Warren S Sandberg

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. ncbi request reprint Setting a research agenda for perioperative systems design
    Warren S Sandberg
    Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Semin Laparosc Surg 10:57-70. 2003
  2. doi request reprint Real-time checking of electronic anesthesia records for documentation errors and automatically text messaging clinicians improves quality of documentation
    Warren S Sandberg
    Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
    Anesth Analg 106:192-201, table of contents. 2008
  3. ncbi request reprint Endobronchial blocker dislodgement leading to pulseless electrical activity
    Warren 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
  4. ncbi request reprint Deliberate perioperative systems design improves operating room throughput
    Warren S Sandberg
    Harvard Medical School, Boston, Massachusetts, USA
    Anesthesiology 103:406-18. 2005
  5. ncbi request reprint Automatic detection and notification of "wrong patient-wrong location'' errors in the operating room
    Warren 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
  6. ncbi request reprint Reorganizing patient care and workflow in the operating room: a cost-effectiveness study
    James E Stahl
    Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Surgery 139:717-28. 2006
  7. ncbi request reprint Surgeon profiling: a key to optimum operating room use
    Suzanne 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
  8. ncbi request reprint Automated documentation error detection and notification improves anesthesia billing performance
    Stephen F Spring
    Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA
    Anesthesiology 106:157-63. 2007
  9. pmc Automatic notifications mediated by anesthesia information management systems reduce the frequency of prolonged gaps in blood pressure documentation
    Jesse M Ehrenfeld
    Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
    Anesth Analg 113:356-63. 2011
  10. ncbi request reprint Ongoing professional performance evaluation (OPPE) using automatically captured electronic anesthesia data
    Jesse 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

Collaborators

Detail Information

Publications36

  1. ncbi request reprint Setting a research agenda for perioperative systems design
    Warren 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...
  2. doi request reprint Real-time checking of electronic anesthesia records for documentation errors and automatically text messaging clinicians improves quality of documentation
    Warren 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...
  3. ncbi request reprint Endobronchial blocker dislodgement leading to pulseless electrical activity
    Warren 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...
  4. ncbi request reprint Deliberate perioperative systems design improves operating room throughput
    Warren 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...
  5. ncbi request reprint Automatic detection and notification of "wrong patient-wrong location'' errors in the operating room
    Warren 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
    ....
  6. ncbi request reprint Reorganizing patient care and workflow in the operating room: a cost-effectiveness study
    James E Stahl
    Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Surgery 139:717-28. 2006
    ..We hypothesized that redesigning the operating room (OR) and perioperative-staffing system to take advantage of parallel processing would improve throughput and lower the cost of care...
  7. ncbi request reprint Surgeon profiling: a key to optimum operating room use
    Suzanne 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
    ....
  8. ncbi request reprint Automated documentation error detection and notification improves anesthesia billing performance
    Stephen F Spring
    Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA
    Anesthesiology 106:157-63. 2007
    ....
  9. pmc Automatic notifications mediated by anesthesia information management systems reduce the frequency of prolonged gaps in blood pressure documentation
    Jesse M Ehrenfeld
    Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
    Anesth Analg 113:356-63. 2011
    ....
  10. ncbi request reprint Ongoing professional performance evaluation (OPPE) using automatically captured electronic anesthesia data
    Jesse 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
    ....
  11. doi request reprint Automatic time-motion study of a multistep preoperative process
    Mark 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...
  12. doi request reprint Implementation of a direct-from-recovery-room discharge pathway: a process improvement effort
    Jesse 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...
  13. pmc Intermediate acting non-depolarizing neuromuscular blocking agents and risk of postoperative respiratory complications: prospective propensity score matched cohort study
    Martina Grosse-Sundrup
    Department of Anaesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, 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...
  14. doi request reprint The management and outcome of documented intraoperative heart rate-related electrocardiographic changes
    Ion 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...
  15. doi request reprint Performance comparison of right- and left-sided double-lumen tubes among infrequent users
    Jesse 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...
  16. ncbi request reprint Auto identification technology and its impact on patient safety in the Operating Room of the Future
    Marie 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...
  17. pmc The incidence of hypoxemia during surgery: evidence from two institutions
    Jesse 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...
  18. doi request reprint A model for understanding the impacts of demand and capacity on waiting time to enter a congested recovery room
    Tor 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...
  19. doi request reprint Misalignment of disposable pulse oximeter probes results in false saturation readings that influence anesthetic management
    Zhonghui 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...
  20. doi request reprint Right- and left-sided Mallinckrodt double-lumen tubes have identical clinical performance
    Jesse 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...
  21. ncbi request reprint Financial and operational impact of a direct-from-PACU discharge pathway for laparoscopic cholecystectomy patients
    Warren 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
    ....
  22. doi request reprint Crisis resource management of the airway in a patient with Klippel-Feil syndrome, congenital deafness, and aortic dissection
    Omar 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...
  23. ncbi request reprint Craniocervical extension improves the specificity and predictive value of the Mallampati airway evaluation
    George 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...
  24. doi request reprint The impact on hospitals of reducing surgical complications suggests many will need shared savings programs with payers
    Dan C Krupka
    Twin Peaks Group, Lexington, Massachusetts, USA
    Health Aff (Millwood) 31:2571-8. 2012
    ..We recommend that hospitals with limited growth prospects that are nonetheless contemplating a surgical complication reduction program establish agreements with payers to share in any savings generated by the program...
  25. ncbi request reprint Introducing new technology into the operating room: measuring the impact on job performance and satisfaction
    James 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...
  26. pmc Real-time alerts and reminders using information systems
    Jonathan 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...
  27. ncbi request reprint Operating room design and its impact on operating room economics
    Dan C Krupka
    Twin Peaks Group, Sherborn, Massachusetts, USA
    Curr Opin Anaesthesiol 19:185-91. 2006
    ....
  28. ncbi request reprint Maximizing operating room and recovery room capacity in an era of constrained resources
    Suzanne 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
    ....
  29. ncbi request reprint A controlled study of the effects of patient information-elicitation style on clinician information-giving
    Elisabeth 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...
  30. doi request reprint Clinicians consistently exceed a typical person's short-term memory during preoperative teaching
    Elisabeth 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...
  31. doi request reprint The risk and outcomes of epidural hematomas after perioperative and obstetric epidural catheterization: a report from the Multicenter Perioperative Outcomes Group Research Consortium
    Brian T Bateman
    Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114, USA
    Anesth Analg 116:1380-5. 2013
    ..In this study, we sought to determine the frequency and outcomes of epidural hematomas after epidural catheterization...
  32. ncbi request reprint Surgical field fire during a repair of bronchoesophageal fistula
    Aneesh 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...
  33. doi request reprint High-throughput operating room system for joint arthroplasties durably outperforms routine processes
    Michael 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...
  34. ncbi request reprint Statistical process control as a tool for monitoring nonoperative time
    Andreas Seim
    Department of Production and Quality Engineering, Norwegian University of Science and Technology, Trondheim, Norway
    Anesthesiology 105:370-80. 2006
    ..Administrators need simple tools to quickly identify even small changes in the performance of perioperative systems. This applies both to established systems and to impact assessments of deliberate perioperative system design changes...
  35. ncbi request reprint Small changes in operative time can yield discrete increases in operating room throughput
    Andreas 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...
  36. doi request reprint Anesthesia information management systems: almost there
    Warren S Sandberg
    Anesth Analg 107:1100-2. 2008