ArticlePatient safety in surgery2022
Introducing the "Twilight" operating room concept: a feasibility study to improve operating room utilization.
Article in Patient safety in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- Timing of anesthetic emergence and early postoperative recovery in older adults undergoing thoracic surgery: a retrospective cohort study.BMC anesthesiology · 2026Article
- Article
- Optimizing the Efficiency of Operating Room by Extending the Working Hours during Evening and Weekends.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2025Article
- Enhancing Operating Room Efficiency: The Impact of Computational Algorithms on Surgical Scheduling and Team Dynamics.Healthcare (Basel, Switzerland) · 2024Article
- The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey.Updates in surgery · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe efficient use of operating room is important to ensure optimum cost-benefit for the hospital and to reduce elective surgery waiting times. We introduced a concept of non-commissioned "Twilight" operating room to reduce patient waiting list and mitigate consequences of non-availability of elective operative time due to closure of an affiliated hospital operating suite.
methodsA retrospective audit was performed during a 10-month period where "Twilight" operating room was implemented in our institution. Additionally, we included patients that were operated on 13 non-commissioned whole day operative sessions on Saturdays during the same period.
resultsA total of 223 surgical procedures were performed during the study time window. Most patients have American Society of Anaesthesiologists (ASA) Class 2. Participating subspecialties were General Surgery, Orthopaedic surgery, Gynaecology, Urology, Plastic surgery and Dental surgery. A wide range of operations was performed in the "Twilight" operating room. No major complications were observed.
conclusionOur study demonstrated the feasibility of conducting elective surgeries after hours with the advantage of reducing the hospital's elective surgery waiting time. Importantly, no major post-operative complications were reported. This model is a feasible and safe strategy to restore surgical activity impacted by the COVID-19 pandemic.
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