title: [Simulation-based analysis of novel therapy principles. Effects on the efficiency of operating room processes].
abstract: BACKGROUND
  The introduction of innovative drugs in anesthesiological treatment has the potential to improve perioperative efficiency. This article examines the impact of the new muscle relaxant encapsulator Bridion on emergence from anesthesia and on the efficiency of the perioperative organization.
  
  
  METHODS
  To analyze the effects of medical innovations, computer simulation was used as an experimental frame. The simulation was based on a realistic model of an operating room setting and used historical data to study the effect of innovation on the operational performance and the economic outcomes.
  
  
  RESULTS
  The use of medical innovations in anesthesiological emergence yields new potentials for a hospital under certain conditions. Due to shorter block times and anesthesia-controlled times, additional benefits for the operating room could be realized. This results in an increase of up to 2.4% additional cases during similar working hours and planning periods.
  
  
  CONCLUSIONS
  The introduction of innovative medicines may reveal more efficient and economical conditions in operating rooms. The overall result depends, for example, on the rate of application of the patient's portfolio or the organization and access rules of the surgical suite. Based on the anesthesia-controlled time no general a priori statement about the economic potentials can be confirmed. Future empirical studies should investigate the impact on quality and economic benefits for the entire patient pathway.
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Medizinische Fakultät Mannheim, Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Deutschland. andre.baumgart@medma.uni-heidelberg.de
authors.forename: A
authors.initials: A
authors.lastname: Baumgart
authors.forename: C
authors.initials: C
authors.lastname: Denz
authors.forename: H
authors.initials: H
authors.lastname: Bender
authors.forename: M
authors.initials: M
authors.lastname: Bauer
authors.forename: S
authors.initials: S
authors.lastname: Hunziker
authors.forename: G
authors.initials: G
authors.lastname: Schüpfer
authors.forename: A
authors.initials: A
authors.lastname: Schleppers
mesh_terms: D000758:Anesthesia / Q000191:economics; D003198:Computer Simulation; D004526:Efficiency; D006801:Humans; D009125:Muscle Relaxants, Central; D009873:Operating Rooms / Q000191:economics / Q000458:organization & administration*; D019990:Perioperative Care; D013514:Surgical Procedures, Operative / Q000191:economics
chemical_list: D009125:Muscle Relaxants, Central