To Vahagn and Mher for sharing my life and to my mother ...

To Vahagn and Mher for sharing my life and to my mother and father for your unconditional love and support

"Efficiency is doing better what is already being done." Peter F. Drucker

List of Papers

This thesis is based on the following papers, which are referred to in the text by their Roman numerals.

I Arakelian E, Gunningberg L, Larsson J. Job satisfaction or production? Variation in how staff and leadership understand operating room efficiency: a qualitative study. Acta Anaesthesiol Scand. 2008; 52:1423-28.

II Arakelian E, Gunningberg L, Larsson J. How operating room efficiency is understood in a surgical team: a qualitative study. Int J Qual Health Care. 2011; 23:100-6.

III Arakelian E, Gunningberg L, Larsson J, Norl?n K, Mahteme H. Factors influencing early postoperative recovery after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy Eur J Surg Oncol. 2011; 37:897-903.

IV Arakelian E, Torkzad M, Bergman N, Rubertsson S, Mahteme H. Pulmonary influences on early postoperative recovery in patients after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy treatment. (Submitted).

Reprints were made with permission of the publishers.

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