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1) Improved on-time starts and reduced turnover times can increase OR and anesthesia group efficiency, but neither is a measure of (allocative or technical) efficiency.2,3 Suppose every Monday a service has mean ± SD of 7.2 ± 0.5 h of cases. The staffing (allocated time) should be 8 h. If reducing turnovers were to reduce the mean from 7.2 to 6.8 h, there would be no change in staffed hours, overutilized time, or efficiency.3 If the workload were 8.4 ± 0.5 h, 8-h staffing would be more efficient than 10 h.3 An equal reduction in turnovers would reduce the mean from 8.4 to 8.0 h, reduce overutilized time, and increase efficiency.2,3

Case Scenario Consistent with Lack of Knowledge and Psychological Bias