organizational↗
PubMed1994

The doctor-patient relationship: time management and diagnostic methods of the family physician. An undergraduate perspective.

Physicians are often called upon to mentor students considering a career in medicine. There are seldom clear guidelines as to what either the student or the physician should do during these experiences. The following article is offered as a model of what the student and physician authors considered a productive experience that was both academically sound and directed toward helping the student thoughtfully look at a medical career. The study itself, accomplished during a one month "interim" experience during the student's junior year of college, addresses the question, "How do family practice doctors function during typical office visits?"

Diagnosis↗
PubMed1999

[Project graph technique for time management in abdominal ultrasound evaluations].

PURPOSE: German insurance companies are cutting down the time required for ultrasound examinations. To determine the minimal examination time to perform an ultrasound examination a project graph technique was applied. MATERIALS AND METHODS: Time measurements of abdominal ultrasound examinations were performed by two independent observers. The different jobs for the performance of an ultrasound examination were determined and the critical pathway method applied. The total available time for abdominal ultrasound examinations (leeway) was determined, the minimal time to perform each job was measured and the critical time required for the procedure was calculated. RESULTS: 14 different jobs were identified to complete one abdominal ultrasound examination. The project graph displayed the shortest possible time of 24 minutes to perform an ultrasound examination. The pure ultrasound exam without colour Doppler examination was 6 minutes ("hands on the ultrasound probe"). The jobs performed by the physician were fully within the critical period. In consequence, the physician had no leeway or time lag in relation to a total time of 24 minutes for an ultrasound examination, whereas by contrast the nurse has a total leeway of 7.5 minutes. CONCLUSIONS: The applied project graph technique is an effective instrument for the purpose of quality management for hospitals as well as in private practice. The workflow and actions necessary to perform a treatment or examination can be analysed. Human resources management and cost planning should be performed on the basis of project graphs.

Abdomen↗
PubMed1981

Time management.

Explore the source record for details and available documents.

Nursing Homes↗
PubMed1999

Analysis of time management in stroke patients in three French emergency departments: from stroke onset to computed tomography scan.

The aim of this study was to determine and identify the factors associated with shortening or lengthening time interval from stroke onset to performance of computed tomography (CT) scan in stroke patients admitted to three French emergency departments. All suspected stroke patients were eligible (n = 317). The time intervals between stroke onset and presentation to the emergency department and between CT scan request and CT scan performance were determined. Twelve variables likely to influence time interval before presentation to the emergency department, and five variables likely to influence time interval before CT scan performance were evaluated using stepwise regression analysis. Of the 317 patients included in the study, the mean time interval from stroke onset to CT scan performance for 180 patients was 7 hours 46 minutes (466 minutes). The mean time interval between stroke onset and presentation to the emergency department was 4 hours 36 minutes (276 minutes), varying according to the study site, level of initial severity, medical contact before admission, witnesses at stroke onset, and mode of transportation. The mean time interval between request and CT scan performance was 2 hours 14 minutes (134 minutes), varying upon the site, hour of CT scan request, type of stroke and level of severity at admission. It is concluded that current delays in stroke management are often incompatible with early treatment. The public needs to be informed and admission procedures reorganized. Improved response to the urgency of ischaemic stroke is required as well as direct access to the scanner during periods of scheduled use.

Aged↗
PubMed2003

Exercise behavior, sleep habits and time management among students of the Medical University of Lublin.

The aim of the study was to depict and assess patterns of daytime behavior and sleeping habits as well as general daytime management among students of Medical University of Lublin. On examination of 167 third-year medical students (107 women and 60 men, 20 to 29 years old) we found out that the third-year students did not exercise enough. Their sedentary lifestyles resulted from sharing their time between university, libraries and studying medical textbooks at homes. Medical students socialize and spend enough time with their families, and in this way they get family and friends' support, which allows them to manage stress and psychological problems. Most of the students neither watch TV nor play with computers longer than 2 hours per day.

Adult↗
PubMed1986

Time management practices for the dentist.

Many people have been trained from childhood up through dental or professional school to depend on others to structure their time. Dentists cannot afford to rely on someone else to decide how their time should be used. As an executive in charge of your own business, learn the behaviors that your new role requires. Learn appropriate skills for taking charge of your responsibilities. This will require experience-based training in small group dynamics and interpersonal communication along with the usual business skills. This does not mean you need to become an expert in these areas. It does mean you must enhance your personal development to the point of being able to separate what is comfortable behavior from what is effective behavior. Plan and organize your duties and work assignments to get the results you want and to get rid of the stress that occurs with crisis management. Coordinate your activities so that you are clear how they relate to the results you get. Control the different factors that may influence your ability to choose how you use the time available to you. The crucial factors are your objectives and priorities. Focus on developing the ability to lead and direct your auxiliaries for effective use of time.

Dentists↗