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Sedigh A, Bagheri S, Naeimi P, Rahmanian V, Sharifi N. The effect of peer mentoring program on clinical academic progress and psychological characteristics of operating room students: a parallel randomized controlled trial. BMC Med Educ 2024; 24:438. [PMID: 38649841 PMCID: PMC11036741 DOI: 10.1186/s12909-024-05424-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Accepted: 04/12/2024] [Indexed: 04/25/2024]
Abstract
BACKGROUND One of the new educational systems is the mentorship method. This study aimed to investigate the effect of peer mentoring program on clinical academic progress and psychological characteristics of operating room students. METHODS This research was a randomized controlled trial that was conducted on undergraduate students in the operating room department of Khomein Faculty of Medical Sciences, Markazi Province in Iran. The number of operating room students were 70 that were divided into intervention and control groups by random allocation using Permuted Block Randomization. Inclusion criteria included all operating room students who were in internship, and exclusion criteria included failure to complete the questionnaires. The data collection tools were the demographic questionnaire, Depression Anxiety Stress Scale, Rosenberg Self-Esteem Scale and Situational Motivational Scale. In the control group, clinical training was done in the traditional way. In the intervention group, training was done by peer mentoring method. The obtained data were analyzed using descriptive statistics, independent t-test, paired t-test, chi-square test, ANCOVA, univariable and multivariable linear regression. RESULTS The study revealed significant differences between the intervention and control groups. Post-intervention, the intervention group demonstrated substantial increases in self-confidence (mean difference = 5.97, p < 0.001) and significant reductions in stress levels (mean difference = -3.22, p < 0.001). Conversely, minimal changes were noted in the control group for both self-confidence (mean difference = 0.057, p = 0.934) and stress levels (mean difference = 0.142, p = 0.656). Although both groups experienced decreases in anxiety and depression levels, these changes were not statistically significant (p > 0.05). Furthermore, the intervention significantly enhanced academic progress in the intervention group compared to the control group (mean difference = 20.31, p < 0.001). CONCLUSION The results showed that the implementation of the peer mentoring program was effective in improving academic progress, self-confidence, and reducing the stress of operating room students. Therefore, this educational method can be used in addition to the usual methods to improve the education of operating room students.
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Affiliation(s)
- Amin Sedigh
- Molecular and Medicine Research Center, Khomein University of Medical Sciences, Khomein, Iran
| | - Sara Bagheri
- Department of Medical Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Pariya Naeimi
- Student Research Committee, Khomein University of Medical Sciences, Khomein, Iran
| | - Vahid Rahmanian
- Department of Public Health, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran
| | - Nader Sharifi
- Department of Public Health, Khomein University of Medical Sciences, Khomein, Iran.
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Yokoyama K, Yamamoto G, Liu C, Kishimoto K, Mori Y, Kuroda T. Individual Activity Anomaly Estimation in Operating Rooms Based on Time-Sequential Prediction. Stud Health Technol Inform 2024; 310:284-288. [PMID: 38269810 DOI: 10.3233/shti230972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2024]
Abstract
Surveillance videos of operating rooms have potential to benefit post-operative analysis and study. However, there is currently no effective method to extract useful information from the long and massive videos. As a step towards tackling this issue, we propose a novel method to recognize and evaluate individual activities using an anomaly estimation model based on time-sequential prediction. We verified the effectiveness of our method by comparing two time-sequential features: individual bounding boxes and body key points. Experiment results using actual surgery videos show that the bounding boxes are suitable for predicting and detecting regional movements, while the anomaly scores using key points can hardly be used to detect activities. As future work, we will be proceeding with extending our activity prediction for detecting unexpected and urgent events.
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Shrestha O, Basukala S, Thapa N, Karki S, Shrestha L, Shrestha M, Mehta BK, Sunuwar BR, Maharjan P. Ergonomics in the operation-theatre: a healthcare provider-based cross-sectional study. Ann Med Surg (Lond) 2024; 86:127-132. [PMID: 38222694 PMCID: PMC10783321 DOI: 10.1097/ms9.0000000000001538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 11/15/2023] [Indexed: 01/16/2024] Open
Abstract
Background Performing surgery is a task that demands mental stability, precision, and vigilant eyes, along with resilient physical strength, as surgeons and those who assist the surgeons have to assume a sustained, difficult posture that can go on for hours. About 23-100% of surgeons report musculoskeletal discomfort that originates from poor ergonomics. Methods Ethical clearance for the study was obtained. This cross-sectional study, conducted in a tertiary centre among the healthcare providers working inside the operating room, spanned from 1 March 2023, to 26 June 2023. Systematic sampling was applied, and consent was obtained before data collection. A structured questionnaire was used as the study tool, and the collected data was analysed in SPSS 20. Results A total of 98 personnel responded, among which 67.3% were males and 32.7% were females, with a median age of 36 (32-42) years. Only 6.1% of the workers had received training on ergonomics. The prevalence of work-related musculoskeletal disorders was 82.7%, and more than two-thirds of the participant's life outside of work was affected by this. More than two-thirds (69.4%) felt their work environment was not safe, and surgeons performing open surgery were at lower odds of feeling that their work environment was safe. Conclusion There is a high prevalence of work-related musculoskeletal disorders among healthcare providers working inside the operating room, and the majority had their body position deviated from neutral most of the time during the surgery. There is a deficiency in ergonomic practices, which demands an effective intervention.
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Affiliation(s)
| | - Sunil Basukala
- Department of Surgery, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal
| | | | | | - Lochan Shrestha
- Department of Surgery, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal
| | - Melina Shrestha
- Department of Surgery, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal
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Lamberton T, de Virgilio C, Terrell J, Moazzez A, Combs K, Nafday R, Salazar D, Yazdany T, Calhoun C, Yetasook A. Music in the Operating Room: Comparing the Opinions of Surgeons, Anesthesiologists, and Nurses. Am Surg 2023; 89:5234-5239. [PMID: 36450161 DOI: 10.1177/00031348221142578] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023]
Abstract
BACKGROUND Music is part of operating room (OR) culture; however, some personnel may perceive music as a distraction. METHODS A single institution survey of surgeons (SURG), anesthesia (ANES), and nursing (NURS) regarding attitudes on music in the OR. RESULTS There were 222 responses (67% response rate) agreeing that music in the OR should be allowed (91%), is calming (75%), and helps with focus (63%). Most did not feel music was distracting (63%) or unsafe (80%). SURG were more likely to state that surgeons should decide (46.7%) if music should be played, whereas ANES and NURS (81%) were more likely to feel decisions should be made collaboratively (P < .001). CONCLUSION Most OR personnel feel positively towards music. Surgeons were more likely to believe the decision to play music should be the surgeon's choice. The majority of OR staff agreed with collaborative decision-making, aligning with creating a safe OR culture.
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Affiliation(s)
- Tessa Lamberton
- Department of Surgery, Harbor-UCLA (University of California, Los Angeles) Medical Center, Torrance, CA, USA
| | - Christian de Virgilio
- Department of Surgery, Harbor-UCLA (University of California, Los Angeles) Medical Center, Torrance, CA, USA
- The Lundquist Institute at Harbor-UCLA (University of California, Los Angeles) Medical Center, Torrance, CA, USA
| | - James Terrell
- The Lundquist Institute at Harbor-UCLA (University of California, Los Angeles) Medical Center, Torrance, CA, USA
| | - Ashkan Moazzez
- Department of Surgery, Harbor-UCLA (University of California, Los Angeles) Medical Center, Torrance, CA, USA
| | - Kristen Combs
- Department of Orthopedic Surgery, Harbor-UCLA (University of California, Los Angeles), Medical Center, Torrance, CA, USA
| | - Revati Nafday
- Department of Anesthesiology, Harbor-UCLA (University of California, Los Angeles), Medical Center, Torrance, CA, USA
| | - Daniel Salazar
- Department of Anesthesiology, Harbor-UCLA (University of California, Los Angeles), Medical Center, Torrance, CA, USA
| | - Tajnoos Yazdany
- Department of Obstetrics and Gynecology, Harbor-UCLA (University of California, Los Angeles), Medical Center, Torrance, CA, USA
| | - Colonya Calhoun
- Department of Oral and Maxillofacial Surgery, Harbor-UCLA (University of California, Los Angeles), Medical Center, Torrance, CA, USA
| | - Amy Yetasook
- Department of Surgery, Harbor-UCLA (University of California, Los Angeles) Medical Center, Torrance, CA, USA
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Moon HJ, Lee WJ. Measurement and Control of Surgical Smoke to Enhance Surgical Team Safety. J Korean Med Sci 2022; 37:e273. [PMID: 36123962 PMCID: PMC9485063 DOI: 10.3346/jkms.2022.37.e273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Accepted: 07/26/2022] [Indexed: 12/04/2022] Open
Abstract
Amid the coronavirus disease 2019 era, concern about the safety of surgical teams related to surgical smoke (SS) is rising. As simple ventilation improvement methods (SVIMs), we replaced 4 of the 8 supply diffusers with a direction-adjustable louver-type, closed 2 of the 4 exhaust grills, and strengthened the sealing of the doorway. Dynamic changes in the concentration of particulate matter (PM) with sizes of < 1.0 μm (PM1.0) were measured using low-cost PM meters (LCPMs) at eight locations in the operating room (OR). SS concentration up to 4 minutes at the location of the surgeon, first assistant, and scrub nurse before and after SVIMs application decreased from 65.4, 38.2, 35.7 µg/m3 to 9.5, 0.1 and 0.7 µg/m3 respectively. A similar decrease was observed in the other 5 locations. SVIMs could effectively control SS and the LCPM was also effective in measuring SS in the OR or other spaces of the hospital.
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Affiliation(s)
| | - Wang Jun Lee
- Department of Surgery, Myongji Hospital, Goyang, Korea.
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Tholcke LC, Fang WH, Gornick BR, Schlechter JA. Investigating Particulate Production in The Operating Suite Following the Use of Waterless Alcohol Based Dry Scrub Versus Traditional Hand Washing and Drying with Commonly Used Surgical Towels: An Experimental Study. Am J Infect Control 2022; 51:551-556. [PMID: 35901994 DOI: 10.1016/j.ajic.2022.07.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 07/19/2022] [Accepted: 07/20/2022] [Indexed: 11/01/2022]
Abstract
BACKGROUND An often-overlooked item that could cause contamination in the operating suite are the towels used for hand drying following surgical scrub. The purpose of this current study was to determine if there was a difference in the particulate count from different hand drying methods following surgical hand preparation. METHODS Three simulated hand drying groups were established: disposable sterilized surgical towels, reusable sterilized surgical towels, and a waterless alcohol-based dry rub. Particle size measurements of 0.3 µm, 5.0 µm, and 10.0 µm were collected at time zero and repeated every minute for 5 minutes for a total of 10 trials each. RESULTS Both the reusable and disposable towels produced significantly more particle matter in all size groups compared to the alcohol scrub control group. A comparison analysis and ANOVA testing demonstrated that alcohol dry scrub produced significantly fewer particles compared to both the disposable blue towels (P<0.01) and the reusable green towels (P<0.01). Disposable towels produced significantly more particles in the 0.3 µm count compared to reusable towels (P<0.05). CONCLUSIONS An alcohol-based dry rub without using a towel yielded the lowest amount of particulate formation in this experimental model, while reusable surgical towels produced the highest number of particles. LEVEL OF EVIDENCE Level II Experimental Study.
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Affiliation(s)
- Loren C Tholcke
- Department of Orthopaedic Surgery, Children's Hospital of Orange County, Orange, CA; Department of Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA.
| | - William H Fang
- Department of Translational Medicine, Western University of Health Sciences, CA.
| | - Bryn R Gornick
- Department of Orthopaedic Surgery, Children's Hospital of Orange County, Orange, CA.
| | - John A Schlechter
- Department of Orthopaedic Surgery, Children's Hospital of Orange County, Orange, CA; Department of Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA.
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Lans JLA, Mathijssen NMC, Bode A, van den Dobbelsteen JJ, van der Elst M, Luscuere PG. Operating room ventilation systems: Recovery Degree, Cleanliness Recovery Rate and Air Change Effectiveness in an ultra-clean area. J Hosp Infect 2021:S0195-6701(21)00459-X. [PMID: 34974079 DOI: 10.1016/j.jhin.2021.12.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/10/2021] [Accepted: 12/22/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND Entrainment test methods are described in most European standards and guidelines to determine the protected area for Ultra-Clean Ventilation (UCV) systems. New UCV systems, such as temperature-controlled airflow (TcAF) and controlled-dilution ventilation (cDV) claim the whole Operating Room (OR) to be ultra-clean. Current test standards are not developed for assessing ventilation effectiveness outside the standard protected area. AIM To assess and compare the ventilation effectiveness of four types of OR ventilation systems in the ultra-clean area by using a uniform test grid. METHODS In this study the ventilation effectiveness (VE) of four ventilation systems is evaluated for three different ultra-clean (protected) areas; standard protected area (A), area outside standard protected area (B) and large protected area (AB). The VE is defined as the recovery degree (RD), cleanliness recovery rate (CRR) and air change effectiveness (ACE). FINDINGS RD, CRR and ACE were significantly higher for the Uni Directional Air Flow (UDAF) system when compared to the other systems in area A. In area B, UDAF and cDV were comparable regarding RD and CRR and UDAF and Conventional Ventilation (CV) were comparable regarding ACE. In area AB the UDAF and cDV were comparable regarding CRR and ACE but are significantly different in RD. CONCLUSION In area A the ventilation effectiveness of the UDAF ventilation system is outperforming other ventilation systems. In area B, cDV is performing the best followed by UDAF, TcAF and CV. In area AB, UDAF is performing the best followed by cDV, TcAF and CV.
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Nasiri E, Lotfi M, Mahdavinoor SMM, Rafiei MH. The impact of a structured handover checklist for intraoperative staff shift changes on effective communication, OR team satisfaction, and patient safety: a pilot study. Patient Saf Surg 2021; 15:25. [PMID: 34275484 PMCID: PMC8286430 DOI: 10.1186/s13037-021-00299-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 07/05/2021] [Indexed: 11/23/2022] Open
Abstract
Objective Handover without a structured format is prone to the omission of information and could be a potential risk to patient safety. We sought to determine the effect of a structured checklist on the quality of intraoperative change of shift handover between scrubs and circulars. Methods We conducted a control intervention study on operating room wards of two teaching hospitals from 20 Feb to 21 Nov 2020. This research was conducted in three stages as follows: assessing the current situation (as a group before the intervention), performing the intervention and evaluating the effect of using a checklist on handover quality after the intervention in two groups: with and without checklist. We examined the quality of handover between scrub and circular personnel in terms of handover duration and quality, omission of information and improvement in OR staff satisfaction. Results A total of 120 handovers were observed and evaluated. After intervention in the group using the checklist, the percentage of information omission in surgical report was decreased from 19.5 to 12.1% between scrubs (P < 0.00) and from 16.8 to 14.1% between circulars (P < 0.03). Also, in the role of scrub, the mean overall score of handover process quality was significantly higher after the intervention (x̄ = 7 ± 1.5) than before it (x̄ = 6.5 ± 0.9) (p < 0.02). In the role of circulating, despite the positive effect of overall score checklist, no significant difference was observed (p < 0.08). The use of checklist significantly increased the handover duration between scrubs (p < 0.03) and circulars (p < 0.00). The overall mean percentage of handover satisfaction increased from 67.5% before the intervention to 85.5% after the intervention (p < 0.00). Conclusion The implementation of a new structured handover checklist had a positive impact on improving the quality of communication between the surgical team, reducing the information omission rate and increasing the satisfaction.
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Affiliation(s)
- Ebrahim Nasiri
- Assistant Professor of Traditional Medicine, Department of Anesthesiology and Operating Room, Faculty of Allied Medical Sciences, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mojgan Lotfi
- Associate Professor of Nursing Education, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Seyyed Muhammad Mahdi Mahdavinoor
- Undergraduate Bachelor Student of Surgical Technology, Department of Anesthesiology, Operating Room and Emergencies, School of Allied Medical Sciences Mazandaran University of Medical Sciences, Sari, Iran
| | - Mohammad Hossein Rafiei
- MSc Student in Surgical Technology, School of Allied Medical Sciences, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
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Villanueva ÁH, López Gutiérrez JJ. [An analysis of medication errors in patients admitted to surgery rooms and post-anesthetic recovery at a high-complexity hospital in Bogota, Colombia]. Salud Colect 2021; 17:e3155. [PMID: 34105334 DOI: 10.18294/sc.2021.3155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 03/01/2021] [Indexed: 11/24/2022] Open
Abstract
Medication errors represent one of the main causes of incidents and adverse events during the perioperative period. Therefore, this study analyzes errors before, during, and after the administration of general anesthesia for abdominal surgery at a high-complexity hospital in Bogota, Colombia. A descriptive cross-sectional study was conducted with 390 patients between January and September 2019. Of the 3,677 medication administrations, some type of error was made in 60% of cases, mostly in emergency surgeries. The pharmacological group with the most errors was general anesthetics, with 32%. All identified errors constituted situations with harm potential, indicating the need to promote the standardization of activities involving the use of medications and a culture of healthcare safety in order to avoid adverse events.
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Yeoh CB, Lee KJ, Coric V, Tollinche LE. Simple Green Changes for Anesthesia Practices to Make a Difference. EC Clin Med Case Rep 2020; 3:1-6. [PMID: 33458720 PMCID: PMC7808258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The environmental debate on going green in the operating room (OR) has been a controversial topic for many years. Challengers of greening efforts cite various obstacles and arguments against these initiatives. However, ORs in the United States continue to generate a staggering amount of waste daily. In this article, we review major barriers to going green and highlight simple, yet effective greening strategies that anesthesia practices could adopt to reduce our carbon footprint.
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Affiliation(s)
- Cindy B Yeoh
- Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Kathleen J Lee
- Department of Anesthesiology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA
| | - Vanja Coric
- Department of Anesthesiology, University at Buffalo, Buffalo, NY, USA
| | - Luis E Tollinche
- Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
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Kim JH, Um R, Theodore N, Iyer R, Manbachi A. DEVELOPMENT OF VOICE-CONTROLLED SMART SURGICAL BED. Proc Des Med Devices Conf 2020; 2020:V001T10A012. [PMID: 35253015 PMCID: PMC8895242 DOI: 10.1115/dmd2020-9065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Wasted time in the operating room results in higher operating costs and greater post-operative complications. One effective way to reduce operation time is automating basic processes that occur during surgery. Given the rise of smart-home devices, implementation of virtual assistants became a feasible solution in many medical settings. With a consumer smart-home device and off-the-shelf components, we engineered a voice-controlled smart surgical bed that adjusts the bed configuration via a voice input. The resulting device is expected to optimize human resources and reduce surgical site infection by eliminating the need of a traditional touch control mechanism. Future work is needed to develop its proprietary hardware and software, and continuous collaboration with medical personnel to bring this device into market.
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Affiliation(s)
- Jeong Hun Kim
- Department of Electrical Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Richard Um
- Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Nicholas Theodore
- Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
| | - Rajiv Iyer
- Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
| | - Amir Manbachi
- Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
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Morgenegg R, Heinze F, Wieferich K, Schiffer R, Stueber F, Luedi MM, Doll D. Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany. Sultan Qaboos Univ Med J 2018; 17:e418-e423. [PMID: 29372083 DOI: 10.18295/squmj.2017.17.04.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Revised: 09/27/2017] [Accepted: 10/19/2017] [Indexed: 11/16/2022] Open
Abstract
Objectives While several factors have been shown to influence operating room (OR) turnaround times, few comparisons of planned and actual OR turnaround times have been performed. This study aimed to compare planned and actual OR turnaround times at a large rural hospital in Northern Germany. Methods This retrospective study examined the OR turnaround data of 875 elective surgery cases scheduled at the Marienhospital, Vechta, Germany, between July and October 2014. The frequency distributions of planned and actual OR turnaround times were compared and correlations between turnaround times and various factors were established, including the time of day of the procedure, patient age and the planned duration of the surgery. Results There was a significant difference between mean planned and actual OR turnaround times (0.32 versus 0.64 hours; P <0.001). In addition, significant correlations were noted between actual OR turnaround times and the time of day of the surgery, patient age, actual duration of the procedure and staffing changes affecting the surgeon or the medical specialty of the surgery (P <0.001 each). The quotient of actual/planned OR turnaround times ranged from 1.733-3.000. Conclusion Significant discrepancies between planned and actual OR turnaround times were noted during the study period. Such findings may be potentially used in future studies to establish a tool to improve OR planning, measure OR management performance and enable benchmarking.
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Affiliation(s)
- Regula Morgenegg
- Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland
| | | | | | - Ralf Schiffer
- Department of Health Economics, Marienhospital, Vechta, Germany
| | - Frank Stueber
- Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland
| | - Markus M Luedi
- Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland
| | - Dietrich Doll
- Department of Surgery, Marienhospital, Vechta, Germany
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Abstract
BACKGROUND A positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse managers in the OR and medical directors' estimations of their staffs' attitudes to patient safety. METHODS A cross-sectional survey with the Safety Attitudes Questionnaire (SAQ) was used to elicit estimations from surgical teams. To evoke estimations from nurse managers and medical directors about staff attitudes to patient safety, a short questionnaire, based on SAQ, was used. Three OR departments at three different hospitals in Sweden participated. All licensed practical nurses (n=124), perioperative nurses (n=233), physicians (n=184) and their respective manager (n=22) were invited to participate. RESULTS Mean percentage positive scores for the six SAQ factors and the three professional groups varied, and most factors (safety climate, teamwork climate, stress recognition, working conditions and perceptions of management), except job satisfaction, were below 60%. Significantly lower mean values were found for perioperative nurses compared with physicians for perceptions of management (56.4 vs 61.4, p=0.013) and working conditions (63.7 vs 69.8, p=0.007). Nurse managers and medical directors' estimations of their staffs' ratings of the safety climate cohered fairly well. CONCLUSIONS This study shows variations and some weak areas for patient safety climate in the studied ORs as reported by front-line staff and acknowledged by nurse managers and medical directors. This finding is a concern because a weak patient safety climate has been associated with poor patient outcomes. To raise awareness, managers need to support patient safety work in the OR.
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Affiliation(s)
- Camilla Göras
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
- Department of Anesthesia, Intensive Care Unit, Falu Lasarett, Sweden
- Centre for Clinical Research, Falun, Dalarna, Sweden
| | - Maria Unbeck
- Department of Orthopedics, Danderyd Hospital, Stockholm, Sweden
- Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
| | - Ulrica Nilsson
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Anna Ehrenberg
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
- School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
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Bonner A, Barth L. The effect of forced air warming devices compared to other active warming devices on surgical site contamination: a systematic review protocol. ACTA ACUST UNITED AC 2015; 13:131-41. [PMID: 26455852 DOI: 10.11124/jbisrir-2015-2049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Revised: 04/06/2015] [Accepted: 04/07/2015] [Indexed: 10/31/2022]
Affiliation(s)
- Ashley Bonner
- Texas Christian University Center for Evidence Based Practice and Research: a Collaborating Center of the Joanna Briggs Institute
| | - Lica Barth
- Texas Christian University Center for Evidence Based Practice and Research: a Collaborating Center of the Joanna Briggs Institute
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Mirzaei R, Shahriary E, Qureshi MI, Rakhshkhorshid A, Khammary A, Mohammadi M. Quantitative and qualitative evaluation of bio-aerosols in surgery rooms and emergency department of an educational hospital. Jundishapur J Microbiol 2014; 7:e11688. [PMID: 25632321 PMCID: PMC4295311 DOI: 10.5812/jjm.11688] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2013] [Revised: 07/02/2013] [Accepted: 07/28/2013] [Indexed: 11/21/2022] Open
Abstract
Background: Bio-aerosols are a potential hazard in hospitals and are mostly produced by hospital staff, patients and visitors. Bio-aerosols are solid or liquid particles pending in the air and they consist of aerosols accompanying micro-organisms or organic compounds of micro-organisms such as endotoxin, metabolite, toxin and other parts of organism. Those are a potential hazard in hospitals and are mostly produced by hospital staff, patients and visitors. Objectives: This study aimed to determine the types and amount of bacterial contamination in operating rooms and emergency department of an educational hospital in Zahedan, South-East of Iran. Materials and Methods: In this study, 72 samples were collected from three operating rooms and three rooms in the emergency department of an educational hospital during 2012. On the first day of every month, a sample was taken from each room during the morning shift; active sampling was done on plates consisting of blood agar and brain-heart infusion agar (BHI) for 10 minutes in the axis of a one-story Anderson impactor (flow rate 28.1 litter per minutes) and SIBATA air pump SIP 32-L and samples were then placed in a 35°C Incubator. Bacterial colonies were counted; warm coloring and differential tests were done and the data were analyzed using Mann-Whitney U and Kruskal-Wallis tests. Results: Seventeen types of bacteria were detected including Staphylococcus, Micrococcus, Viridians, Pneumococcus, Escherichia coli, Streptococcus, Bacillus cereus, B. subtilis, Klebsiella, Pseudomonas, Diphtheroid, Citrobacter and Enterobacter. Quantitative bacterial results showed that the number of observed bacteria in the emergency department with an average of 103.88 ± 33.84 cfu/m³ was more than that of the surgery rooms with an average of 63.32 ± 32.94 cfu/m³. Furthermore, the highest average number of all counted colonies (106 ± 28.45 cfu/m³) was determined in autumn. In all samples, S. aureus and Micrococcus were the most detected bacteria. Conclusions: The World Health Organization (WHO) has suggested relatively relaxed limits of 100 cfu/m3 for bacteria and 50 cfu/m3 for fungi in the hospital air. Therefore, quantitative and qualitative outcomes of this study demonstrate that contamination level and bacterial variety in surgery rooms and emergency departments is high and effective measures must be taken to control the possible health risks.
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Affiliation(s)
- Ramazan Mirzaei
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, IR Iran
| | - Esmat Shahriary
- Health School, Zahedan University of Medical Sciences, Zahedan, IR Iran
| | | | | | - Abdolali Khammary
- Health School, Zahedan University of Medical Sciences, Zahedan, IR Iran
| | - Mahdi Mohammadi
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, IR Iran
- Corresponding author: Mahdi Mohammadi, Health Promotion Research Center, Mashahir Square, Health School, Zahedan University of Medical Sciences, Zahedan, IR Iran. Tel: +98-5412419407, Fax: +985412425375. , E-mail:
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Mallett J. Inducing Safer Electrosurgical Handpiece Storage. Med Educ Online 2005; 10:4370. [PMID: 28253139 DOI: 10.3402/meo.v10i.4370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
UNLABELLED Background Improper storage of the electrosurgical handpiece has been identified as an operating room hazard. OBJECTIVE To test among representative surgical personnel two different methods of improving safety performance: a demonstration/lecture session, and improved equipment arrangement on the operating field. METHODS A field experiment occurred in the classroom and in the operating room. Subjects were recruited from a surgical department in a single institution. After videotaping baseline behavior, interventions were made in education and subsequently in apparatus layout. Videotaping and behavioral coding were repeated after each intervention. Written tests preceded and followed the training lecture. RESULTS Results varied among team members and different aspects of the equipment. The surgeons knew the manufacturers' designated safe practice, but they did not routinely follow it, even after additional instructions and redesign of the equipment setup. Other team members responded to the interventions and changed their storage-related behavior. CONCLUSIONS This study demonstrates a need for effective means to help surgical teams maintain a safe environment while using hazardous technologies.
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Affiliation(s)
- Joanne Mallett
- a Department of Obstetrics and Gynecology The University of Texas Medical Branch , Galveston , Texas , US
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