Operating room management:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Boston [u.a.]
Butterworth-Heinemann
1999
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XX, 224 S. graph. Darst. |
| ISBN: | 0750699116 |
Internformat
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| 264 | 1 | |a Boston [u.a.] |b Butterworth-Heinemann |c 1999 | |
| 300 | |a XX, 224 S. |b graph. Darst. | ||
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| 650 | 7 | |a Operatiekamers |2 gtt | |
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| 650 | 4 | |a Operating Rooms |x organization & administration | |
| 650 | 4 | |a Operating room nursing |x Administration | |
| 650 | 4 | |a Operating rooms |x Administration | |
| 650 | 4 | |a Surgicenters |x organization & administration | |
| 700 | 1 | |a Gabel, Ronald A. |e Sonstige |4 oth | |
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Datensatz im Suchindex
| _version_ | 1804127832136220672 |
|---|---|
| adam_text | Contents
Foreword xiii
Paul G. Barash and Inez E. Tenzer
Preface: Why a Book on Operating Room Management? xv
Prologue: Terminology and Scenarios xvii
1. The Clinical Enterprise 1
History 1
Characteristics of the Operating Room Environment 2
Trends in Surgery 3
Mission of the Operating Rooms 6
Summary 8
2. Influence of Managed Care 9
Reimbursement Methods 9
Organizational Structures 14
Integration: Vertical and Horizontal 15
Competition for Patients 17
Effects on the Operating Room Suite 18
Ethics of Managed Care 20
3. Strategic Management in a Competitive Environment 21
Strategic Management 21
Structural Analysis 22
Sustainable Competitive Advantage 24
Developing a Competitive Strategy 25
Competitive Moves 26
Business Plan 27
Summary 31
4. Analyzing Financial and Operational Performance 33
Uses of Financial Information 34
Users of Financial Information 34
vii
viii CONTENTS
Financial Accounting versus Managerial (Cost) Accounting 35
Financial Statements 35
Financial Performance 39
Operational Performance 42
Summary 46
Appendix 4 1. Community Health Care System:
Analysis of Financial Statements and Performance Indicators 47
Analysis of Financial Statements 47
Analysis of Financial Performance Ratios 48
Analysis of Operational Performance Ratios 50
Influence of Operational Performance on Financial Performance 50
5. Managerial (Cost) Accounting 55
Cost Behavior 56
Controllable Costs 58
Future Costs 59
Direct versus Indirect Costs 60
Allocation of Indirect Costs to the Operating Room Suite 60
Costing Methods for Patient Care Services 61
Budgeting 62
Special Considerations for Operating Room Managers 62
Summary 64
Appendix 5 1. Comparison of Methods for Allocating Indirect Costs 65
Appendix 5 2. Comparison of Methods for Allocating Costs
to Patient Care Services 68
6. Management Services 75
Management and Leadership 75
Operating Room Organizational Structures 79
Operating Room Manager 82
Summary 84
7. Clinical Services 85
Surgical Specialties 85
Surgical Practice 86
Organization of the Surgical Service 87
Anesthesia Practice 88
Organization of the Anesthesia Service 90
University Medical Centers 90
Nursing Service 90
Other Clinical Services 96
Other Professional Relationships 98
8. Operations Management: The Operating Room Schedule 101
Scheduling Considerations 101
Allocation of Operating Room Time 102
CONTENTS ix
Ambulatory Surgery Scheduling 105
Operating Room Schedule 106
Preoperative Evaluation 107
Day of Surgery 108
9. Materials Management 113
Preference and Procedure Cards 115
Managing Materials 124
Purchasing 127
Instruments 128
Equipment 130
Anesthesia Supplies and Equipment 131
Performance Standards 131
10. Information Management: Evidence Based
Operating Room Management 133
Information Systems Design 133
Medical Information System 134
Operating Room Information System 134
Operating Room Database 136
Data Entry 137
Report Generation 137
Operating Room Utilization Analysis 139
Operating Room Cost Analysis 144
Miscellaneous Reports from the Operating Room Database 145
Operating Room Database for Billing 146
Procedure Codes 146
Data Integrity 147
Data Confidentiality and Security 147
Operating Room Scheduling 148
The Operating Room Schedule As an Electronic Report 149
Scheduling Work Hours of Personnel 149
Scheduling Patient Flow: Preoperative Use of the Facility 150
11. Standards, Quality, and Consent 151
Standards 151
Operating Room Safety and Occupational Health 151
Joint Commission on Accreditation of Healthcare Organizations 153
Medical Device Tracking 155
Quality Improvement 156
Identifying Opportunities for Self Improvement in the System 157
Informed Consent 158
Appendix 11 1. Sample Evacuation Plan 163
Fire Evacuation Plan: Operating Room Suite 163
Appendix 11 2. Continuous Quality Improvement: An Example 165
Appendix 11 3. Sample Form: Refusal of Treatment or Procedure 169
x CONTENTS
Appendix 11 4. Ethical Guidelines for Anesthesia Care:
Do Not Resuscitate 170
Ethical Guidelines for the Anesthesia Care of Patients with
Do Not Resuscitate Orders or Other Directives That Limit Treatment 170
Appendix 11 5. Ethical Guidelines for Nursing Care:
Do Not Resuscitate 172
Perioperative Care of Patients with Do Not Resuscitate Orders 172
12. Design and Construction 175
Planning Team 175
Planning and Design Process 177
Operating Room Suite 180
Individual Operating Rooms 182
Substerile Areas 186
Size of the Postanesthesia Care Unit 186
Cross Functional Use of Space 186
Physical Relationships with Other Components
of the Medical Center 186
Renovation versus New Construction 187
Flexibility (at a Cost) 187
Building Codes and Certificate of Need 187
Special Considerations in the Design of Ambulatory
Surgery Units and Freestanding Ambulatory Surgical Centers 187
Design of Operating Room Communication Systems 188
Appendix 1. Procedural Times Glossary 193
Procedural Times Glossary® 193
Appendix 2. Standards Setting Organizations 197
Accreditation Association for Ambulatory
Health Care (AAAHC) 197
American Association for Accreditation of
Ambulatory Surgery Facilities (AAAASF) 197
American Society of Anesthesiologists (ASA) 197
Association for the Advancement of Medical
Instrumentation (AAMI) 198
Association of periOperative Registered Nurses (AORN) 198
ECRI 198
U.S. Food and Drug Administration (FDA) 199
Health Level Seven (HL7) 199
Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) 200
National Committee for Quality Assurance (NCQA) 200
National Fire Protection Association (NFPA) 200
Occupational Safety Health Administration (OSHA) 200
Appendix 3. Table of Contents: Life Safety Code® 203
CONTENTS xi
Appendix 4. Table of Contents: National Electrical Code® 205
Appendix 5. Table of Contents: Standard for Health Care
Facilities (NFPA 99) 207
Appendix 6. Table of Contents: Standards, Recommended Practices,
and Guidelines 211
Index 215
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| illustrated | Illustrated |
| indexdate | 2024-07-09T18:39:36Z |
| institution | BVB |
| isbn | 0750699116 |
| language | English |
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| physical | XX, 224 S. graph. Darst. |
| publishDate | 1999 |
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| spelling | Operating room management Ronald A. Gabel ... Boston [u.a.] Butterworth-Heinemann 1999 XX, 224 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Operatiekamers gtt Organisatie gtt Operating Rooms organization & administration Operating room nursing Administration Operating rooms Administration Surgicenters organization & administration Gabel, Ronald A. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008947321&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Operating room management Operatiekamers gtt Organisatie gtt Operating Rooms organization & administration Operating room nursing Administration Operating rooms Administration Surgicenters organization & administration |
| title | Operating room management |
| title_auth | Operating room management |
| title_exact_search | Operating room management |
| title_full | Operating room management Ronald A. Gabel ... |
| title_fullStr | Operating room management Ronald A. Gabel ... |
| title_full_unstemmed | Operating room management Ronald A. Gabel ... |
| title_short | Operating room management |
| title_sort | operating room management |
| topic | Operatiekamers gtt Organisatie gtt Operating Rooms organization & administration Operating room nursing Administration Operating rooms Administration Surgicenters organization & administration |
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