Document Detail


Mathematical modeling to define optimum operating room staffing for pediatric patients in trauma centers.
MedLine Citation:
PMID:  21129560     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Adult trauma centers (TCs) in the United States may be verified with an on-call operating room team if the performance improvement program shows no adverse outcome. Using queuing and simulation methodology, this study attempts to add a volume guideline for injured children.
METHODS: Data from 63 verified TCs identified demographic factors including specific information regarding the first pediatric trauma-related operation done between 11 pm and 7 am each month for 1 year.
RESULTS: The annual pediatric admits correlated with the number of operations (383) done from 11 pm to 7 am (P < .001). The probability of operation within 30 minutes of arrival varies with the number of admits and the percent of penetrating vs blunt injuries. This likely number of operations from 11 pm to 7 am beginning within 30 minutes of patient arrival would be 3.45, 4.21, and 4.95 for TCs admitting 150, 250, and 350 injured children per year, respectively. The probability that 2 rooms would be occupied simultaneously is 0.074 and 0.109 for centers with 160 and 260 pediatric trauma admissions, respectively.
CONCLUSION: Trauma centers performing less than 6 pediatric trauma operations per year from 11 pm to 7 am could conserve resources by using an on-call operating room team.
Authors:
David Tuggle; Charles E Lucas; Robert L Coscia; James M Hurst; John W Meredith; John D Middleton; Charles R Rinker; Angie L Vlahos; Jack Wilberger
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  45     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2431-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Surgery, Wayne State University, Detroit, MI 48201, USA. david-tuggle@ouhsc.edu
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