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Updated: Jul 9, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Closing emergency operating rooms improves efficiency.

Gerhard Wullink¹, Mark Van Houdenhoven, Erwin W Hans

¹Department of Operating Rooms, Erasmus University Medical Centre, PO Box 2040, 3000CA Rotterdam, the Netherlands.

Journal of Medical Systems

|November 29, 2007

Summary

Reserving operating room (OR) capacity for emergency surgery in all elective ORs significantly reduces emergency patient waiting times. This approach also decreases staff overtime and improves overall OR utilization, proving more efficient than dedicated emergency ORs.

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Last Updated: Jul 9, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Area of Science:

Health Services Research
Operations Research
Surgical Logistics

Background:

Long waiting times for emergency operations are linked to increased postoperative complications and patient morbidity.
Reserving Operating Room (OR) capacity is a strategy to enhance OR responsiveness for emergency cases.

Purpose of the Study:

To determine the optimal strategy for reserving OR time to improve emergency surgery outcomes.
To compare two distinct OR capacity reservation approaches: dedicated emergency ORs versus distributed capacity in elective ORs.

Main Methods:

A discrete event simulation model was employed to replicate real-world OR operations.
Key performance indicators evaluated included emergency surgery waiting times, staff overtime, and OR utilization rates.

Main Results:

Reserving capacity across all elective ORs reduced emergency surgery waiting times from 74 minutes to 8 minutes.
Staff overtime decreased by 20%, and overall OR utilization increased by approximately 3% with this approach.
The study demonstrated that utilizing elective ORs for emergency cases is more efficient than using a dedicated Emergency OR.

Conclusions:

Distributing reserved OR capacity across elective ORs is a superior strategy for managing emergency surgical cases.
The findings supported the closure of the dedicated Emergency OR at Erasmus MC, optimizing resource allocation.