Surgical unit time utilization review: resource utilization and management implications.

Abstract:

:As health care providers seek ways to reduce the cost of health care services, hospital operating rooms (ORs) have been identified as potential areas for cost reduction efforts. Cost containment efforts which have shifted significant portions of the inpatient population to ambulatory areas have resulted in an inpatient population which is sicker and more procedure-intensive. Efficient management of operating rooms has assumed even greater importance in this environment. Inefficient or inaccurate scheduling of OR time often results in delays of surgery or cancellations of procedures, which are costly to the patient and the hospital. Approaches to efficient use of ORs include computerized scheduling, utilization monitoring, and refinement of scheduling policies and procedures. In the absence of commercially available software to meet operating room management information needs, Johns Hopkins developed its own system in 1983. This software provides detailed information for daily OR management and long-term planning. The computerized operating room scheduling and monitoring system is described in this article and an operational measure of scheduling accuracy is proposed. Suggestions are made for incorporating this measure into planning and allocation decisions.

journal_name

J Med Syst

authors

Gordon T,Paul S,Lyles A,Fountain J

doi

10.1007/BF00996639

subject

Has Abstract

pub_date

1988-06-01 00:00:00

pages

169-79

issue

3

eissn

0148-5598

issn

1573-689X

journal_volume

12

pub_type

杂志文章,评审
  • Community-Based ECG Monitoring System for Patients with Cardiovascular Diseases.

    abstract::This study aims to develop a community-based electrocardiogram (ECG) monitoring system for cardiac outpatients to wirelessly detect heart rate, provide personalized healthcare, and enhance interactive social contact because of the prevalence of deaths from cardiovascular disease and the growing problem of aging in the...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0442-4

    authors: Lin BS,Wong AM,Tseng KC

    更新日期:2016-04-01 00:00:00

  • VLC, OCC, IR and LiFi Reliable Optical Wireless Technologies to be Embedded in Medical Facilities and Medical Devices.

    abstract::New, emerging technologies, transform every day our life and have direct consequence on our health and well-being. More and more wearable medical devices (MD) with wireless communication technologies embedded are being developed by innovative academic community and companies. Optical wireless communication (OWC) consi...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1434-y

    authors: Riurean S,Antipova T,Rocha Á,Leba M,Ionica A

    更新日期:2019-08-20 00:00:00

  • The Opportunity for Medical Systems to Reduce Health Disparities Among Lesbian, Gay, Bisexual, Transgender and Intersex Patients.

    abstract::Lesbian, gay, bisexual, transgender, and intersex (LGBTI) people experience a variety of health care disparities, including higher rates of certain chronic illnesses, substance abuse, and HIV. The growing adoption of electronic health records (EHRs) presents an important opportunity to optimize care for LGBTI individu...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-015-0355-7

    authors: Donald C,Ehrenfeld JM

    更新日期:2015-11-01 00:00:00

  • Distinguising Proof of Diabetic Retinopathy Detection by Hybrid Approaches in Two Dimensional Retinal Fundus Images.

    abstract::Diabetes is characterized by constant high level of blood glucose. The human body needs to maintain insulin at very constrict range. The patients who are all affected by diabetes for a long time affected by eye disease called Diabetic Retinopathy (DR). The retinal landmarks namely Optic disc is predicted and masked to...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1313-6

    authors: S K,D M

    更新日期:2019-05-08 00:00:00

  • Navigation interface for recommending home medical products.

    abstract::Based on users' health issues, an intelligent personal health record (iPHR) system can automatically recommend home medical products (HMPs) and display them in a sequential order. However, the sequential output interface does not categorize search results and is not easy for users to quickly navigate to their desired ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-010-9537-5

    authors: Luo G

    更新日期:2012-04-01 00:00:00

  • A Multi Directional Perfect Reconstruction Filter Bank Designed with 2-D Eigenfilter Approach: Application to Ultrasound Speckle Reduction.

    abstract::B-Mode ultrasound images are degraded by inherent noise called Speckle, which creates a considerable impact on image quality. This noise reduces the accuracy of image analysis and interpretation. Therefore, reduction of speckle noise is an essential task which improves the accuracy of the clinical diagnostics. In this...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0675-2

    authors: Nagare MB,Patil BD,Holambe RS

    更新日期:2017-02-01 00:00:00

  • Two-Steps Coronary Artery Segmentation Algorithm Based on Improved Level Set Model in Combination with Weighted Shape-Prior Constraints.

    abstract::Due to the complex topological structure of the coronary artery and the uneven distribution of the contrast agent, the angiography images are inevitably blurred and has low contrast, which causes great difficulty in process of segmentation. For this problem, a two-steps segmentation algorithm based on Hessian matrix a...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1329-y

    authors: Ge S,Shi Z,Peng G,Zhu Z

    更新日期:2019-05-29 00:00:00

  • A Two Layer Sparse Autoencoder for Glaucoma Identification with Fundus Images.

    abstract::Glaucoma is a type of eye condition which may result in partial or consummate vision loss. Higher intraocular pressure is the leading cause for this condition. Screening for glaucoma and early detection can avert vision loss. Computer aided diagnosis (CAD) is an automated process with the potential to identify glaucom...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1427-x

    authors: Raghavendra U,Gudigar A,Bhandary SV,Rao TN,Ciaccio EJ,Acharya UR

    更新日期:2019-07-30 00:00:00

  • Efficacy of a real-time digital disk in the digital lightbox.

    abstract::This paper describes a high-speed digital lightbox. The current status of film in the medical imaging department sets the stage for this next generation of image display/management systems. Digital imaging devices are proliferating because of their diagnostic speed and accuracy, and their ease of use. However, the res...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF02224503

    authors: Gray M,Rutherford H

    更新日期:1984-06-01 00:00:00

  • Telehealth in the Pacific: current status and analysis report (1999-2000).

    abstract::From the summer of 1999 to the spring of 2000, we undertook an on-site investigation of the management and operational status of telehealth in the Pacific. The writers also gathered additional materials upon returning to Japan to provide as detailed a report as possible on the current status and analysis of telemedici...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1005544626095

    authors: Nakajima I,Chida S

    更新日期:2000-12-01 00:00:00

  • Annotating Early Esophageal Cancers Based on Two Saliency Levels of Gastroscopic Images.

    abstract::Early diagnoses of esophageal cancer can greatly improve the survival rate of patients. At present, the lesion annotation of early esophageal cancers (EEC) in gastroscopic images is generally performed by medical personnel in a clinic. To reduce the effect of subjectivity and fatigue in manual annotation, computer-aid...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-1063-x

    authors: Liu D,Rao N,Mei X,Jiang H,Li Q,Luo C,Li Q,Zeng C,Zeng B,Gan T

    更新日期:2018-10-16 00:00:00

  • Understanding the need of health care providers for teleconsultation and technological attributes in relation to the acceptance of teleconsultation in Malaysia: a mixed methods study.

    abstract::The aim of this study was to explore the importance of service need along with perceived technology attributes in potentially influence the acceptance of teleconsultation. The study was conducted based on the concurrent triangulation design involving qualitative and quantitative study methods. These entailed interview...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-011-9766-2

    authors: Maarop N,Win KT

    更新日期:2012-10-01 00:00:00

  • Computer analysis of auditory brainstem responses by using advanced pattern recognition.

    abstract::Automatic peak detection of auditory brainstem responses is a multistage process. The main task is the detection of the pedestal peak, which is a broad peak filtered out from the auditory brainstem signal. Special validation stages have been used to determine whether a real response is present, and if so, peak V is de...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00996703

    authors: Grönfors TK

    更新日期:1994-08-01 00:00:00

  • Synthetic hardware performance analysis in virtualized cloud environment for healthcare organization.

    abstract::The main obstacles in mass adoption of cloud computing for database operations in healthcare organization are the data security and privacy issues. In this paper, it is shown that IT services particularly in hardware performance evaluation in virtual machine can be accomplished effectively without IT personnel gaining...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-013-9950-7

    authors: Tan CH,Teh YW

    更新日期:2013-08-01 00:00:00

  • Bleeding detection in Wireless Capsule Endoscopy based on Probabilistic Neural Network.

    abstract::Wireless Capsule Endoscopy (WCE), which allows clinicians to inspect the whole gastrointestinal tract (GI) noninvasively, has bloomed into one of the most efficient technologies to diagnose the bleeding in GI tract. However WCE generates large amount of images in one examination of a patient. It is hard for clinicians...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-009-9424-0

    authors: Pan G,Yan G,Qiu X,Cui J

    更新日期:2011-12-01 00:00:00

  • Epileptic spike recognition in electroencephalogram using deterministic finite automata.

    abstract::This Paper presents an automated method of Epileptic Spike detection in Electroencephalogram (EEG) using Deterministic Finite Automata (DFA). It takes prerecorded single channel EEG data file as input and finds the occurrences of Epileptic Spikes data in it. The EEG signal was recorded at 256 Hz in two minutes separat...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-008-9177-1

    authors: Keshri AK,Sinha RK,Hatwal R,Das BN

    更新日期:2009-06-01 00:00:00

  • AI/LEARN: an interactive videodisk system for teaching medical concepts and reasoning.

    abstract::This paper describes AI/LEARN, an educational videodisk system designed to teach clinical observational skills and reasoning in medicine. The AI/LEARN system uses a learning conditions approach to teaching. To teach visual concepts, we use the principle of exemplar/nonexemplar pairs and immediate feedback. To teach If...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00993009

    authors: Mitchell JA,Lee AS,TenBrink T,Cutts JH 3rd,Clark DP,Hazelwood S,Jackson R,Bickel J,Gaunt W,Ladenson RP

    更新日期:1987-12-01 00:00:00

  • Gaussian Noise Removal in an Image using Fast Guided Filter and its Method Noise Thresholding in Medical Healthcare Application.

    abstract::A new denoising algorithm using Fast Guided Filter and Discrete Wavelet Transform is proposed to remove Gaussian noise in an image. The Fast Guided Filter removes some part of the details in addition to noise. These details are estimated accurately and combined with the filtered image to get back the final denoised im...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1376-4

    authors: Majeeth SS,Babu CNK

    更新日期:2019-07-12 00:00:00

  • Performance Analysis of IEEE 802.15.6 CSMA/CA Protocol for WBAN Medical Scenario through DTMC Model.

    abstract::The newly drafted IEEE 802.15.6 standard for Wireless Body Area Networks (WBAN) has been concentrating on a numerous medical and non-medical applications. Such short range wireless communication standard offers ultra-low power consumption with variable data rates from few Kbps to Mbps in, on or around the proximity of...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0638-7

    authors: Kumar V,Gupta B

    更新日期:2016-12-01 00:00:00

  • Does your hospital need a robot or a management trainer? On advising the health care executive who is interested in innovation, but uncommitted to it.

    abstract::Executives of small hospitals and home health services have heard that this is the Age of Computers, Telecommunications, Robotics, and Gene Engineering, and they wonder if their organizations might benefit from the high technology and advanced management tools employed by big corporations and "leading edge" hospitals....

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00992955

    authors: Mendell JS,Sarkis H

    更新日期:1986-02-01 00:00:00

  • Modeling blast induced neurotrauma in isolated spinal cord white matter.

    abstract::Blast-induced neurotrauma (BINT) is a common injury associated with the present military conflicts. Exposure to the shock-wave produced from exploding ordnances leads to significant neurological deficits throughout the brain and spinal cord. Prevention and treatment of this injury requires an appropriate understanding...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-010-9464-5

    authors: Connell S,Ouyang H,Shi R

    更新日期:2011-10-01 00:00:00

  • Systematic review of the use of computer simulation modeling of patient flow in surgical care.

    abstract::Computer simulation has been employed to evaluate proposed changes in the delivery of health care. However, little is known about the utility of simulation approaches for analysis of changes in the delivery of surgical care. We searched eight bibliographic databases for this comprehensive review of the literature publ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章,评审

    doi:10.1007/s10916-009-9336-z

    authors: Sobolev BG,Sanchez V,Vasilakis C

    更新日期:2011-02-01 00:00:00

  • Automated segmentation of the injured kidney due to abdominal trauma.

    abstract::The objective of this study is to propose and validate a computer-aided segmentation system which performs the automated segmentation of injured kidney in the presence of contusion, peri-, intra-, sub-capsular hematoma, laceration, active extravasation and urine leak due to abdominal trauma. In the present study, tota...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1476-1

    authors: Tulum G,Teomete U,Cuce F,Ergin T,Koksal M,Dandin O,Osman O

    更新日期:2019-11-24 00:00:00

  • The Turkish commercial health insurance industry.

    abstract::Turkey has experienced significant development in the private health insurance market since 1991. Improvements in private health services, increased public awareness, and insufficient service delivery by the social security organizations have encouraged more people to buy private health insurance. The number of people...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1010749320021

    authors: Kisa A

    更新日期:2001-08-01 00:00:00

  • Analysis and Improvement of a Mutual Authentication Scheme for Wireless Body Area Networks.

    abstract::An increase in aging population and the consequent chronic diseases pose not only serious effects to the economy but also a heavy burden to the medical system. Wireless body area networks (WBANs) provide a simple and low-cost strategy for health monitoring and telemedicine of the elderly. Many authentication schemes b...

    journal_title:Journal of medical systems

    pub_type: 杂志文章,评审

    doi:10.1007/s10916-018-1129-9

    authors: Chen R,Peng D

    更新日期:2018-12-18 00:00:00

  • An experimental transformation of a large expert knowledge base.

    abstract::An experiment is described in which a significant part of the INTERNIST knowledge base for diagnosis in internal medicine is translated into an EXPERT model. INTERNIST employs the largest and broadest knowledge base of all the medical consultation systems that have been developed in recent years. EXPERT is a general s...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00994119

    authors: Goldberg RN,Weiss SM

    更新日期:1982-02-01 00:00:00

  • Queueing analysis: a useful planning and management technique for radiology.

    abstract::Queueing analysis is a mathematical technique which is used for studying characteristics of queueing (waiting) for service. Recent development of improved software systems has made the technique easily available and versatile using a microcomputer. In this study the characteristics of examination time and interarrival...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00993008

    authors: Rosenquist CJ

    更新日期:1987-12-01 00:00:00

  • A computerized kinematic diagnostic system.

    abstract::This paper describes the instrumentation developed for a clinical system that measures upper extremity kinematics in normal and cerebral palsied children. The ability to diagnose cerebral palsy during early and midinfancy is influenced by the fact that movement and postural abnormalities become apparent only over time...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00996460

    authors: Eckhouse RH Jr,Maulucci RA,Leonard E

    更新日期:1989-10-01 00:00:00

  • Distance-Based Method used to Localize the Eyeball Effectively for Cerebral Palsy Rehabilitation.

    abstract::Iris plays a vital role in human life for object identification. Many models and techniques were proposed and suggested for detecting the Iris, but the accuracy was not achieved up to the level and its frequently used for biometric application. The Proposed Work divided into two steps, at first, we detect the entire e...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1405-3

    authors: Sumathy G,Arokia Renjit J

    更新日期:2019-07-02 00:00:00

  • Pulse Wave Velocity and Machine Learning to Predict Cardiovascular Outcomes in Prediabetic and Diabetic Populations.

    abstract::Few studies have addressed the predictive value of arterial stiffness determined by pulse wave velocity (PWV) in a high-risk population with no prevalent cardiovascular disease and with obesity, hypertension, hyperglycemia, and preserved kidney function. This longitudinal, retrospective study enrolled 88 high-risk pat...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1479-y

    authors: Garcia-Carretero R,Vigil-Medina L,Barquero-Perez O,Ramos-Lopez J

    更新日期:2019-12-09 00:00:00