New performance and quality requirements in the field of operating room garments (non‐active medical devices)

2003 ◽  
Vol 16 (5) ◽  
pp. 261-264 ◽  
Author(s):  
M.J. Abreu ◽  
M.E. Silva ◽  
L. Schacher ◽  
D. Adolphe
2021 ◽  
Vol 319 ◽  
pp. 01080
Author(s):  
Samira Jaouhar ◽  
Abdelhakim El Ouali Lalami ◽  
Khadija Ouarrak ◽  
Jawad Bouzid ◽  
Mohammed Maoulouaa ◽  
...  

The hospital environment, especially medical devices and surfaces, represents a secondary reservoir for pathogens. This work aims to evaluate the microbiological quality of surfaces and medical equipment of controlled environment services (burn unit, operating room, and sterilization service) at a hospital in Meknes (center of Morocco). This study was carried out for three months (September-December of 2017). A total of 63 samples were taken by swabbing technique from different surfaces and medical equipment after bio-cleaning. Identification was performed according to conventional bacteriological methods and by microscopic observation for fungi. The study showed that 68% of the surface was contaminated. The operating room recorded a rate of 93% of contamination (p-value <0.01), 83% for sterilization service, and 47% for burn unit. A percentage of 67% of the isolates were identified as Gram-positive bacteria against 32% Gram-negative bacteria (p-value <0.05). Bacterial identification showed Coagulase-negative Staphylococci (45%), Enterobacter cloacae (14%), Micrococcus sp (10%), Klebsiella pneumoniae, peptostreptococcus sp and Pseudomonas fluorescens (7% for each one), Escherichia coli, and Methicillin-resistant Staphylococcus aureus (5% for each one). These results require corrective action represented by rigorous cleaning and disinfection procedures.


1998 ◽  
Vol 89 (Supplement) ◽  
pp. 1208A
Author(s):  
J Welsh ◽  
S McNulty ◽  
B Kline ◽  
R Bartkowski

Author(s):  
Julia Benzko ◽  
Lisa Krause ◽  
Armin Janß ◽  
Björn Marschollek ◽  
Paul Merz ◽  
...  

AbstractSevere bottlenecks in usability and human technology interaction (HTI) of existing surgical workplaces and operating room (OR) equipment can occur today: lack of space, cable as trip hazard, communication problems between sterile and non-sterile staff, and operating errors in the handling of the medical devices. In fact, risks that are caused by poor usability can be critical, and studies show that most are preventable. This issue gets even more challenging in the context of open-OR networks regarding consistent and usable integration of user interfaces (UIs) of independently designed systems in one integrated surgical work system. In this work, a concept of generic UI profiles for the modular integration of a UI has been developed and first prototypes have been implemented. The concept is essentially based on the approach of device profiles developed in the context of the Bundesministerium für Bildung und Forschung project OR.NET (


Author(s):  
Bastian Ibach ◽  
Julia Benzko ◽  
Stefan Schlichting ◽  
Andreas Zimolong ◽  
Klaus Radermacher

2018 ◽  
Vol 63 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Jun Okamoto ◽  
Ken Masamune ◽  
Hiroshi Iseki ◽  
Yoshihiro Muragaki

AbstractCurrently, networking has not progressed in the treatment room. Almost every medical device in the treatment room operates as a stand-alone device. In this project, we aim to develop a networked operating room called “Smart Cyber Operating Theater (SCOT)”. Medical devices are connected using Open Resource interface for the Network (ORiN) technology. In this paper, we describe the concept of the SCOT project. SCOT is integrated using the communication interface ORiN, which was originally developed for industry. One feature of ORiN is that the system can be constructed flexibly. ORiN creates abstracts of the same type of devices and increases the robustness of the system for device exchange. By using ORiN technology, we are developing new applications, such as decision-making navigation or a precision guided treatment system.


Author(s):  
Betryana Agnes Pratiwi ◽  
Rusmiati Rusmiati ◽  
Setiawan Setiawan

The results of examining the number of germs in the operating room of the Jombang Nahdlatul Ulama House have fulfilled the required requirements of 153 CFU/m3, 145 CFU/m3 and 85 CFU/m3. A high number of germs will provide a great risk for nosocomial infections. The purpose of this study was to study the sterilization instructions for airborne germ rates, with a sample size of 30. The results of this study produced airborne germ before and after the sterilization process, which were 78 CFU m3, 90 CFU/m3, 91 CFU/m3, 71 CFU/m3 and 74 CFU/m3, then after the sterilization process 63 CFU/m3 , 69 CFU/m3, 60 CFU/m3, 64 CFU/m3 and 64 CFU / m3. There was a decrease in numbers from day 1 to day 5 by 15 CFU / m3, 21 CFU/m3, 31 CFU/m3, 7 CFU/m3, 10 CFU/m3. The number of germs in the operating room both before and after did not meet the required quality requirements, but there was a reduction after sterilization. The different test showed a significant difference (α<0.05) so that this study could undeniably represent the process of sterilization of the quality of airborne germ numbers in the hospital operating room. Keywords: sterilization; germ count; nosocomial infection ABSTRAK Hasil pemeriksaan angka kuman pada ruang operasi Rumah Nahdlatul Ulama Jombang 3 tahun terakhir hasilnya tdak memenuhi baku mutu yang dipersyaratkan yakni 153 CFU/m3, 145 CFU/m3 dan 85 CFU/m3. Angka kuman yang tinggi akan memberikan risiko yang besar terhadap infeksi nosokomial. Tujuan penelitian ini untuk mengetahui pengaruh sterilisasi terhadap angka kuman udara dengan jumlah sampel 30. Hasil penelitian ini menunjukkan hasil angka kuman udara sebelum dan sesudah proses sterilisasi yakni 78 CFU/m3, 90 CFU/m3, 91 CFU/m3, 71 CFU/m3 dan 74 CFU/m3, dan sesudah proses sterilisasi ialah 63 CFU m3, 69 CFU/m3, 60 CFU/m3, 64 CFU/m3 dan 64 CFU/m3. Ada penurunan angka kuman mulai hari ke-1 sampai hari ke-5 ialah 15 CFU/m3 , 21 CFU/m3, 31 CFU/m3, 7 CFU/m3, 10 CFU/m3. Angka kuman di ruang operasi baik sebelum dan sesudah tidak memenuhi baku mutu yang dipersyaratkan, tetapi terdapat penurunan sesudah dilakukannya sterilisasi. Uji beda menunjukkan terdapat perbedaan yang signifikan dimana (α<0.05) sehingga penelitian ini dapat disimpulkan adanya pengaruh proses sterilisasi terhadap kualitas angka kuman udara di ruang operasi Rumah Sakit. Kata kunci: sterilisasi; angka kuman; infeksi nosokomial.


ACI Open ◽  
2018 ◽  
Vol 02 (01) ◽  
pp. e10-e20
Author(s):  
Raluca Dees ◽  
Angela Merzweiler ◽  
Gerd Schneider ◽  
Martin Kasparick ◽  
Lars Mündermann ◽  
...  

Background Digital operating rooms (ORs), when optimally designed and integrated, can reduce the complexity of the surgery suite. However, many integrated ORs are effectively isolated from other IT systems in the hospital because there is little or no connectivity with them. Within the German flagship project OR.NET, concepts and components were developed for a standard-based connection of the OR with hospital IT systems. Objectives The aim of this work was to implement and evaluate OR.NET concepts and components within the existing IT landscape of a German university hospital. This article describes and evaluates the implemented architecture and processes for connecting a demo OR to existing hospital IT systems at Heidelberg University Hospital. Methods For the design, establishment, and evaluation of standard-based connections of the demo OR with hospital IT systems, the iterative method “Design and Creation” with four iterations was applied. Results A generic and a concrete architecture for several standard-based connection concepts of the demo OR were developed. Furthermore, the concrete architecture was implemented and evaluated for its technical and clinical relevance. The main benefits of the project were the establishment of basic requisites for improving the efficiency within the OR, easier operation of medical devices as a result of harmonized human–machine interfaces, and providing additional data for improving healthcare. Conclusion OR.NET concepts for a standard-based connection of the OR with hospital IT systems have proven to be promising. They can serve as a reference for further integration scenarios in other hospitals.


Author(s):  
Floyd W. van de Graaf ◽  
Özgür Eryigit ◽  
Johan F. Lange

Abstract The availability of intraoperative multimedia recording is increasing. Considering the growing call for physicians’ accountability, it is inevitable that multimedia will play an important role in aiding quality control by improving the adequacy of operative reporting. However, the perspectives of medical professionals on this matter are poorly known. In this cross-disciplinary survey, we aimed to investigate the current viewpoints concerning the use of multimedia recording in the operating room. We conducted an electronic survey among all affiliated members of the Association of Surgeons of the Netherlands, the Dutch Urological Association and the Dutch Society of Obstetrics and Gynecology containing questions regarding current use of intraoperative recording and the level of likelihood or objection for certain scenarios. The response rate was 27.8%. The survey encompasses 370 (54.5%) surgeons, 71 (10.5%) urologists, 80 (11.8%) gynecologists, and 158 (23.3%) residents in training. 52.4% of respondents feel that the currently used operative report is insufficient for future quality requirements. 58.5% think it is unlikely they would behave differently during surgery when intra-operative video recording is applied. 82.8% think it is unlikely that their surgical methods would be altered. 63.8% of respondents preferred only video registration when intraoperative recording is implemented. The majority of respondents agree that the current method of operative reporting is insufficient for future quality requirements. There is support for intraoperative video recording, however, legal transparency is needed before either intraoperative video or audio recording could be implemented to protect not only the patients, but also the healthcare providers.


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