Loudness in the Operating Room during Cardiac Surgery: Are Our Operating Rooms Quiet Enough?

2020 ◽  
Author(s):  
M. Friedrich ◽  
T. Tirilomis
Keyword(s):  
Cardiac Surgery ◽  
Operating Room ◽  
Operating Rooms

scholarly journals Design Opportunities to Reduce Waste in Operating Rooms

2021 ◽  
Vol 13 (4) ◽  
pp. 2207
Author(s):  
Charlotte Harding ◽  
Joren Van Loon ◽  
Ingrid Moons ◽  
Gunter De Win ◽  
Els Du Bois
Keyword(s):  
Operating Room ◽  
Circular Economy ◽  
Operating Rooms ◽  
Medical Waste ◽  
Waste Reduction ◽  
Infrastructure Management ◽  
Expert Interviews ◽  
Hospital Waste ◽  
Observation Results ◽  
Taking Care

While taking care of the population’s health, hospitals generate mountains of waste, which in turn causes a hazard to the environment of the population. The operating room is responsible for a disproportionately big amount of hospital waste. This research aims to investigate waste creation in the operating room in order to identify design opportunities to support waste reduction according to the circular economy. Eight observations and five expert interviews were conducted in a large sized hospital. The hospital’s waste infrastructure, management, and sterilization department were mapped out. Findings are that washable towels and operation instruments are reused; paper, cardboard, and specific fabric are being recycled; and (non-)hazardous medical waste is being incinerated. Observation results and literature findings are largely comparable, stating that covering sheets of the operation bed, sterile clothing, sterile packaging, and department-specific products are as well the most used and discarded. The research also identified two waste hotspots: the logistical packaging (tertiary, secondary, and primary) of products and incorrect sorting between hazardous and non-hazardous medical waste. Design opportunities include optimization of recycling and increased use of reusables. Reuse is the preferred method, more specifically by exploring the possibilities of reuse of textiles, consumables, and packaging.

scholarly journals Variability in Anesthesia Models of Care in Cardiac Surgery

Surgeries ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Dianne McCallister ◽  
Bethany Malone ◽  
Jennifer Hanna ◽  
Michael S. Firstenberg
Keyword(s):  
Cardiac Surgery ◽  
Best Practices ◽  
Operating Room ◽  
Models Of Care ◽  
Surgical Team ◽  
Cardiac Anesthesia ◽  
Complex Environment ◽  
Surgical Case ◽  
Cardiac Procedures ◽  
Cardiac Operations

The operating room in a cardiothoracic surgical case is a complex environment, with multiple handoffs often required by staffing changes, and can be variable from program to program. This study was done to characterize what types of practitioners provide anesthesia during cardiac operations to determine the variability in this aspect of care. A survey was sent out via a list serve of members of the cardiac surgical team. Responses from 40 programs from a variety of countries showed variability across every dimension requested of the cardiac anesthesia team. Given that anesthesia is proven to have an influence on the outcome of cardiac procedures, this study indicates the opportunity to further study how this variability influences outcomes and to identify best practices.

Abstract 17362: A Multidisciplinary Heart Team Approach to High Risk Transvenous Pacemaker and Defibrillator Lead Extraction Improves Mortality

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_1) ◽  
Author(s):  
Ryan G Aleong ◽  
Matthew Zipse ◽  
Christine Tompkins ◽  
Tamas Seres ◽  
David Fullerton ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
High Risk ◽  
Operating Room ◽  
Cardiac Electrophysiology ◽  
Lead Extraction ◽  
Team Approach ◽  
Heart Team ◽  
Hybrid Operating Room ◽  
Icd Leads ◽  
The Creation

Introduction: There is a risk of serious complications with high-risk lead extraction (LE) that may increase mortality. Current guidelines do not provide definitive guidance on collaborative involvement of cardiac surgery as compared to other procedures such as TAVR procedures. We report a single center experience of the benefits of a collaborative approach between cardiac surgery and cardiac electrophysiology (EP). Hypothesis: MDHT will improve outcomes in LE Methods: High risk lead extractions had dwell times of at least 4 years for pacemaker leads and 2 years for ICD leads. A multidisciplinary heart team (MDHT) was created based on the TAVR model that includes a combined lead management clinic and a monthly multidisciplinary conference. Prior to MDHT creation, high risk lead extractions were performed either in the hybrid operating room (OR) and cardiology procedure lab with a surgeon on call as needed. After the MDHT creation all cases were performed in the hybrid operating room by a cardiac surgeon, cardiac anesthesiologist and EP together with an interventional radiologist readily available. Results: Prior to MDHT, 169 patients underwent 344 leads extractions. There were six major procedural complications (3.6%) that included 2 procedural deaths (1.2%) during that period (SVC tear, Tricuspid valve avulsion). Following the creation of MDHT, there have been 47 cases performed with 85 leads extracted. There have been two complications requiring surgical repair (one SVC laceration, one RV laceration), which were surgically repaired. With the creation of a MDHT, the rate of major complications was unchanged (Pre vs. Post MDHT 3.6% vs. 4.3%) but there was a lower mortality rate (Pre vs. Post MDHT 1.2% vs. 0%). Conclusions: High risk lead extraction had a fixed complication rate at our institution however a MDHT decreased mortality. A structured multidisciplinary approach, involving EP and cardiac surgery, decreased mortality in a medium sized lead extraction center and should be considered at all centers.

scholarly journals Innovative Ventilation Technology for Operating Rooms

2018 ◽  
Vol 4 (1) ◽  
pp. 243-245 ◽  
Author(s):  
Sabine Gruber ◽  
Sebastian Buhl ◽  
Clemens Bulitta
Keyword(s):  
Operating Room ◽  
Clinical Setting ◽  
Bacterial Contamination ◽  
Ventilation System ◽  
Operating Rooms ◽  
Operating Theatre ◽  
Experimental Setting ◽  
Bacterial Burden

AbstractThe purpose of this work was to evaluate the decontamination potential of the Potok system both in an experimental setting in a research Operating Room (OR) with standalone Air Decontamination Units (Potok 150-M-01) and in a clinical setting in a real operating theatre in Moscow. Our experiments showed an impact of the Potok units on the bacterial contamination of the room air according to the Swedish SIS-TS 39:2015 standard. For the initial measurements in our research OR in Weiden this could be shown by a decrease of the bacterial burden at all three different measurement points (OR table, instrumentation tray, periphery). Also the subsequently done measurements in the Moscow hospital verified this decontaminating effectivity of the Potok system. In this case the initial background contamination of the operating theatre was higher than in the research OR in Germany. This bacterial burden could be effectively decreased by the use of the installed Potok based ventilation system.

New Members of Cardıac Surgery Operatıng Room “Plannıng of Operatıng Room Technıcıan's Educatıon Currıculum”

2018 ◽  
Vol 121 (8) ◽  
pp. e159-e160
Author(s):  
Gül Özlem Yıldırım ◽  
Gülseren Keskin ◽  
Halil Yıldırım ◽  
Elif Aktekin ◽  
Nurcan Güzelay ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Operating Room ◽  
Education Curriculum ◽  
New Members ◽  
Operating Room Planning

Simulation Modeling of the Operating Room Based on SIMIO

2010 ◽  
Vol 37-38 ◽  
pp. 1162-1166 ◽  
Author(s):  
Qian Zheng ◽  
Sai Feng Chen ◽  
Jie Shen ◽  
Ze Qing Liu ◽  
Kai Fang ◽  
...  
Keyword(s):  
Simulation Model ◽  
Operating Room ◽  
Simulation Modeling ◽  
Operating Rooms ◽  
Simulation Platform ◽  
Rational Utilization ◽  
Model Case ◽  
Satisfactory Degree

Operating rooms (OR) is one of the most demanding department in hospital. OR’s process will directly influence the profits of hospital as well as the patients' satisfactory degree. On the condition of a complex cooperation of ORs with variations, simulation has its advantage on solving problems. From the perspective point of rational utilization of resources, the simulation modeling of OR in big hospital by a latest simulation platform – SIMIO is proposed. The modeling objects and the logic underline are studied, and a simulation model case is presented.

scholarly journals Description of healthcare professionals’ attitudes on patient safety in the Tunisian operating rooms

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
H Sayeh ◽  
W Aouicha ◽  
M Souki ◽  
E Taghouti ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Operating Room ◽  
Healthcare Professionals ◽  
Participation Rate ◽  
Operating Rooms ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Surgical Safety ◽  
Work Units

Abstract Background Currently, ensuring surgical safety remain a worldwide challenge. The description of operating room professionals' attitudes toward patient safety in their work units helps to identify strengths and weaknesses in term of patient safety, allowing a clearer vision of the safety aspects that require special attention. This study aimed to describe healthcare professionals' attitudes on patient safety in the Tunisian operating rooms. Methods This is a cross-sectional descriptive study spread over a 6-month period (October-April 2018). It was conducted among healthcare professionals working in the operating rooms of the two teaching hospitals of Sousse (Tunisia). The measuring instrument used is the Operating Room Management Attitudes Questionnaire (ORMAQ), which consists of 60 items spread over 8 dimensions. The latter has been subjected to a transcultural validation process inspired from the Vallerand method. Data entry and analysis was done by the Statistical Package for Social Sciences (SPSS.20) software. Results A total of 303 professionals participated in the study (participation rate= 76.13%). The most developed dimension was teamwork and the least developed was “Procedural errors/ compliance”. Items' results show that 94.8% of professionals confirmed that seniors should encourage medical and paramedical staff to ask questions, 53.5% of professionals stated that personal problems can adversely affect their performance and 87.5% agreed that operating rooms' team members share responsibilities for prioritizing activities in high workload situations. In addition, 50.9% of participants reported that the managers don't listen to staff or care about their concerns. Conclusions Operating rooms professionals' attitudes toward patient safety in their work units reflect an alarming situation regarding the quality of healthcare provided to patients. These results should be taken into consideration to guide future intervention on quality management improvement. Key messages Considering human factors is essential to improve safety in operating rooms and has an important role in reducing the occurrence of adverse events in these settings. It is important to study the underlying attitudes that determine the human factors for a better understanding and resolution of patient safety problems.

scholarly journals Reply to: reintubation in the ICU versus in the operating room in cardiac surgery patients

2020 ◽  
Vol 37 (9) ◽  
pp. 818-819
Author(s):  
Manuel Taboada ◽  
Laura Dos Santos ◽  
Agustin Cariñena ◽  
Valentin Caruezo
Keyword(s):  
Cardiac Surgery ◽  
Operating Room
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