title: Role of communication systems in coordinating supervising anesthesiologists' activities outside of operating rooms.
abstract: BACKGROUND
  Theoretically, communication systems have the potential to increase the productivity of anesthesiologists supervising anesthesia providers. We evaluated the maximal potential of communication systems to increase the productivity of anesthesia care by enhancing anesthesiologists' coordination of care (activities) among operating rooms (ORs).
  
  
  METHODS
  At hospital A, data for 13,368 pages were obtained from files recorded in the internal alphanumeric text paging system. Pages from the postanesthesia care unit were processed through a numeric paging system and thus not included. At hospital B, in a different US state, 3 of the authors categorized each of 898 calls received using the internal wireless audio system (Vocera(®)). Lower and upper 95% confidence limits for percentages are the values reported.
  
  
  RESULTS
  At least 45% of pages originated from outside the ORs (e.g., 20% from holding area) at hospital A and at least 56% of calls (e.g., 30% administrative) at hospital B. In contrast, requests from ORs for urgent presence of the anesthesiologist were at most 0.2% of pages at hospital A and 1.8% of calls at hospital B.
  
  
  CONCLUSIONS
  Approximately half of messages to supervising anesthesiologists are for activity originating outside the ORs being supervised. To use communication tools to increase anesthesia productivity on the day of surgery, their use should include a focus on care coordination outside ORs (e.g., holding area) and among ORs (e.g., at the control desk).
authors: Department of Anesthesiology, State University of New York Upstate, Syracuse, NY, USA.
authors: Bettina
authors: B
authors: Smallman
authors: Franklin
authors: F
authors: Dexter
authors: Danielle
authors: D
authors: Masursky
authors: Fenghua
authors: F
authors: Li
authors: Reza
authors: R
authors: Gorji
authors: Dave
authors: D
authors: George
authors: Richard H
authors: RH
authors: Epstein
mesh_terms: D000758:Anesthesia; D000776:Anesthesiology / Q000458:organization & administration*; D003142:Communication; D004632:Emergency Medical Services; D006747:Hospital Communication Systems; D006801:Humans; D009873:Operating Rooms; D010820:Physicians; D060145:Text Messaging