The Orthopaedic Forum   |    
Operating-Room Throughput: Strategies for Improvement
Khaled J. Saleh, MD1; Wendy M. Novicoff, PhD2; David Rion, MD2; Linda H. MacCracken, MBA3; Richard Siegrist, MS, MBA3
1 Orthopaedic Surgery, Southern Illinois University School of Medicine, P.O. Box 19679, Springfield, IL 62794-9679. E-mail address: ksaleh@siumed.edu
2 Department of Orthopaedic Surgery, University of Virginia Health System, P.O. Box 800159, Charlottesville, VA 22908-0159
3 Department of Health Policy and Management, Harvard University, 677 Huntington Avenue, Kresge Building 4th Floor, Boston, MA 02115
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Aug 01;91(8):2028-2039. doi: 10.2106/JBJS.H.01530
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Orthopaedic surgery is a discipline of increasing importance as an avenue for health-care delivery in the United States. Americans of working age and older (sixty-five years and over) identify disorders of the musculoskeletal system as the foremost cause of limitation of activity1. The country's population is aging, as the proportion of individuals sixty-five years of age and older is growing at a faster rate than the total population. Furthermore, the number of orthopaedic procedures and the corresponding allocation of resources are expected to increase in coming years. For example, the annual demand for primary total knee arthroplasty has been projected to reach 3.48 million procedures by the year 2030, and the quantity of revision knee arthroplasties is estimated to increase 601% from 2005 levels by that same year2.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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