A Macario

Summary

Affiliation: Stanford University
Country: USA

Publications

  1. ncbi request reprint Variation in practice patterns of anesthesiologists in California for prophylaxis of postoperative nausea and vomiting
    A Macario
    Department of Anesthesia, Stanford University School of Medicine, 94305 5640, USA
    J Clin Anesth 13:353-60. 2001
  2. ncbi request reprint Analgesia for labor pain: a cost model
    A Macario
    Department of Anesthesia, Stanford University, California 94305 5640, USA
    Anesthesiology 92:841-50. 2000
  3. ncbi request reprint Estimating the duration of a case when the surgeon has not recently scheduled the procedure at the surgical suite
    A Macario
    Department of Anesthesia, Stanford University, California, USA
    Anesth Analg 89:1241-5. 1999
  4. ncbi request reprint Which clinical anesthesia outcomes are both common and important to avoid? The perspective of a panel of expert anesthesiologists
    A Macario
    Department of Anesthesia, Stanford University Medical Center, California 94305 5640, USA
    Anesth Analg 88:1085-91. 1999
  5. ncbi request reprint Which clinical anesthesia outcomes are important to avoid? The perspective of patients
    A Macario
    Department of Anesthesia, Stanford University Medical Center, California 94305 5115, USA
    Anesth Analg 89:652-8. 1999
  6. ncbi request reprint Forecasting surgical groups' total hours of elective cases for allocation of block time: application of time series analysis to operating room management
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesthesiology 91:1501-8. 1999
  7. ncbi request reprint Which algorithm for scheduling add-on elective cases maximizes operating room utilization? Use of bin packing algorithms and fuzzy constraints in operating room management
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesthesiology 91:1491-500. 1999
  8. ncbi request reprint Optimal sequencing of urgent surgical cases. Scheduling cases using operating room information systems
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    J Clin Monit Comput 15:153-62. 1999
  9. ncbi request reprint Hospital costs and severity of illness in three types of elective surgery
    A Macario
    Department of Anesthesia and Health Research and Policy, Stanford University Medical Center, California 94305 5115, USA macario_
    Anesthesiology 86:92-100. 1997
  10. ncbi request reprint A strategy for deciding operating room assignments for second-shift anesthetists
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 89:920-4. 1999

Collaborators

Detail Information

Publications22

  1. ncbi request reprint Variation in practice patterns of anesthesiologists in California for prophylaxis of postoperative nausea and vomiting
    A Macario
    Department of Anesthesia, Stanford University School of Medicine, 94305 5640, USA
    J Clin Anesth 13:353-60. 2001
    ..These practice patterns data may be useful for understanding how to optimize the decision to provide PONV prophylaxis...
  2. ncbi request reprint Analgesia for labor pain: a cost model
    A Macario
    Department of Anesthesia, Stanford University, California 94305 5640, USA
    Anesthesiology 92:841-50. 2000
    ..Because there is no valid method to assign a dollar value to differing levels of analgesia, the cost of each technique can be compared with the analgesic benefit (patient pain scores) of each technique...
  3. ncbi request reprint Estimating the duration of a case when the surgeon has not recently scheduled the procedure at the surgical suite
    A Macario
    Department of Anesthesia, Stanford University, California, USA
    Anesth Analg 89:1241-5. 1999
    ..1 h with average case duration of 3.1 h)...
  4. ncbi request reprint Which clinical anesthesia outcomes are both common and important to avoid? The perspective of a panel of expert anesthesiologists
    A Macario
    Department of Anesthesia, Stanford University Medical Center, California 94305 5640, USA
    Anesth Analg 88:1085-91. 1999
    ..To increase quality of care, reducing the incidence and severity of these outcomes should be prioritized...
  5. ncbi request reprint Which clinical anesthesia outcomes are important to avoid? The perspective of patients
    A Macario
    Department of Anesthesia, Stanford University Medical Center, California 94305 5115, USA
    Anesth Analg 89:652-8. 1999
    ..69). Patients rated from most undesirable to least undesirable (in order): vomiting, gagging on the tracheal tube, incisional pain, nausea, recall without pain, residual weakness, shivering, sore throat, and somnolence (F-test < 0.01)...
  6. ncbi request reprint Forecasting surgical groups' total hours of elective cases for allocation of block time: application of time series analysis to operating room management
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesthesiology 91:1501-8. 1999
    ....
  7. ncbi request reprint Which algorithm for scheduling add-on elective cases maximizes operating room utilization? Use of bin packing algorithms and fuzzy constraints in operating room management
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesthesiology 91:1491-500. 1999
    ....
  8. ncbi request reprint Optimal sequencing of urgent surgical cases. Scheduling cases using operating room information systems
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    J Clin Monit Comput 15:153-62. 1999
    ..We use an example to illustrate that the optimal sequence varies depending on the scheduling objective chosen...
  9. ncbi request reprint Hospital costs and severity of illness in three types of elective surgery
    A Macario
    Department of Anesthesia and Health Research and Policy, Stanford University Medical Center, California 94305 5115, USA macario_
    Anesthesiology 86:92-100. 1997
    ....
  10. ncbi request reprint A strategy for deciding operating room assignments for second-shift anesthetists
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 89:920-4. 1999
    ..IMPLICATIONS: A relief strategy that relies only on analyzing historical case durations from an operating room information system to predict the time remaining in cases performs well at minimizing anesthetist staffing costs...
  11. ncbi request reprint An operating room scheduling strategy to maximize the use of operating room block time: computer simulation of patient scheduling and survey of patients' preferences for surgical waiting time
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 89:7-20. 1999
    ..OR utilization depends greatly on, and increases as, the average length of time patients wait for surgery increases...
  12. ncbi request reprint Decrease in case duration required to complete an additional case during regularly scheduled hours in an operating room suite: a computer simulation study
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 88:72-6. 1999
    ....
  13. ncbi request reprint Scheduling surgical cases into overflow block time- computer simulation of the effects of scheduling strategies on operating room labor costs
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City, Iowa 52242, USA
    Anesth Analg 90:980-8. 2000
    ..The strategy we developed provides surgeons and patients with some flexibility in scheduling, while only increasing OR staffing costs slightly over the minimum achieved when the OR manager controls scheduling...
  14. ncbi request reprint Computer simulation to determine how rapid anesthetic recovery protocols to decrease the time for emergence or increase the phase I postanesthesia care unit bypass rate affect staffing of an ambulatory surgery center
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Anesth Analg 88:1053-63. 1999
    ..39 per case) from technologies (e.g., new anesthetics or Bispectral Index [Aspect Medical Systems, Natick, MA] monitoring) to decrease emergence times or increase the phase I bypass rates...
  15. ncbi request reprint Optimal number of beds and occupancy to minimize staffing costs in an obstetrical unit?
    F Dexter
    Department of Anesthesia, University of Iowa, Iowa City 52242, USA
    Can J Anaesth 48:295-301. 2001
    ..We describe how the science of analyzing patient arrival and discharge data can be used to determine the optimal number of staffed OB beds to minimize labour costs...
  16. ncbi request reprint Hospital profitability per hour of operating room time can vary among surgeons
    A Macario
    Department of Anesthesia, Stanford University School of Medicine, Stanford, California 94305 5640, USA
    Anesth Analg 93:669-75. 2001
    ..Whether the variability in contribution margin among surgeons should be used to more optimally (profitably) allocate OR time depends on the scheduling objectives of the surgical suite...
  17. ncbi request reprint Obstetric postanesthesia care unit stays: reevaluation of discharge criteria after regional anesthesia
    S E Cohen
    Department of Anesthesia, Stanford University School of Medicine, California 94305 5640, USA
    Anesthesiology 89:1559-65. 1998
    ..This study evaluated whether modified discharge criteria might allow for earlier discharge without compromising patient safety...
  18. ncbi request reprint Statistical method to evaluate management strategies to decrease variability in operating room utilization: application of linear statistical modeling and Monte Carlo simulation to operating room management
    F Dexter
    Department of Anesthesia, The University of Iowa, Iowa City, 52242, USA
    Anesthesiology 91:262-74. 1999
    ..The authors developed a method to analyze data from surgical services information systems to evaluate which management interventions can most effectively decrease variability in underutilized time...
  19. ncbi request reprint Cost-effectiveness of a trial of labor after previous cesarean
    A Chung
    Department of Anesthesia and Gynecology and Obstetrics, Stanford University School of Medicine, Stanford, California 94305-5640, USA
    Obstet Gynecol 97:932-41. 2001
    ..74. Improved algorithms are needed to more precisely estimate the likelihood that a patient with a previous cesarean will have a successful vaginal delivery...
  20. ncbi request reprint The impact on revenue of increasing patient volume at surgical suites with relatively high operating room utilization
    F Dexter
    Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
    Anesth Analg 92:1215-21. 2001
    ..e., profitability)...
  21. ncbi request reprint Vaginal twin delivery: a survey and review of location, anesthesia coverage and interventions
    B Carvalho
    Department of Anesthesiology, Stanford University School of Medicine, Stanford, California, USA
    Int J Obstet Anesth 17:212-6. 2008
    ..We surveyed members of the California Society of Anesthesiologists (CSA) to review management of vaginal twin delivery, and examined anesthetic intervention retrospectively at our institution...
  22. ncbi request reprint The effect of a perioperative clinical pathway for knee replacement surgery on hospital costs
    A Macario
    Department of Anesthesia, Stanford University Medical Center, California 94305 5115, USA
    Anesth Analg 86:978-84. 1998
    ..quot; We found that implementing a clinical pathway for patients undergoing knee replacement surgery reduced the hospitalization costs of this surgery...