scholarly journals Surgical Workflow Simulation for the Design and Assessment of Operating Room Setups in Orthopedic Surgery

2019 ◽  
Author(s):  
Juliane Neumann ◽  
Christine Angrick ◽  
Celina Höhn ◽  
Dirk Zajonz ◽  
Mohamed Ghanem ◽  
...  

Abstract Background: The design and internal layout of modern operating rooms are influencing the team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Nevertheless, there is no objective method for the assessment and design of the personnel and table positions for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty. Methods: With the help of computer simulation techniques, a method for the objective design and assessment of enhanced OR setups was developed. In this work, new OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Results: The implementation of improved OR setups reduces the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortens the procedure duration. Additionally, the ergonomics of the OR staff were improved. Conclusion: The developed simulation method was intraoperatively evaluated and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.

2019 ◽  
Author(s):  
Juliane Neumann ◽  
Christine Angrick ◽  
Celina Höhn ◽  
Dirk Zajonz ◽  
Mohamed Ghanem ◽  
...  

Abstract Background The design and internal layout of modern operating rooms are influencing the team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Nevertheless, there is no objective method for the assessment and design of the personnel and table positions for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty. Methods With the help of computer simulation techniques, a method for the objective design and assessment of enhanced OR setups was developed. In this work, new OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Results The implementation of improved OR setups reduces the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortens the procedure duration. Additionally, the ergonomics of the OR staff were improved. Conclusion The developed simulation method was intraoperatively evaluated and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.


2020 ◽  
Author(s):  
Juliane Neumann ◽  
Christine Angrick ◽  
Celina Höhn ◽  
Dirk Zajonz ◽  
Mohamed Ghanem ◽  
...  

Abstract Background The design and internal layout of modern operating rooms are influencing the team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Nevertheless, there is no objective method for the assessment and design of the personnel and table positions for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty. Methods With the help of computer simulation techniques, a method for the objective design and assessment of enhanced OR setups was developed. In this work, new OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Results The implementation of improved OR setups reduces the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortens the procedure duration. Additionally, the ergonomics of the OR staff were improved. Conclusion The developed simulation method was intraoperatively evaluated and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.


2019 ◽  
Author(s):  
Juliane Neumann ◽  
Christine Angrick ◽  
Celina Höhn ◽  
Dirk Zajonz ◽  
Mohamed Ghanem ◽  
...  

Abstract Background The design and internal layout of modern operating rooms are influencing the team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Nevertheless, there is no objective method for the assessment and design of the personnel and table positions for different surgical disciplines and intervention types available. The aim of this work is to establish an optimal OR setup for common procedures in arthroplasty.Methods With the help of computer simulation techniques, a method for the objective design and assessment of optimal OR setups was developed. In this work, new OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting.Results It was shown that the implementation of an optimized OR setup reduces the intraoperative instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shorten the procedure duration. Additionally, the ergonomics of the OR staff could be improved.Conclusion The developed simulation method was intraoperatively evaluated and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, optimized setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.


2020 ◽  
Author(s):  
Juliane Neumann ◽  
Christine Angrick ◽  
Celina Höhn ◽  
Dirk Zajonz ◽  
Mohamed Ghanem ◽  
...  

Abstract Background: The design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Yet, there is no objective method for the assessment and design of operating room setups for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty. Methods With the help of computer simulation, a method for the design and assessment of enhanced OR setups was developed. New OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Thereby, a 3D graphical simulation representation enabled the strong involvement of clinical stakeholders in all phases of the design and decision-making process of the new setup alternatives. Results The implementation of improved OR setups reduced the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortened the procedure duration. Additionally, the ergonomics of the OR staff were improved. Conclusion The developed simulation method was evaluated in the actual intraoperative setting and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.


2020 ◽  
Author(s):  
Juliane Neumann ◽  
Christine Angrick ◽  
Celina Höhn ◽  
Dirk Zajonz ◽  
Mohamed Ghanem ◽  
...  

Abstract Background: The design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Yet, there is no objective method for the assessment and design of operating room setups for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty. Methods With the help of computer simulation, a method for the design and assessment of enhanced OR setups was developed. New OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Thereby, a 3D graphical simulation representation enabled the strong involvement of clinical stakeholders in all phases of the design and decision-making process of the new setup alternatives. Results The implementation of improved OR setups reduced the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortened the procedure duration. Additionally, the ergonomics of the OR staff were improved. Conclusion The developed simulation method was evaluated in the actual intraoperative setting and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.


1986 ◽  
Vol 64 (11) ◽  
pp. 2624-2633 ◽  
Author(s):  
Peter F. Major ◽  
Lawrence M. Dill ◽  
David M. Eaves

Three-dimensional interactions between grouped aerial predators (frontal discs of aircraft engines), either linearly arrayed or clustered, and flocks of small birds were studied using interactive computer simulation techniques. Each predator modelled was orders of magnitude larger than an individual prey, but the prey flock was larger than each predator. Expected numbers of individual prey captured from flocks were determined for various predator speeds and trajectories, flock–predator initial distances and angles, and flock sizes, shapes, densities, trajectories, and speeds. Generally, larger predators and clustered predators caught more prey. The simulation techniques employed in this study may also prove useful in studies of predator–prey interactions between schools or swarms of small aquatic prey species and their much larger vertebrate predators, such as mysticete cetaceans.The study also provides a method to study problems associated with turbine aircraft engine damage caused by the ingestion of small flocking birds, as well as net sampling of organisms in open aquatic environments.


SIMULATION ◽  
1967 ◽  
Vol 9 (4) ◽  
pp. 181-190 ◽  
Author(s):  
Daniel Tiechroew ◽  
John Francis Lubin ◽  
Thomas D. Truitt

A draft of this paper was prepared for the Workshop on Simu lation Languages, Graduate School of Business, Stanford Univer sity, March 6 and 7, 1964. The paper has benefited from sugges tions from participants at the Workshop, particularly Michael Montalbano, and from projects carried out by students in the Graduate School of Business: H. Barnett, H. Guichelaar, Lloyd Krause, John P. Seagel, Charles Turk, Victor Preisser. The paper has also benefited from discussions held in connection with the Workshop on Simulation Languages, University of Pennsylvania, March 17 and 18, 1966. Characteristics of computer languages and software packages change rapidly. Some statements in the paper were originally intended for the situation current in March, 1964. Where signifi cant changes have occurred the text has been modified.


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