Use of Time Stamp Data to Determine Direct Associations Between Predictive Error in Case Durations and Operating Room Utilization

2021 ◽  
Vol 134 (1) ◽  
pp. e1-e1 ◽  
Author(s):  
Franklin Dexter
Keyword(s):  
Operating Room ◽  
Time Stamp ◽  
Use Of Time ◽  
Predictive Error

scholarly journals Minimal Custom Pack Design and Wide-Awake Hand Surgery: Reducing Waste and Spending in the Orthopedic Operating Room

Hand ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 271-276 ◽  
Author(s):  
Cassandra L. Thiel ◽  
Rafaela Fiorin Carvalho ◽  
Lindsay Hess ◽  
Joelle Tighe ◽  
Vincent Laurence ◽  
...  
Keyword(s):  
Operating Room ◽  
Hand Surgery ◽  
Driving Factor ◽  
Waste Generation ◽  
Use Of Time ◽  
Environmental Footprints ◽  
The Us ◽  
Small Hand ◽  
Anxiety Levels ◽  
Wide Awake

Background: The US health care sector has substantial financial and environmental footprints. As literature continues to study the differences between wide-awake hand surgery (WAHS) and the more traditional hand surgery with sedation & local anesthesia, we sought to explore the opportunities to enhance the sustainability of WAHS through analysis of the respective costs and waste generation of the 2 techniques. Methods: We created a “minimal” custom pack of disposable surgical supplies expressly for small hand surgery procedures and then measured the waste from 178 small hand surgeries performed using either the “minimal pack” or the “standard pack,” depending on physician pack choice. Patients were also asked to complete a postoperative survey on their experience. Data were analyzed using 1- and 2-way ANOVAs, 2-sample t tests, and Fisher exact tests. Results: As expected, WAHS with the minimal pack produced 0.3 kg (13%) less waste and cost $125 (55%) less in supplies per case than sedation & local with the standard pack. Pack size was found to be the driving factor in waste generation. Patients who underwent WAHS reported slightly greater pain and anxiety levels during their surgery, but also reported greater satisfaction with their anesthetic choice, which could be tied to the enthusiasm of the physician performing WAHS. Conclusions: Surgical waste and spending can be reduced by minimizing the materials brought into the operating room in disposable packs. WAHS, as a nascent technique, may provide an opportunity to drive sustainability by paring back what is considered necessary in these packs. Moreover, despite some initial anxiety, many patients report greater satisfaction with WAHS. All told, our study suggests a potentially broader role for WAHS, with its concomitant emphases on patient satisfaction and the efficient use of time and resources.

Biomedical applications: Pitfalls in the practice

1994 ◽  
Vol 52 ◽  
pp. 378-379
Author(s):  
J. D. Shelburne ◽  
Peter Ingram ◽  
Victor L. Roggli ◽  
Ann LeFurgey
Keyword(s):  
Operating Room ◽  
Liquid Nitrogen ◽  
Lung Tissue ◽  
Biomedical Applications ◽  
Microprobe Analysis ◽  
Tissue Sample ◽  
Cellular Level ◽  
Tissue Samples ◽  
Asbestos Fibers

At present most medical microprobe analysis is conducted on insoluble particulates such as asbestos fibers in lung tissue. Cryotechniques are not necessary for this type of specimen. Insoluble particulates can be processed conventionally. Nevertheless, it is important to emphasize that conventional processing is unacceptable for specimens in which electrolyte distributions in tissues are sought. It is necessary to flash-freeze in order to preserve the integrity of electrolyte distributions at the subcellular and cellular level. Ideally, biopsies should be flash-frozen in the operating room rather than being frozen several minutes later in a histology laboratory. Electrolytes will move during such a long delay. While flammable cryogens such as propane obviously cannot be used in an operating room, liquid nitrogen-cooled slam-freezing devices or guns may be permitted, and are the best way to achieve an artifact-free, accurate tissue sample which truly reflects the in vivo state. Unfortunately, the importance of cryofixation is often not understood. Investigators bring tissue samples fixed in glutaraldehyde to a microprobe laboratory with a request for microprobe analysis for electrolytes.

Identification and classification of flow disruptions in the operating room during two types of general surgery procedures

2010 ◽  
Author(s):  
Sacha N. Duff ◽  
T. Christopher Windham ◽  
Douglas A. Wiegmann ◽  
Jason Kring ◽  
Jennifer D. Schaus ◽  
...  
Keyword(s):  
Operating Room ◽  
General Surgery ◽  
Flow Disruptions

Control Task Analysis in Action: Collaboration in the Operating Room

2011 ◽  
Author(s):  
Maryam Ashoori ◽  
Catherine Burns ◽  
Kathryn Momtahan ◽  
Barbara d'Entremont
Keyword(s):  
Operating Room ◽  
Task Analysis ◽  
Control Task
Sign in / Sign up

Export Citation Format

Share Document