Research Topics
| Warren S SandbergSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
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Detail Information
Publications
Setting a research agenda for perioperative systems designWarren S Sandberg
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Semin Laparosc Surg 10:57-70. 2003..Perioperative systems design integrates the research agenda in technology, safety, informatics, and even telemedicine by putting all the pieces that constitute patient care into a cogent, flexible, and well-managed model...- Real-time checking of electronic anesthesia records for documentation errors and automatically text messaging clinicians improves quality of documentationWarren S Sandberg
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
Anesth Analg 106:192-201, table of contents. 2008..We implemented a system to improve completeness of clinical documentation and evaluated the results over time... - Automatic detection and notification of "wrong patient-wrong location'' errors in the operating roomWarren S Sandberg
Harvard Medical School and Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
Surg Innov 12:253-60. 2005.... - Deliberate perioperative systems design improves operating room throughputWarren S Sandberg
Harvard Medical School, Boston, Massachusetts, USA
Anesthesiology 103:406-18. 2005..The authors sought to improve OR throughput and reduce time per case by goal-directed design of a demonstration OR and the perioperative processes occurring within and around it... - Endobronchial blocker dislodgement leading to pulseless electrical activityWarren S Sandberg
Department of Anesthesia and Critical Care, Massachusetts General Hospital, 55 Fruit St, Clinics 3, Boston, MA 02114, USA
Anesth Analg 100:1728-30. 2005..We hypothesize that when surgical manipulation dislodged the bronchial blocker into the tracheal position, leading to profound air trapping as successive, stacked tidal volumes were forced distal to the blocker... - Reorganizing patient care and workflow in the operating room: a cost-effectiveness studyJames E Stahl
Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Surgery 139:717-28. 2006..The benefits of this system are realized when performing multiple, short-to-medium duration procedures (eg, <120 m)... 
Automatic notifications mediated by anesthesia information management systems reduce the frequency of prolonged gaps in blood pressure documentationJesse M Ehrenfeld
Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
Anesth Analg 113:356-63. 2011....- Surgeon profiling: a key to optimum operating room useSuzanne M Sokal
Decision Support and Quality Management Unit and Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
Arch Surg 142:365-70. 2007.... - Automated documentation error detection and notification improves anesthesia billing performanceStephen F Spring
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA
Anesthesiology 106:157-63. 2007.... - Ongoing professional performance evaluation (OPPE) using automatically captured electronic anesthesia dataJesse M Ehrenfeld
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, USA
Jt Comm J Qual Patient Saf 38:73-80. 2012.... - Automatic time-motion study of a multistep preoperative processMark A Meyer
Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA
Anesthesiology 108:1109-16. 2008..New technology known as indoor positioning systems (IPS) may allow automatic monitoring of patient waiting and progress. The authors tested whether an IPS can track patients through a multistep preoperative process... - Implementation of a direct-from-recovery-room discharge pathway: a process improvement effortJesse M Ehrenfeld
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Surg Innov 16:258-65. 2009..The authors describe a process improvement effort to achieve direct-from-recovery-room discharge for elective laparoscopic cholecystectomy patients--without prior patient selection... - The management and outcome of documented intraoperative heart rate-related electrocardiographic changesIon A Hobai
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
J Cardiothorac Vasc Anesth 25:791-8. 2011..The authors aimed to find REC incidence, specificity for coronary artery disease (CAD), and the outcome associated with different management strategies... - Performance comparison of right- and left-sided double-lumen tubes among infrequent usersJesse M Ehrenfeld
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
J Cardiothorac Vasc Anesth 24:598-601. 2010..To compare performance of right- versus left-sided double-lumen tubes (DLTs) among infrequent users by evaluating the incidence and severity of hypoxemia, hypercapnia, and high airway pressures... - Auto identification technology and its impact on patient safety in the Operating Room of the FutureMarie T Egan
Department of Nursing, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Surg Innov 14:41-50; discussion 51. 2007..Nevertheless, overcoming these obstacles is necessary if the vision of an operating room of the future in which all processes are monitored, controlled, and optimized is to be achieved... - The incidence of hypoxemia during surgery: evidence from two institutionsJesse M Ehrenfeld
Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, 55 Fruit St, Jackson 458, Boston, MA 02114, USA
Can J Anaesth 57:888-97. 2010..The incidence of hypoxemia in patients undergoing surgery is largely unknown and may have a clinical impact. The objective of this study was to determine the incidence of intraoperative hypoxemia in a large surgical population... - A model for understanding the impacts of demand and capacity on waiting time to enter a congested recovery roomTor Schoenmeyr
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
Anesthesiology 110:1293-304. 2009..The frequency and duration of such delays depend on operating room case volume, average recovery time, and recovery room capacity... - Right- and left-sided Mallinckrodt double-lumen tubes have identical clinical performanceJesse M Ehrenfeld
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
Anesth Analg 106:1847-52. 2008..If this is true, then the incidence and severity of hypoxemia, hypercapnea, and high airway pressures should be higher for right-sided tubes during thoracic surgery than for left-sided tubes... - Misalignment of disposable pulse oximeter probes results in false saturation readings that influence anesthetic managementZhonghui Guan
Harvard Medical School, Boston, Massachusetts, USA
Anesth Analg 109:1530-3. 2009..We conclude that the technology is quite robust, but that the diagnosis of apparent hypoxia should include a quick check of oximeter position early on... - Crisis resource management of the airway in a patient with Klippel-Feil syndrome, congenital deafness, and aortic dissectionOmar M Khawaja
Department of Anesthesia and Critical Care, Massachusetts General Hospital, and Department of Anaesthesia, Harvard Medical School, Boston, Massachusetts 02114, USA
Anesth Analg 108:1220-5. 2009..Using anesthesia crisis resource management methods, a multi-member team rehearsed predefined roles and then managed the airway via inhaled induction of anesthesia, followed by flexible fiberoptic intubation... - Financial and operational impact of a direct-from-PACU discharge pathway for laparoscopic cholecystectomy patientsWarren S Sandberg
Harvard Medical School and the Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Mass 02114, USA
Surgery 140:372-8. 2006..CONCLUSIONS: PACU discharge of LC patients significantly reduces bed utilization, decreases in-hospital transfers, and allows congested hospitals to better accommodate patient care needs and generate additional revenue... - Craniocervical extension improves the specificity and predictive value of the Mallampati airway evaluationGeorge A Mashour
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, USA
Anesth Analg 103:1256-9. 2006..We hypothesized that adding craniocervical extension to the MMP would allow for greater mouth opening, lower scores, and less false positives than the traditional MMP examination... - Introducing new technology into the operating room: measuring the impact on job performance and satisfactionJames E Stahl
Department of Medicine, Massachusetts General Hospital, MGH Institute of Technology Assessment, Boston 02114, USA
Surgery 137:518-26. 2005..Here we evaluate the effect on staff satisfaction and burnout of introducing a set of new technologies... - Real-time alerts and reminders using information systemsJonathan P Wanderer
Massachusetts General Hospital, Boston, MA, USA
Anesthesiol Clin 29:389-96. 2011..Challenges to the widespread use of real-time alerts and reminders include AIMS adoption rates and the difficulty in choosing appropriate areas and approaches for information systems support... - Intermediate acting non-depolarizing neuromuscular blocking agents and risk of postoperative respiratory complications: prospective propensity score matched cohort studyMartina Grosse-Sundrup
Department of Anaesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
BMJ 345:e6329. 2012..To determine whether use of intermediate acting neuromuscular blocking agents during general anesthesia increases the incidence of postoperative respiratory complications... - Clinicians consistently exceed a typical person's short-term memory during preoperative teachingElisabeth H Sandberg
Department of Psychology, Suffolk University, Boston, MA 02114, USA
Anesth Analg 107:972-8. 2008..This is important to assess because short-term memory capacity for information such as preoperative instruction is limited to roughly seven units of content... - A controlled study of the effects of patient information-elicitation style on clinician information-givingElisabeth H Sandberg
Psychology Department, Suffolk University, Boston, MA 02114, USA
Commun Med 6:73-82. 2009..The increased information delivery elicited by highly-assertive patients is especially important when considered in light of memory limitations... - Operating room design and its impact on operating room economicsDan C Krupka
Twin Peaks Group, Sherborn, Massachusetts, USA
Curr Opin Anaesthesiol 19:185-91. 2006..Thus hospitals should choose judiciously if, and to what degree, high throughput environments are implemented. Once implemented, access to these environments can be used as an incentive for improved surgical performance... - Maximizing operating room and recovery room capacity in an era of constrained resourcesSuzanne M Sokal
Center for Clinical Effectiveness in Surgery and Department of Surgery, Massachusetts General Hospital, Boston 02114, USA
Arch Surg 141:389-93; discussion 393-5. 2006..CONCLUSION: In a PACU-constrained environment, 3 parallel processing ORs with a mini-PACU configuration offers increased throughput and decreased PACU workload... - Surgical field fire during a repair of bronchoesophageal fistulaAneesh K Singla
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, USA
Anesth Analg 100:1062-4. 2005..This report highlights unique safety concerns during anesthesia for thoracic surgery, and addresses more general safety issues relating to fire risk in all surgical patients... - High-throughput operating room system for joint arthroplasties durably outperforms routine processesMichael P Smith
Department of General Anesthesiology, Cleveland Clinic, Cleveland, Ohio 44195, USA
Anesthesiology 109:25-35. 2008..The authors hypothesized that a system of parallel processing for lower extremity joint arthroplasties sustainably reduces nonoperative time and increases throughput... - Statistical process control as a tool for monitoring nonoperative timeAndreas Seim
Department of Production and Quality Engineering, Norwegian University of Science and Technology, Trondheim, Norway
Anesthesiology 105:370-80. 2006..The technique is able to detect changes quickly and to detect small changes over time... - Small changes in operative time can yield discrete increases in operating room throughputAndreas R Seim
Department of Production and Quality Engineering, Norwegian University of Science and Technology, Trondheim, Norway
J Endourol 21:703-8. 2007..Operative time is thought not to be easily amenable to deliberate reductions. We tested the hypothesis that gradual improvements in operative time had allowed one surgeon to perform additional cases during scheduled hours... - Anesthesia information management systems: almost thereWarren S Sandberg
Anesth Analg 107:1100-2. 2008