Surgical briefings, checklists, and the creation of an environment of safety in the neurosurgical intraoperative magnetic resonance imaging suite

2012 ◽  
Vol 33 (5) ◽  
pp. E12 ◽  
Author(s):  
Gazanfar Rahmathulla ◽  
Pablo F. Recinos ◽  
David E. Traul ◽  
Rafi Avitsian ◽  
Marisa Yunak ◽  
...  
Keyword(s):  
Operating Room ◽  
Image Interpretation ◽  
Risk Zone ◽  
Technological Advances ◽  
3.0 T ◽  
Safety Considerations ◽  
Integrated Operating Room ◽  
Surgical Treatments ◽  
New Applications ◽  
Operating Room Staff

Technological advances have made it possible to seamlessly integrate modern neuroimaging into the neurosurgical operative environment. This integration has introduced many new applications improving surgical treatments. One major addition to the neurosurgical armamentarium is intraoperative navigation and MRI, enabling real-time use during surgery. In the 1970s, the American College of Radiology issued safety guidelines for diagnostic MRI facilities. Until now, however, no such guidelines existed for the MRI-integrated operating room, which is a high-risk zone requiring standardized protocols to ensure the safety of both the patient and the operating room staff. The forces associated with the strong 1.5- and 3.0-T magnets used for MRI are potent and hazardous, creating distinct concerns regarding safety, infection control, and image interpretation. Authors of this paper provide an overview of the intraoperative MRI operating room, safety considerations, and a series of checklists and protocols for maintaining safety in this zero tolerance environment.

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.

Efficiency Assessment of University-Industry Collaboration

2021 ◽  
pp. 155-175
Author(s):  
Ebru Yüksel Haliloğlu
Keyword(s):  
Industrial Development ◽  
Academic Research ◽  
Data Envelopment ◽  
Academic Knowledge ◽  
Technological Advances ◽  
Industry Collaboration ◽  
Close Cooperation ◽  
Using Data ◽  
New Applications ◽  
University Industry

Today, in addition to teaching and research roles, universities are one of major drivers of economic development and technological progress in society. To propagate technological innovation and industrial development, to implement output of academic research in practice universities should be in close cooperation with industry. University-industry collaborations have various benefits both for universities and industry. Universities gain additional funds for academic research, apply academic knowledge to industry; industry benefits from skilled human resources, new applications, and technological advances. Since university-industry collaborations have great mutual benefits for all partners, it is important to administer these operations effectively. Therefore, it is central to develop some efficiency indicators and efficiency measurement methods so that productive projects can be selected and funded more. This study aims to outline a framework on determinants of university-industry collaboration efficiency and construct a benchmark model to evaluate it using data envelopment analysis.

An IoT-Based Platform for Rehabilitation Monitoring and Biosignal Identification

2018 ◽  
Vol 6 (1) ◽  
pp. 1-19
Author(s):  
Volkhard Klinger
Keyword(s):  
Embedded System ◽  
Medical Technology ◽  
State Of The Art ◽  
Technological Advances ◽  
Measurement Signal ◽  
The Embedded System ◽  
Prosthesis Control ◽  
New Applications ◽  
The Given ◽  
The Internet Of Things

This article describes how as a result of technological advances of the embedded system, the Internet-of-Things (IoT) has created a wealth of new applications and tailored solutions, even in the area of health and medical technology. The integration of state-of-the-art IoT-systems in an existing prototype platform for biosignal acquisition, identification, and prosthesis control provides new applications for prevention and rehabilitation monitoring. This article concentrates on an IoT-based platform for rehabilitation monitoring and biosignal identification. The IoT-characteristics for the application in the area of medical technology are discussed and the integration of such IoT-modules in the given architecture is introduced. Based on this extended architecture, new applications in the field of biosignal measurement, signal processing and biosignal monitoring are presented. Some results of a rehabilitation monitoring system, based on a self-designed IoT-module, integrated in the whole platform, are shown.

scholarly journals Strategies for in vitro engineering of the translation machinery

2019 ◽  
Vol 48 (3) ◽  
pp. 1068-1083 ◽  
Author(s):  
Michael J Hammerling ◽  
Antje Krüger ◽  
Michael C Jewett
Keyword(s):  
Chemical Biology ◽  
Protein Biosynthesis ◽  
Future Directions ◽  
Translation Machinery ◽  
Transfer Rnas ◽  
Translation Factors ◽  
Technological Advances ◽  
Translation Techniques ◽  
New Applications

Abstract Engineering the process of molecular translation, or protein biosynthesis, has emerged as a major opportunity in synthetic and chemical biology to generate novel biological insights and enable new applications (e.g. designer protein therapeutics). Here, we review methods for engineering the process of translation in vitro. We discuss the advantages and drawbacks of the two major strategies—purified and extract-based systems—and how they may be used to manipulate and study translation. Techniques to engineer each component of the translation machinery are covered in turn, including transfer RNAs, translation factors, and the ribosome. Finally, future directions and enabling technological advances for the field are discussed.

Development and experimental evaluation of an alarm concept for an integrated surgical workstation

2016 ◽  
Vol 61 (2) ◽  
Author(s):  
Eva-Maria Zeißig ◽  
Armin Janß ◽  
Jasmin Dell’Anna-Pudlik ◽  
Martina Ziefle ◽  
Klaus Radermacher
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Primary Task ◽  
Technical Equipment ◽  
Open Communication ◽  
Memory Efficiency ◽  
Efficiency And Effectiveness ◽  
Perceived Workload ◽  
Integrated Operating Room ◽  
Speed Accuracy

AbstractAlarm conditions of the technical equipment in operating rooms represent a prevalent cause for interruptions of surgeons and scrub nurses, resulting in an increase of workload and potential reduction of patient safety. In this work, an alarm concept for an integrated operating room system based on open communication standards is developed and tested.In a laboratory experiment, the reactions of surgeons were analysed, comparing the displaying of alarms on an integrated workstation and on single devices: disruptive effects of alarm handling on primary task (ratings of perceived distraction, resumption lag, deterioration of speed, accuracy, and prospective memory), efficiency and effectiveness of identification of alarms, as well as perceived workload were included.The identification of the alarm cause is significantly more efficient and effective with the integrated alarm concept. Moreover, a slightly lower deterioration of performance of the primary task due to the interruption of alarm handling was observed.Displaying alarms on an integrated workstation supports alarm handling and consequently reduces disruptive effects on the primary task. The findings show that even small changes can reduce workload in a complex work environment like the operating room, resulting in improved patient safety.

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

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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