Background: Errors that increase the risk of wrong-side/-site procedures not only occur the day of surgery but also are often introduced much earlier during the scheduling process. The frequency of these booking errors and their effects are unclear.
Methods: All surgical scheduling errors reported in the institution's medical event reporting system from January 1, 2011, to July 31, 2011, were analyzed. Focus groups with operating room nurses were held to discuss delays caused by scheduling errors.
Results: Of 17,606 surgeries, there were 151 (.86%) booking errors. The most common errors were wrong side (55, 36%), incomplete (38, 25%), and wrong approach (25, 17%). Focus group participants said incomplete and wrong-approach bookings resulted in the longest delays, averaging 20 minutes and costing at least $320.
Conclusions: Although infrequent, scheduling errors disrupt operating room team dynamics, causing delays and bearing substantial costs. Further research is necessary to develop tools for more accurate scheduling.
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http://dx.doi.org/10.1016/j.amjsurg.2012.01.011 | DOI Listing |
Sci Rep
December 2024
School of Management Science and Engineering, Shandong Jianzhu University, Jinan, 250101, China.
This study seeks to improve urban supply chain management and collaborative governance in the context of public health emergencies (PHEs) by integrating fuzzy theory with the Back Propagation Neural Network (BPNN) algorithm. By combining these two approaches, an early warning mechanism for supply chain risks during PHEs is developed. The study employs Matlab software to simulate supply chain risks, incorporating fuzzy inference techniques with the adaptive data modeling capabilities of neural networks for both training and testing.
View Article and Find Full Text PDFSci Rep
December 2024
Key Laboratory of Exercise and Physical Fitness, Ministry of Education, Beijing Sport University, Beijing, China.
Chronic sedentary behavior can have a negative impact on the executive function (EF) of young people. While physical activity (PA) has been shown to improve this phenomenon, the effects of different types of PA on EF vary. In this study, we compared the effects of moderate-intensity continuous training (MICT) (60-70% HRmax, 30 min), body weight training (BWT) (2 sets tabata, 20 min), and mind-body exercise (MBE) (2 sets Yang style shadowboxing, 20 min) on EF in 59 sedentary youth (n = 59, age = 20.
View Article and Find Full Text PDFISA Trans
December 2024
Department of Electrical Engineering, Tungnan University, No. 152, Section 3, Peishen Rd., Shenkeng Dist., New Taipei 222, Taiwan. Electronic address:
This article introduces a novel setpoint weighted PI-FOPD (SWPI-FOPD) cascade controller with a prefilter. It further describes a four-stage design strategy that sequentially enhances tracking responses, reduces overshoot, and ensures robustness for unstable time-delayed (UTD) processes. The controller applies to integrating and non-integrating UTD processes of any order and does not necessitate model order reduction or delay approximation.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
December 2024
Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Background: Operating room (OR) efficiency is of paramount importance for scheduling, cost efficiency and to allow for the high operating volume required to address the growing demand for arthroplasty. The purpose of this study was to develop a machine learning predictive model for Total Shoulder Arthroplasty (TSA) procedure duration and to identify factors which are predictive of a prolonged procedure.
Methods: A retrospective review was undertaken of all TSA between 2013-2021 in a large academic institution.
Int J Radiat Oncol Biol Phys
December 2024
Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou, China. Electronic address:
Purpose: To establish an artificial intelligence (AI)-empowered multistep integrated (MSI) radiation therapy (RT) workflow for patients with nasopharyngeal carcinoma (NPC) and evaluate its feasibility and clinical performance.
Methods And Materials: Patients with NPC scheduled for MSI RT workflow were prospectively enrolled. This workflow integrates RT procedures from computed tomography (CT) scan to beam delivery, all performed with the patient on the treatment couch.
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