Do Safety Checklists Improve Teamwork and Communication in the Operating Room? A Systematic Review

Background: Most nurses, especially operating room personnel, seems to be more likely to be affected by mood disorders than other social strata. The present study attempted to systematically review the prevalence of depression and its main determinants among operating room personnel in Iran. Methods: The method of this systematic review is documenting in a published protocol in the International Prospective Register of Systematic Reviews (PROSPERO) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. After this massive search, titles and abstracts of retrieved documents have screened and all irrelevant articles excluded. Two reviewers screened the documents and selected all relevant studies and assessed included articles separately. Results: Totally, 12 citations found in the initial literature search where four citations excluded, as they did not meet the inclusion criteria. The final number of studies available for analysis was 12 including a total of 373 operating room personnel (86 men and 287 women, mean the age of 27.71 years ranged from 20 to 36 years). The pooled prevalence of depression among operating room personnel was estimated to be 45.3%. In this regard, 27.0% of personnel suffered from severe depression. A significant heterogeneity found in the overall analysis of the overall prevalence of depression and its severe pattern. Conclusion: A notable number of operating room personnel in Iran suffer from depression even in its severe condition emphasizing the importance of the managerial approach to minimize its adverse effects on their performance as well as to improve their quality of life

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What Is the Evidence Supporting the Use of Surgical Face Masks in the Operating Room in Preventing Surgical Site Infection after Clean Surgery? A Systematic Review

Open Journal of Nursing ◽

10.4236/ojn.2021.1110070 ◽

2021 ◽

Vol 11 (10) ◽

pp. 847-870

Author(s):

Priscilla O. Aikabeli

Keyword(s):

Systematic Review ◽

Surgical Site Infection ◽

Operating Room ◽

Site Infection

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The global prevalence of musculoskeletal disorders among operating room personnel: A systematic review and meta-analysis

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2020.03.019 ◽

2020 ◽

Vol 8 (4) ◽

pp. 1053-1061 ◽

Cited By ~ 1

Author(s):

Reza Tavakkol ◽

Esmaeil Kavi ◽

Soheil Hassanipour ◽

Hadiseh Rabiei ◽

Mahdi Malakoutikhah

Keyword(s):

Systematic Review ◽

Operating Room ◽

Musculoskeletal Disorders ◽

Meta Analysis ◽

Operating Room Personnel ◽

Global Prevalence

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Operating Room Instruction for COVID-19 Epidemic: A Meta-Synthesis (Preprint)

10.2196/preprints.23110 ◽

2020 ◽

Author(s):

Raziyeh Ghafouri ◽

Maryam Vosoghian ◽

Zahra Malmir ◽

Zahra Arasteh ◽

Sepideh Khodadadi

Keyword(s):

Systematic Review ◽

Head And Neck ◽

Operating Room ◽

Risk Of Infection ◽

Inclusion Criteria ◽

Safe Surgery ◽

Operating Instructions ◽

Treatment Procedures ◽

Effective Service ◽

Nose And Throat

BACKGROUND COVID-19crisis changes the patients' treatment procedures worldwide. Preventive procedures should be developed for COVID-19 in order to prevent its development, managethis epidemic properly, and provide safe and effective service. Operating room is aplace where it is important to follow the instructions to cope with this disease because the operating room staffsare at the highest risk of infection with COVID-19. The present study aimed to design instructions for behavior in the operating room during the COVID-19 epidemic. OBJECTIVE The present study aimed to design instructions for behavior in the operating room during the COVID-19 epidemic. METHODS The present study was conducted by a systematic review method. Searching was performed by keywords COVID-19, surgery, operating room, anesthesia, and instructions on PUBMED, Science Direct, Ovid, and ProQuest databases; and 98 studied were obtained. It decreased to 42 items after repeating the duplicate items and reviewing the summary of articles, and finally 23 studies were selected for review. First, the articles were reviewed based on the titles and summary, and if they were included in the study if they had the inclusion criteria. The inclusion criteria were English and Persian languages; the relevance of articles on COVID-19, surgery and anesthesia. RESULTS : Patients should be screened for COVID-19 for surgery, and caution should be exercised if they had ear, nose and throat, jaw and face, head and neck surgeries. Intubation is one of the most risky activities that need to be done with full caution. Chlorine for the surface and equipment, and Ultraviolet (UV) for operating rooms are now the most accessible and effective disinfectants. CONCLUSIONS Following the operating instructions in the operating room prevented the transmission of COVID among patients and staff and helped to perform safe surgery during the COVID-19 epidemic. CLINICALTRIAL -

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Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs

BMJ Quality & Safety ◽

10.1136/bmjqs-2020-012474 ◽

2021 ◽

pp. bmjqs-2020-012474

Author(s):

Joanna Abraham ◽

Alicia Meng ◽

Sanjna Tripathy ◽

Michael S Avidan ◽

Thomas Kannampallil

Keyword(s):

Systematic Review ◽

Intensive Care Unit ◽

Intensive Care ◽

Operating Room ◽

Meta Analysis ◽

Intervention Group ◽

Future Research ◽

Original Research ◽

Cochrane Central Register ◽

The Impact

ObjectiveTo conduct a systematic review and meta-analysis to ascertain the impact of operating room (OR) to intensive care unit (ICU) handoff interventions on process-based and clinical outcomes.MethodWe included all English language, prospective evaluation studies of OR to ICU handoff interventions published as original research articles in peer-reviewed journals. The search was conducted on 11 November 2019 on MEDLINE, CINAHL, EMBASE, Scopus and the Cochrane Central Register of Controlled Trials databases, with no prespecified criteria for the type of comparison or outcome. A meta-analysis of similar outcomes was conducted using a random effects model. Quality was assessed using a modified Downs and Black (D&B) checklist.Results32 studies were included for review. 31 studies were conducted at a single site and 28 studies used an observational study design with a control. Most studies (n=28) evaluated bundled interventions which comprised information transfer/communication checklists and protocols. Meta-analysis showed that the handoff intervention group had statistically significant improvements in time to analgesia dosing (mean difference (MD)=−42.51 min, 95% CI −60.39 to −24.64), fewer information omissions (MD=−2.22, 95% CI −3.68 to –0.77), fewer technical errors (MD=−2.38, 95% CI −4.10 to –0.66) and greater information sharing scores (MD=30.03%, 95% CI 19.67% to 40.40%). Only 15 of the 32 studies scored above 9 points on the modified D&B checklist, indicating a lack of high-quality studies.DiscussionBundled interventions were commonly used to support OR to ICU handoff standardisation. Although the meta-analysis showed significant improvements for a number of clinical and process outcomes, the statistical and clinical heterogeneity must be accounted for when interpreting these findings. Implications for OR to ICU handoff practice and future research are discussed.

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