Center on Democracy, Development, and the Rule of Law
Center for International Security and Cooperation
Stanford Health Policy
Walter H. Shorenstein Asia-Pacific Research Center
Forum on Contemporary Europe
Program on Energy and Sustainable Development
Program on Food Security and the Environment
Stanford Program on International and Cross-Cultural Education
Inter-University Center for Japanese Language Studies
People of CHP/PCOR
Alex Macario, MD, MBA
Professor of Anesthesia and, by courtesy, of Health Research and Policy and CHP/PCOR AssociateDepartment of Anesthesia H3580
Stanford University School of Medicine
Stanford, CA 94305-5640
Research Interests
measuring and improving costs, quality, and outcome of surgical and anesthesia services; assessment of new technologies for surgical care; incorporating patient preferences in anesthesia decision making
View Alex Macario's bio, list of research, recent publications and events »
Journal Articles
Initial Clinical Evaluation of a Handheld Device for Detecting Retained Surgical Gauze Sponges Using Radiofrequency Identification Technology
Alex Macario, Dean Morris, Sharon Morris
Archives of Surgery vol. 141, 7 (2006)
Economics of one-stage versus two-stage bilateral total knee arthroplasties
Alex Macario, Schilling P, Rubio R, Bhalla A, Goodman S
Clinical Orthopedics and Related Research vol. 414 (2003)- What Questions do Patients Undergoing Lower Extremity Joint Replacement Surgery Have
Alex Macario, Schilling P, Rubio R, Bhalla A, Goodman S
BMC Health Services Research vol. 3, 1 (2003) 
Pharmacy Cost of Delivering Post-operative Analgesia to Patients Undergoing Joint Replacement Surgery, The
Alex Macario, McCoy M
The Journal of Pain vol. 4, 1 (2003)
How to Release Allocated Operating Room Time to Increase Efficiency
Dexter F, Traub R, Alex Macario
Anesthesia & Analgesia vol. 96, 2 (2003)- Operating Room Utilization Alone is Not an Accurate Metric for the Allocation of Operating Room Block Time to Individual Surgeons with Low Caseloads
Dexter F, Alex Macario, Traub R, Lubarsky D
Anesthesiology vol. 98, 5 (2003) - Is Non-Contact Thermal Wound Therapy Cost-Effective for the Treatment of Stage 3 and 4 Pressure Ulcers?
Alex Macario, F Dexter
Wounds vol. 14, 3 (2002) 
Development of an Appropriate List of Surgical Procedures of a Specified Maximum Anesthetic Complexity to be Performed at a New Ambulatory Surgery Facility
Frank Dexter, Alex Macario, Donald H. Penning, P Chung
Anesthesia & Analgesia vol. 95, 1 (2002)
Changing Allocations of Operating Room Time from a System Based on Historical Utilization to One Where the Aim is to Schedule as Many Surgical Cases as Possible
F Dexter, Alex Macario
Anesthesia & Analgesia vol. 94, 5 (2002)
What are the Most Important Risk Factors for a Patient's Developing Intraoperative Hypothermia?
Alex Macario, F Dexter
Anesthesia & Analgesia vol. 94, 1 (2002)
What is Quality Improvement in the Preoperative Period?
T Archer, C Schmiesing, Alex Macario
International Anesthesiology Clinics vol. 40, 2 (2002)
Variation in Practice Patterns of Anesthesiologists in California for Prophylaxis of Postoperative Nausea and Vomiting
Alex Macario, A. Chung, M. Weinger
Journal of Clinical Anesthesia vol. 13, 5 (2001)
Hospital Profitability per Hour of Operating Room Time Varies among Surgeons
Alex Macario, F. Dexter, R. Traub
Anesthesia & Analgesia vol. 93 (2001)
Optimal Number of Beds and Occupancy to Minimize Staffing Costs in an Obstetrical Unit?
F. Dexter, Alex Macario
Canadian Journal of Anesthesia vol. 48, 3 (2001)- Which Algorithm for Scheduling Add-On Elective Cases Maximizes Operating Room Utilization?
F Dexter, Alex Macario, R Traub
Anesthesiology vol. 91 (1999) 
Strategy for Deciding Operating Room Assignments for Second-Shift Anesthetists, A
F Dexter, Alex Macario, L OÕNeill
Anesthesia & Analgesia vol. 89 (1999)
Optimal Sequencing of Urgent Surgical Cases
F Dexter, Alex Macario, R Traub
Journal of Clinical Monitoring vol. 15 (1999)
Operating Room Scheduling Strategy to Maximize the Use of Operating Room Block Time, An
F Dexter, Alex Macario, R Traub, M Hopwood, D Lubarsky
Anesthesia & Analgesia vol. 89 (1999)- Statistical Method to Evaluate Management Strategies to Decrease Variability in Operating Room Utilization
F Dexter, Alex Macario, D Lubarsky, D Burns
Anesthesiology vol. 91 (1999) 
Computer Simulation to Determine How Rapid Anesthetic Recovery Protocols Affect Staffing of an Ambulatory Surgery Center
F Dexter, Alex Macario, P Manberg, D Lubarsky
Anesthesia & Analgesia vol. 88 (1999)
Which Clinical Anesthesia Outcomes Are Both Common and Important to Avoid? The Perspective of a Panel of Expert Anesthesiologists
Alex Macario, M Weinger, P Troung, M Lee
Anesthesia & Analgesia vol. 88 (1999)
Decrease in Case Duration Required to Complete an Additional Case during Regularly Scheduled Hours in an Operating Room Suite: A Computer Simulation Study
F. Dexter, Alex Macario
Anesthesia & Analgesia vol. 88 (1999)
Which Clinical Anesthesia are Important to Avoid? The Perspective of Patients
Alex Macario, M Weinger, S Carney, A Kim
Anesthesia & Analgesia vol. 89 (1999)- Obstetric Postanesthesia Care Unit Stays: Reevaluation of Discharge Criteria after Regional Anesthesia
S Cohen, C Hamilton, E Riley, D Walker, Alex Macario, J Halperin
Anesthesiology vol. 89 (1998) 
Effect of a Perioperative Clinical Pathway for Knee Replacement Surgery on Hospital Costs, The
Alex Macario, M Horne, S Goodman, T Vitez, F Dexter, R Heinen, B Brown
Anesthesia & Analgesia vol. 86 (1998)- Hospital Costs and Severity of Illness in Three Types of Elective Surgery
Alex Macario, T Vitez, B Dunn, T McDonald, B Brown
Anesthesiology vol. 86 (1997) 
Tracheal Diameter Predicts Double Lumen Tube Size: A Method for Selecting Left Double-Lumen Tubes
J Brodsky, Alex Macario, J Mark
Anesthesia & Analgesia vol. 82 (1996)- What Does Perioperative Care Really Cost? Analysis of Hospital Costs and Charges for Inpatient Surgical Care
Alex Macario, T Vitez, B Dunn, T McDonald
Anesthesiology vol. 83 (1995) 
Blind Placement of Plastic Left Double-Lumen Tubes
J Brodsky, Alex Macario, W Cannon, J Mark
Anaesthesia and Intensive Care vol. 23, 5 (1995)
Demographics of Inpatient Pediatric Anesthesia Practice: Implications for Performance-Based Credentialing, The
Alex Macario, A Hackel, G Gregory, D Forseth
Journal of Clinical Anesthesia vol. 7 (1995)- Cost Analysis of the Laryngeal Mask Airway for Adult Elective Outpatient Surgery, A
Alex Macario, P Chang, D Stempel, J Brock-Utne
Anesthesiology vol. 83 (1995) - Reassessment of Preoperative Laboratory Testing Has Changed the Test-Ordering Patterns of Physicians
Alex Macario, M Roizen, R Thisted, S Kim, F Orkin, C Phelps
Surgery, Gynecology, and Obstetrics vol. 175 (1992) 
Setting Performance Standards for an Anesthesia Department
T. Vitez, Alex Macario
Journal of Clinical Anesthesia vol. 10 (1988)
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