scholarly journals MP08-02 THE IMPACT OF A SURGICAL SAFETY CHECKLIST ON OPERATING ROOM TIME AND COST IN ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY

2016 ◽  
Vol 195 (4S) ◽  
Author(s):  
Tillman Hudson ◽  
Jordan Grant ◽  
Lawrence Tsai ◽  
Kristofer Wagner ◽  
Harry Papaconstantinou ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Operating Room ◽  
Laparoscopic Radical Prostatectomy ◽  
Robotic Assisted ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
The Impact ◽  
Room Time ◽  
Operating Room Time

Is Robot Assistance Affecting Operating Room Time Compared with Pure Retroperitoneal Laparoscopic Radical Prostatectomy?

2009 ◽  
Vol 23 (6) ◽  
pp. 939-943 ◽  
Author(s):  
Guillaume Ploussard ◽  
Evanguelos Xylinas ◽  
Alexandre Paul ◽  
Norman Gillion ◽  
Laurent Salomon ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Operating Room ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assistance ◽  
Room Time ◽  
Operating Room Time

1107: The Impact of Sugammadex on Operating Room Time in Living Donor Hepatectomy

2020 ◽  
Vol 49 (1) ◽  
pp. 555-555
Author(s):  
Gabriela Young ◽  
David Quan ◽  
Kendall Gross ◽  
Anthony Wong
Keyword(s):  
Operating Room ◽  
Living Donor ◽  
Donor Hepatectomy ◽  
Living Donor Hepatectomy ◽  
The Impact ◽  
Room Time ◽  
Operating Room Time

Open versus robot-assisted radical prostatectomy: A contemporary analysis of an all-payer discharge database.

2015 ◽  
Vol 33 (7_suppl) ◽  
pp. 33-33
Author(s):  
Jeffrey J. Leow ◽  
Quoc-Dien Trinh ◽  
Benjamin I. Chung ◽  
Steven L. Chang
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Operating Room ◽  
Hospital Costs ◽  
Blood Products ◽  
Robot Assisted ◽  
The Us ◽  
Discharge Database ◽  
Room Time ◽  
Operating Room Time

33 Background: Robot-assisted radical prostatectomy (RARP) has been rapidly adopted in the US despite the lack of Level 1 evidence. There is no conclusive evidence regarding its morbidity profile compared to open RP (ORP). Our aim was to compare perioperative outcomes of RARP vs. ORP on a contemporary cohort of patients. Methods: Using the Premier Hospital Database, an all-payer discharge database representing over 600 hospitals in the US, we captured men diagnosed with prostate cancer (ICD-9 code 185) who underwent a radical prostatectomy (60.5) from 2003 to 2013.We classified procedures as RARP through a review of the charge description master by identifying supplies unique to robotic procedures. We evaluated 90-day postoperative complications (using Clavien classification), transfusion of blood products, operating room time, length of stay and direct hospital costs. We performed regression analyses, adjusting for potential confounders, accounting for clustering by hospitals and survey weighting to ensure nationally representative estimates. Results: Over the 11-year study period, there was a total of 345,313 ORP and 328,731 RARP. The use of RARP grew rapidly from 2% in 2003 to 85% in 2013 (p<0.001). On adjusted analyses, compared to ORP, RARP patients were less likely to suffer major complications (odds ratio [OR] 0.77, p=0.03), readmissions (OR 0.81, p=0.02), or receive blood products (OR 0.28, p<0.001). RARP patients had shorter LOS (-0.88 days, p<0.001). Mean operating room time for RARP was longer by 71 min (p<0.001); higher surgeon and hospital volume were significant predictors of shorter operating time. 90-day direct hospital costs were higher for RARP (+$4085, p<0.001), primarily attributed to operating room and supplies costs. Conclusions: Our contemporary analysis of men who underwent RP found that the robotic approach appears to confer a perioperative morbidity advantage at a higher cost. The widespread adoption of RARP in the management of localized prostate cancer implies a randomized trial will unlikely be conducted; therefore this large retrospective study may represent the best available evidence for the morbidity and cost profile of ORP vs. RARP.

Impact of Urinary Catheterization on Postoperative Outcomes After Roux-En-Y Gastric Bypass Surgery in Propensity-Matched Cohorts

2021 ◽  
pp. 000313482110234
Author(s):  
Derek D. Berglund ◽  
David M. Parker ◽  
Marcus Fluck ◽  
James Dove ◽  
Alexandra Falvo ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Operating Room ◽  
Urinary Catheter ◽  
Postoperative Outcomes ◽  
Urinary Catheters ◽  
Readmission Rates ◽  
Delayed Discharge ◽  
The Impact ◽  
Room Time ◽  
Operating Room Time

Background The impact of urinary catheter avoidance in bariatric enhanced recovery after surgery (ERAS) protocols is yet to be established. The purpose of the current study is to determine whether urinary catheter use in patients undergoing Roux-en-Y gastric bypass (RYGB) procedures has an effect on postoperative outcomes. Methods An institutional database was utilized to identify adult patients undergoing primary minimally invasive RYGB surgery. Outcomes included incidence of urinary tract infection (UTI) within 30 days postoperatively, 30-day readmission rates, proportion of patients discharged after postoperative day 1 (delayed discharge), length of stay (LOS), and operating room time. These were compared between propensity-matched groups with and without urinary catheter placement. Results There were no significant differences in postoperative UTI’s (2.2% for both cohorts, P = .593) or 30-day readmission rates for patients with and without urinary catheters (6.6% and 4.4%, respectively, P = .260). Mean LOS (1.7 vs. 1.5 days, P = .001) and the proportion of patients having a delayed discharge (47.3% vs. 33.7%, P = .001) was greater in patients with a catheter. Operating room time was longer in the urinary catheter group (221.8 vs. 207.9 minutes, P = .002). Discussion Avoidance of indwelling urinary catheters in RYGB surgical patients decreased delayed discharges and LOS without affecting readmission or reoperation rates. Therefore, we recommend that avoidance of urinary catheters in routine RYGB surgery be considered for inclusion into standardized ERAS protocols. Urinary catheters should continue to be utilized in select cases, however, as these were not shown to affect rate of UTIs.

The impact of BMI on operating room time, blood loss, and hospital stay in patients undergoing spinal fusion

2019 ◽  
Vol 179 ◽  
pp. 19-22 ◽  
Author(s):  
Alan Villavicencio ◽  
E. Lee Nelson ◽  
Sharad Rajpal ◽  
Niketna Vivek ◽  
Sigita Burneikiene
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Spinal Fusion ◽  
Operating Room ◽  
The Impact ◽  
Room Time ◽  
Operating Room Time

Implementation of the surgical safety checklist in hospitals of Iran; operating room personnel’s attitude, awareness and acceptance

2018 ◽  
Vol 31 (6) ◽  
pp. 609-618
Author(s):  
Mobin Sokhanvar ◽  
Edris Kakemam ◽  
Narges Goodarzi
Keyword(s):  
Operating Room ◽  
Cross Sectional Study ◽  
Study Data ◽  
Operating Room Personnel ◽  
Cross Sectional ◽  
Content Type ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Validated Questionnaire ◽  
The Impact

Purpose The WHO Surgical Safety Checklist (SSC) has improved patient safety effectively. Despite the known benefits of applying the checklist before surgery, its implementation is less than universal in practice. The purpose of this paper is to determine the operating room personnel’s attitude, their awareness and knowledge of the SSC, and to evaluate staff acceptance of the SSC (including personal beliefs). Design/methodology/approach This cross-sectional study was conducted in eight tertiary general hospitals in Tehran, Iran. Some 145 operating room personnel (surgeons, anaesthetists and nurses) were selected for the study. Data collection was carried out via a validated questionnaire in three parts which included socio-demographic, attitude, awareness and acceptance. Data were then analysed using the Kruskal–Wallis and χ2 statistical test. Findings Out of the 145 participants in the study, 92 per cent were aware of the existence of the SSC and 73.9 per cent of them were aware of the objectives of SSC. Overall, the attitude to SSC was positive. The attitude of surgeons was positive towards the impact of the SSC on safety and teamwork. Surgeons were significantly more sensitive to the barriers of SSC application compared to nurses and anaesthetists (p=0.046). Among the three groups, nurses had the highest level of support for SSC (p=0.001). Practical implications Despite high acceptance of the checklist among staff, there is still a gap in knowledge about when exactly the checklist should be used. Therefore, involvement of all surgical team members to complete the checklist process, support of senior managers, on-going education and training and consideration of the barriers to its implementation are all key areas that need to be taken into account. Originality/value This is the first research to examine the operating room personnel’s attitude, awareness and acceptance about SSC in Iranian hospitals. The outcomes of this study provide documentation and possible justification for effective establishment of SSC in Iran and other countries.

scholarly journals HUBUNGAN TINGKAT STRES KERJA PERAWAT DENGAN PELAKSANAAN SURGICAL SAFETY CHECKLIST DI KAMAR OPERASI

2021 ◽  
Vol 10 (2) ◽  
pp. 132-141
Author(s):  
Taufan Arif
Keyword(s):  
Operating Room ◽  
Work Stress ◽  
Sampling Technique ◽  
Stress Factors ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Stress Levels ◽  
Relationship Of ◽  
The Impact

Introduction: Nurse work stress is a condition where nurses are faced with work demands that can result in physiological, psychological & behavioral disorders and can affect performance. The purpose of this study was to determine the relationship of nurses work stress levels with the implementation of Surgical Safety Checklist in the operating room. Methods: This research method uses correlational with cross-sectional approach and 18 respondents with a sampling technique using the entire population. The independent variable in this study is the level of work stress nurses with the dependent variable implementation of the Surgical Safety Checklist. The research instrument used a questionnaire on nurses' work stress levels and the Surgical Safety Checklist observation sheet. Scatterplot analysis results obtained negative direction which means that the increase in the variable level of work stress nurses will be followed by a decrease in the implementation of the Surgical Safety Checklist. Result: The results of the correlation coefficient 0.637 with strong interpretation and t count 3.24 more than the results of t table 1.76 means that there is a linear relationship of. Conclussion: There are relationship of nurses work stress levels with the implementation of Surgical Safety Checklist in the operating room. Discussion for the results of research where the increasing level of work stress nurses, the implementation of the Surgical Safety Checklist decrease. The recommendation for further research is to conduct research into work stress factors for nurses with the impact that can result from work stress with a higher number of respondents

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