scholarly journals Examination of the Risk of Injury to the Operating Room Staff and the Factors Affecting It

2018 ◽  
Keyword(s):  
Operating Room ◽  
Factors Affecting ◽  
Risk Of Injury ◽  
Operating Room Staff

scholarly journals Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jie Tan ◽  
James Reeves Mbori Ngwayi ◽  
Zhaohan Ding ◽  
Yufa Zhou ◽  
Ming Li ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Operating Room ◽  
World Health ◽  
Surgical Patient ◽  
Local Data ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Operating Room Staff

Abstract Background Ten years after the introduction of the Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three checklist components during elective surgical procedures in China, as well as survey operating room staff and surgeons more widely about the WHO SSC. Methods A questionnaire was designed to gain authentic views on the WHO SSC. We also conducted a prospective cross-sectional study at five level 3 hospitals. Local data collectors were trained to document specific item performance. Adverse events which delayed the operation were recorded as well as the individuals leading or participating in the three SSC components. Results A total of 846 operating room staff and surgeons from 138 hospitals representing every mainland province responded to the survey. There was widespread acceptance of the checklist and its value in improving patient safety. 860 operations were observed for SSC compliance. Overall compliance was 79.8%. Compliance in surgeon-dependent items of the ‘time-out’ component reduced when it was nurse-led (p < 0.0001). WHO SSC interventions which are omitted from the MoH SSC continued to be discussed over half the time. Overall adverse events rate was 2.7%. One site had near 100% compliance in association with a circulating inspection team which had power of sanction. Conclusion The WHO SSC remains a powerful tool for surgical patient safety in China. Cultural changes in nursing assertiveness and surgeon-led teamwork and checklist ownership are the key elements for improving compliance. Standardised audits are required to monitor and ensure checklist compliance.

Systemic Determinants in Surgery: Nonclinical Factors Affecting Time to Operation for Incarcerated Ventral Hernias

2021 ◽  
pp. 000313482110111
Author(s):  
David E. Wang ◽  
Paul J. Chung ◽  
Rafael Barrera ◽  
Gene F. Coppa ◽  
Antonio E. Alfonso ◽  
...  
Keyword(s):  
Operating Room ◽  
Negative Binomial ◽  
Private Insurance ◽  
Negative Binomial Regression ◽  
Outcome Variable ◽  
Hospital Size ◽  
Factors Affecting ◽  
Binomial Regression ◽  
Comorbidity Status ◽  
Ventral Hernias

Introduction We explore nonclinical factors affecting the amount of time from admission to the operating room for patients requiring nonelective repair of ventral hernias. Methods Using the 2005-2012 Nationwide Inpatient Sample, we identified adult patients with a primary diagnosis of ventral hernia without obstruction/gangrene, who underwent nonelective repair. The outcome variable of interest was time from admission to surgery. We performed univariate and multivariable analyses using negative binomial regression, adjusting for age, sex, race, income, insurance, admission day, comorbidity status (van Walraven score), diagnosis, procedure, hospital size, location/teaching status, and region. Results 7,253 patients met criteria, of which majority were women (n = 4,615) and white (n = 5,394). The majority of patients had private insurance (n = 3,015) followed by Medicare (n = 2,737). Median time to operation was 0 days. Univariate analysis comparing operation <1 day to ≥1 day identified significant differences in race, day of admission, insurance, length of stay, comorbidity status, hospital location, type, and size. Negative binomial regression showed that weekday admission (IRR 4.42, P < .0001), private insurance (IRR 1.53-2.66, P < .0001), rural location (IRR 1.39-1.76, P < .01), small hospital size (IRR 1.26-1.36, P < .05), white race (IRR 1.30-1.34, P < .01), healthier patients (van Walraven score IRR 1.05, P < .0001), and use of mesh (IRR 0.39-0.56, P < .02) were associated with shorter time until procedure. Conclusion Shorter time from admission to the operating room was associated with several nonclinical factors, which suggest disparities may exist. Further prospective studies are warranted to elucidate these disparities affecting patient care.

Future Directions in Robotic Neurosurgery

2021 ◽  
Author(s):  
Christopher R Wagner ◽  
Timothy Phillips ◽  
Serge Roux ◽  
Joseph P Corrigan
Keyword(s):  
Machine Learning ◽  
Operating Room ◽  
Key Factors ◽  
Future Directions ◽  
Factors Affecting ◽  
Implementation Challenges ◽  
Image Guided ◽  
Robotic Neurosurgery ◽  
Specific Technology ◽  
Technology Trends

Abstract In this paper, we highlight promising technologies in each phase of a robotic neurosurgery operation, and identify key factors affecting how quickly these technologies will mature into products in the operating room. We focus on specific technology trends in image-guided cranial and spinal procedures, including advances in imaging, machine learning, robotics, and novel interfaces. For each technology, we discuss the required effort to overcome safety or implementation challenges, as well as identifying example regulatory approved products in related fields for comparison. The goal is to provide a roadmap for clinicians as to which robotic and automation technologies are in the developmental pipeline, and which ones are likely to impact their practice sooner, rather than later.

Teamwork in Breast Cancer Surgery: Factors Affecting Success Rate and Increasing Success Rate in the Operating Room

2021 ◽  
pp. 231-244
Author(s):  
Sibel Özkan Gürdal ◽  
Sami Açar ◽  
Nuh Zafer Canturk
Keyword(s):  
Breast Cancer ◽  
Success Rate ◽  
Operating Room ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Factors Affecting

scholarly journals THE STUDY OF THE EFFECT OF ETHICAL CLIMATE ON THE UNIVERSITY STUDENTS’ EDUCATIONAL ATTITUDES IN OPERATING ROOM

2016 ◽  
pp. 105
Author(s):  
Nazanin Yousefian Miandoab ◽  
Mahnaz Shahrakipour ◽  
Sadegh Zare
Keyword(s):  
University Students ◽  
Operating Room ◽  
Ethical Climate ◽  
Statistical Tests ◽  
Medical Science ◽  
Average Score ◽  
Educational Attitudes ◽  
Factors Affecting ◽  
Objective Health ◽  
The University

<p>ABSTRACT<br />Objective: Health-care students should be properly trained to be able to solve the society problems in the future. One of the factors affecting the<br />academic progress of students is student’s educational attitudes that are affected by the factors such as their learning environment’s climate. The<br />aim of the current study is studying the ethical climate on the university students’ educational attitudes in the operating room of the medical science<br />university in Zahedan.<br />Methods: In this descriptive-analytical study, the students were selected by census method (62 students). To collect the data, a three-part questionnaire<br />was used that the first part was related to the demographic features, the second part was related to the educational attitude, and the third part was<br />related to Olson’s standard questionnaire. The data were analyzed in SPSS 19 by statistical tests, t-test, and variance analysis.<br />Results: The average age of students was 21.65±1.63 and 36 participants were female and 26 participants were male. 34 participants were educating<br />in semester 4 and 28 participants were educating semester 8. The average score of educational attitude was 87.01±9.20 and the average score of<br />ethical climate was 15.58±92.85, and the significant relationships were observed between the ethical climate and educational attitude (p=0.03).<br />Conclusion: The results of this study showed that students have a positive view of their field of study and existence ethical climate and managers, and<br />officials should try to maintain this situation, and the relationship between the ethical climate and educational attitude was significant.<br />Keywords: Educational attitude, Ethical climate, The university students, Operating rooms.</p>

scholarly journals Patient and Operating Room Staff Radiation Doses During Fenestrated/Branched Endovascular Aneurysm Repair Using Premanufactured Devices

2017 ◽  
Vol 66 (4) ◽  
pp. e90-e91
Author(s):  
Melissa Kirkwood ◽  
Khalil Chamseddin ◽  
Gary Arbique ◽  
Jeffrey Guild ◽  
David Timaran ◽  
...  
Keyword(s):  
Operating Room ◽  
Endovascular Aneurysm Repair ◽  
Radiation Doses ◽  
Aneurysm Repair ◽  
Operating Room Staff

Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitoring Performance in the Operating Room Environment

1990 ◽  
Vol 73 (5) ◽  
pp. 995-1021 ◽  
Author(s):  
Julien F. Biebuyck ◽  
Matthew B. Weinger ◽  
Carl E. Englund
Keyword(s):  
Human Factors ◽  
Operating Room ◽  
Factors Affecting ◽  
Monitoring Performance

scholarly journals Patient and operating room staff radiation dose during fenestrated/branched endovascular aneurysm repair using premanufactured devices

2018 ◽  
Vol 68 (5) ◽  
pp. 1281-1286 ◽  
Author(s):  
Melissa L. Kirkwood ◽  
Khalil Chamseddin ◽  
Gary M. Arbique ◽  
Jeffrey B. Guild ◽  
David Timaran ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Operating Room ◽  
Endovascular Aneurysm Repair ◽  
Aneurysm Repair ◽  
Operating Room Staff
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