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Sample records for operating room nursing

  1. Before operating room nursing journals: operating room nursing in the pages of the Canadian Nurse 1940-1960.

    Science.gov (United States)

    Moszczynski, Alice

    2010-09-01

    The Canadian Nurses Association (CNA) values learning from nursing history to provide a contextual perspective in understanding how past events have shaped current nursing practice. Until the publication of operating room nursing journals, Canada's national nursing journal, The Canadian Nurse, served as an educational and professional resource for those nurses working in the operating room and for nurses whose work was related to, or connected with, the operating room. A historical review of early issues of The Canadian Nurse (first published in 1905) reveals a substantial amount of content related to operating room nursing in the twenty year period, beginning in the 1940s, that predated the existence of OR specialty journals. The content was, for the time, both detailed and informative. It was through this journal that operating room nurses, indeed all Canadian nurses, learned about new advances, employment opportunities, educational programs, professional associations, and the achievements of those in the profession. Operating Room Nursing, as an isolated and quickly emerging specialty, was introduced to other nurses via items in The Canadian Nurse journal.

  2. Workplace culture among operating room nurses.

    Science.gov (United States)

    Eskola, Suvi; Roos, Mervi; McCormack, Brendan; Slater, Paul; Hahtela, Nina; Suominen, Tarja

    2016-09-01

    To investigate the workplace culture in the Operating Room (OR) environment and the factors associated with it. In health care, the workplace culture affects the delivery and experience of care. The OR can be a stressful practice environment, where nurses might have occasionally either job stress or job satisfaction based on their competence. A quantitative cross-sectional approach was used. The study consisted of 96 Finnish OR nurses. A Nursing Context Index instrument was used to obtain data by way of an electronic questionnaire. The primary role and working unit of respondents were the main components relating to workplace culture, and especially to job stress. Nurse anaesthetists were found to be slightly more stressed than scrub nurses. In local hospitals, job stress related to workload was perceived less than in university hospitals (P = 0.001). In addition, OR nurses in local hospitals were more satisfied with their profession (P = 0.007), particularly around issues concerning adequate staffing and resources (P = 0.001). It is essential that nurse managers learn to recognise the different expressions of workplace culture. In particular, this study raises a need to recognise the factors that cause job stress to nurse anaesthetists. © 2016 John Wiley & Sons Ltd.

  3. A Learning Needs Assessment of Operating Room Nurses.

    Science.gov (United States)

    Pounds, Elizabeth; Littlefield, John H.

    Operating room nursing is not a formal part of the generic nursing curriculum. A learning needs assessment can serve to identify inservice education needs of operating nurses. In this study, a factor analysis was performed on the responses of 1,201 practicing operating room nurses to a list of 24 behaviorally-stated learning needs. Four factors,…

  4. Foucault could have been an operating room nurse.

    Science.gov (United States)

    Riley, Robin; Manias, Elizabeth

    2002-08-01

    Operating room nursing is an under-researched area of nursing practice. The stereotypical image of operating room nursing is one of task- and technically-orientated aspects of practice, where nurses work in a medical model and are dominated by constraints from outside their sphere of influence. This paper explores the possibility of understanding operating room nursing in a different way. Using the work of Michel Foucault to analyse the work of operating room nursing, this paper argues the relevance of the framework for a more in-depth analysis of this specialty area of practice. The concepts of power, discipline and subjectivity are used to demonstrate how operating room nursing is constructed as a discipline and how operating room nurses act to govern and construct the specialty. Exemplars are drawn from extensive professional experience, from guidelines of professional operating room nursing associations, as well as published texts. The focus is predominantly on the regulation of space and time to maintain the integrity of the sterile surgical field and issues of management, as well as the use of the ethical concept of the 'surgical conscience'. This form of analysis provides a level and depth of inquiry that has rarely been undertaken in operating room nursing. As such, it has the potential to provide a much needed, different view of operation room nursing that can only help to strengthen its professional foundations and development.

  5. Quality of life of nurses in the operating room

    Directory of Open Access Journals (Sweden)

    Raquel Murano Alfaia dos Santos

    2009-03-01

    Full Text Available Objective: To evaluate the quality of life of operating room nurses and collect their opinions as to the influence their professional activity exerts on their quality of life. Methods: This was a cross-sectional study carried out on a sample of 24 nurses that work in the operating room of a large private hospital in the city of São Paulo. Two questionnaires were applied; one was designed by the authors of this research project, and the other was the Quality of Life Questionnaire (WHOQOL-BREF. Rresults: As to quality of life, the environment domain obtained the highest score, while the psychological domain obtained the lowest. When asked if their professional activity in the operating room influenced their quality of life, most responded affirmatively. Regarding the justifications offered by the nurses for the influence of their professional activity on their quality of life, 50% mentioned environment-related stress, responsibilities, duties, risk situations, relationships with the multiprofessional team, and the type of work carried out in the operating room. Cconclusions: The psychological domain obtained the lowest score in the nurse quality of life evaluation, pointing out the need to facilitate and/or encourage nurses to seek psychological support. As to the influence of their professional activity on their quality of life, the nurses mentioned stress related to their work environment and professional activities in the operating room. This highlights the importance of managers in this area, paying greater attention to the individual and collective needs of their employees.

  6. Are operating room nurses at higher risk of severe persistent asthma? The Nurses' Health Study.

    NARCIS (Netherlands)

    Moual, N. le; Varraso, R.; Zock, J.P.; Henneberger, P.; Speizer, F.E.; Kauffmann, F.; Camargo, C.A.

    2013-01-01

    Objective: To assess the associations between operating room (OR) nursing, a category of health care workers at high risk of exposure to various inhaled agents, and asthma severity/control among women with asthma. Methods: The level of severity/control in nurses with prevalent doctor-diagnosed asthm

  7. Student Registered Nurse Anesthetists' Atittudes toward and Perceptions of Teamwork in the Operating Room

    Science.gov (United States)

    Heiner, Jeremy S.

    2013-01-01

    Student registered nurse anesthetists are an important part of an operating room team, yet little research has investigated how they perceive teamwork or approach team related issues specific to the operating room. This mixed methods study evaluated junior and senior student registered nurse anesthetists' attitudes toward and perceptions of…

  8. Student Registered Nurse Anesthetists' Atittudes toward and Perceptions of Teamwork in the Operating Room

    Science.gov (United States)

    Heiner, Jeremy S.

    2013-01-01

    Student registered nurse anesthetists are an important part of an operating room team, yet little research has investigated how they perceive teamwork or approach team related issues specific to the operating room. This mixed methods study evaluated junior and senior student registered nurse anesthetists' attitudes toward and perceptions of…

  9. Factors related to teamwork performance and stress of operating room nurses.

    Science.gov (United States)

    Sonoda, Yukio; Onozuka, Daisuke; Hagihara, Akihito

    2017-07-25

    To evaluate operating room nurses' perception of teamwork performance and their level of mental stress and to identify related factors. Little is known about the factors affecting teamwork and the mental stress of surgical nurses, although the performance of the surgical team is essential for patient safety. The questionnaire survey for operation room nurses consisted of simple questions about teamwork performance and mental stress. Multivariate analyses were used to identify factors causing a sense of teamwork performance or mental stress. A large number of surgical nurses had a sense of teamwork performance, but 30-40% of operation room nurses were mentally stressed during surgery. Neither the patient nor the operation factors were related to the sense of teamwork performance in both types of nurses. Among scrub nurses, endoscopic and abdominal surgery, body mass index, blood loss and the American Society of Anesthesiologists physical status class were related to their mental stress. Conversely, circulating nurses were stressed about teamwork performance. The factors related to teamwork performance and mental stress during surgery differed between scrub and circulating nurses. Increased support for operation room nurses is necessary. The increased support leads to safer surgical procedures and better patient outcomes. © 2017 John Wiley & Sons Ltd.

  10. Undergraduate surgical nursing preparation and guided operating room experience: A quantitative analysis.

    Science.gov (United States)

    Foran, Paula

    2016-01-01

    The aim of this research was to determine if guided operating theatre experience in the undergraduate nursing curricula enhanced surgical knowledge and understanding of nursing care provided outside this specialist area in the pre- and post-operative surgical wards. Using quantitative analyses, undergraduate nurses were knowledge tested on areas of pre- and post-operative surgical nursing in their final semester of study. As much learning occurs in nurses' first year of practice, participants were re-tested again after their Graduate Nurse Program/Preceptorship year. Participants' results were compared to the model of operating room education they had participated in to determine if there was a relationship between the type of theatre education they experienced (if any) and their knowledge of surgical ward nursing. Findings revealed undergraduates nurses receiving guided operating theatre experience had a 76% pass rate compared to 56% with non-guided or no experience (p < 0.001). Graduates with guided operating theatre experience as undergraduates or graduate nurses achieved a 100% pass rate compared to 53% with non-guided or no experience (p < 0.001). The research informs us that undergraduate nurses achieve greater learning about surgical ward nursing via guided operating room experience as opposed to surgical ward nursing experience alone.

  11. Determination of Anger Expression and Anger Management Styles and an Application on Operating Room Nurses

    Directory of Open Access Journals (Sweden)

    Hülya Aslan

    2016-12-01

    Full Text Available This research has been carried out in order to determine anger expression and anger management styles in operating room nurses. By applying an in-depth interview technique on operating room nurses working in a private hospital, a qualitative study has been performed in order to determine anger expression and anger management styles in operating room nurses. The interview consisted of ten questions such as demographic questions addressing the workers’ age, sex, education level and duration of employment in the organization they work, aiming to determine their anger expression and anger management styles. Since operating room environments contain various risk factors, and require active team work in a stressful dynamic setting under excessive workload, , it has been found that operating room nurses display their anger through loud speaking, fail to settle their anger positively, fail to control their anger in a behavioural pattern despite their cognitive awareness in anger management. Thus, it has been suggested that operating room nurses should be trained on anger management methods so that they can manage their anger in a stressful operating room environment.

  12. Mobile devices in the operating room: Intended and unintended consequences for nurses' work.

    Science.gov (United States)

    Sergeeva, Anastasia; Aij, Kjeld; van den Hooff, Bart; Huysman, Marleen

    2016-12-01

    This article reports the results of a case study of the consequences of mobile device use for the work practices of operating room nurses. The study identifies different patterns of mobile technology use by operating room nurses, including both work-related and non-work-related use. These patterns have multiple consequences for nurses, such as improvements in information access, e-learning and work-related communication, as well as a perceived increase in distractions from the collaborative work. We conceptualize these consequences in terms of three level effects and explain how we find both positive and negative consequences on the third level. On the positive side, improvements were found in how nurses spent their unoccupied time during the stable parts of operations, contributing to their well-being and job satisfaction. A negative consequence was the perceived increase in distraction from the collaborative operating room work practices.

  13. Predicting Correct Body Posture based on Theory of Planned Behavior in Iranian Operating Room Nurses

    OpenAIRE

    BAHAREH ABEDI; RABIOLLAH FARMANBAR1; SAEED OMIDI; MAHDI JAHANGIR BLOURCHIAN

    2015-01-01

    Due to the importance of correct posture for preventing musculoskeletal disorders, the purpose of this study was to evaluate Theory of Planned Behavior in Predicting correct Body Posture in operating room nurses.In this cross-sectional study, participants (n=100) were nurses from five hospitals located in northern Iran. Participants completed demographic data and theory of planned behavior construct Questionnaires. In addition, the researcher checked the Body Posture of nurses by Rapid Entire...

  14. The meaning of care for operating room nursing

    OpenAIRE

    Cléton Salbego; Carla da Silveira Dornelles; Patrícia Bitencourt Toscani Greco; Vânia Marta Pradebon; Gabriela Fávero Alberti

    2016-01-01

    Objective: to understand the meaning of care for nursing technicians who work in the Surgical Center of a general hospital in the western border of Rio Grande do Sul/Brazil. Methods: this is a qualitative research, with an exploratory and descriptive approach. The technique used for data collection was a semi-structured interview and notes from the field diary were available for support. The respondents were eight nursing technicians of the Surgical Center. Results: it can be emphasized that ...

  15. Assessment of nursing students' stress levels and coping strategies in operating room practice.

    Science.gov (United States)

    Yildiz Findik, Ummu; Ozbas, Ayfer; Cavdar, Ikbal; Yildizeli Topcu, Sacide; Onler, Ebru

    2015-05-01

    The aim of this study was to evaluate the stress levels and stress coping strategies of nursing students in their first operating room experience. This descriptive study was done with 126 nursing students who were having an experience in an operating room for the first time. Data were collected by using Personal Information Form, Clinical Stress Questionnaire, and Styles of Coping Inventory. The nursing students mostly had low clinical stress levels (M = 27.56, SD = 10.76) and adopted a self-confident approach in coping with stress (M = 14.3, SD = 3.58). The nursing students generally employed a helpless/self-accusatory approach among passive patterns as their clinical stress levels increased, used a self-confident and optimistic approach among active patterns as their average age increased, and those who had never been to an operating room previously used a submissive approach among passive patterns. The results showed that low levels of stress caused the nursing students to use active patterns in coping with stress, whereas increasing levels of stress resulted in employing passive patterns in stress coping. The nursing students should be ensured to maintain low levels of stress and use active patterns in stress coping.

  16. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

    Science.gov (United States)

    Makary, Martin A; Sexton, J Bryan; Freischlag, Julie A; Holzmueller, Christine G; Millman, E Anne; Rowen, Lisa; Pronovost, Peter J

    2006-05-01

    Teamwork is an important component of patient safety. In fact, communication errors are the most common cause of sentinel events and wrong-site operations in the US. Although efforts to improve patient safety through improving teamwork are growing, there is no validated tool to scientifically measure teamwork in the surgical setting. Operating room personnel in 60 hospitals were surveyed using the Safety Attitudes Questionnaire. Surgeons, anesthesiologists, certified registered nurse anesthetists, and operating room nurses rated their own peers and each other using a 5-point Likert scale (1 = very low, 5 = very high). Overall response rate was 77.1% (2,135 of 2,769). Ratings of teamwork differed substantially by operating room caregiver type, with the greatest differences in ratings shown by physicians: surgeons (F[4, 2058] = 41.73, p teamwork exist in the operating room, with physicians rating the teamwork of others as good, but at the same time, nurses perceive teamwork as mediocre. Given the importance of communication and collaboration in patient safety, health care organizations should measure teamwork using a scientifically valid method. The Safety Attitudes Questionnaire can be used to measure teamwork, identify disconnects between or within disciplines, and evaluate interventions aimed at improving patient safety.

  17. 手术室巡回护士的护理工作%Operating Room Nurses Tour of Nursing Work

    Institute of Scientific and Technical Information of China (English)

    李安祥

    2015-01-01

    the operating room is the place that provide patients with surgery and rescue,is an important technology of the hospital departments.operating room should have with different surgery department,but also with the guard room,anesthesia recovery room in the blood bank,etc.Pays special attention to the incision infection management of four ways, namely:the operating room air, the items needed for the operation,the ifngers of the doctors and nurses and the patient’s skin,prevent infection,to ensure the success rate of surgery.request reasonable design, equipment is well-found,the nurses work is responsive,quick,efifcient work efifciency.Patients into the operating room nursing work to be done by a visiting nurse.%手术室是为病人提供手术及抢救的场所,是医院的重要技术部门。手术室应与手术科室相接连,还要与血库、临护室、麻醉复苏室等临近。抓好手术切口感染四条途径的环节管理,即:手术室的空气、手术所需的物品、医生护士的手指及病人的皮肤,防止感染,确保手术成功率。要求设计合理,设备齐全,护士工作反应灵敏、快捷,有高效的工作效率。患者进入手术室的护理工作由巡回护士完成。

  18. 浅谈手术室的整体护理%Operating Room Holistic Nursing

    Institute of Scientific and Technical Information of China (English)

    王丽娜

    2015-01-01

    This paper discusses the operation room nursing work not only with technical operation, simple operation, should also pay attention to humanistic care operation patients. Master the communication skills. In the process of nursing operation should take the patient as the center to respect the rights of people to serve patients. Caring patients is all care as the starting point and destination, to realize the whole process of operation of holistic nursing. The effective implementation of holistic nursing operation room will improve patient's satisfaction to our work to change from passive to active nursing care.%本文论述了手术室的护理工作不能仅限于配合手术等单纯的技术操作,也应该注重手术患者的人文关怀,掌握沟通技巧。在进行各项护理操作过程中,都要以患者为中心开展,尊重患者的权利,服务于患者。把对患者的关怀作为一切护理工作的出发点和归宿,真正实现手术全过程整体化护理。手术室整体护理模式的有效实施将会提高患者就医满意度,把我们的工作由被动护理转变为主动护理。

  19. Countermeasures for nursing errors in operation room%手术室护理差错的防范对策

    Institute of Scientific and Technical Information of China (English)

    李淑文

    2015-01-01

    本文分析手术室护理差错的原因及防范对策,最大限度防止护理差错的发生。%this paper analyzes the causes of nursing errors in operation room and its preventive measures,and can prevent the occurrence of nursing errors..

  20. The operating room case-mix problem under uncertainty and nurses capacity constraints.

    Science.gov (United States)

    Yahia, Zakaria; Eltawil, Amr B; Harraz, Nermine A

    2016-12-01

    Surgery is one of the key functions in hospitals; it generates significant revenue and admissions to hospitals. In this paper we address the decision of choosing a case-mix for a surgery department. The objective of this study is to generate an optimal case-mix plan of surgery patients with uncertain surgery operations, which includes uncertainty in surgery durations, length of stay, surgery demand and the availability of nurses. In order to obtain an optimal case-mix plan, a stochastic optimization model is proposed and the sample average approximation method is applied. The proposed model is used to determine the number of surgery cases to be weekly served, the amount of operating rooms' time dedicated to each specialty and the number of ward beds dedicated to each specialty. The optimal case-mix selection criterion is based upon a weighted score taking into account both the waiting list and the historical demand of each patient category. The score aims to maximizing the service level of the operating rooms by increasing the total number of surgery cases that could be served. A computational experiment is presented to demonstrate the performance of the proposed method. The results show that the stochastic model solution outperforms the expected value problem solution. Additional analysis is conducted to study the effect of varying the number of ORs and nurses capacity on the overall ORs' performance.

  1. 手术室护士的护理体会%Nursing experience of nurses in operation room

    Institute of Scientific and Technical Information of China (English)

    王瑞霞

    2015-01-01

    With the continuous development of medical model, nursing mode has changed fundamentally, from the treatment of disease as the center to the recovery of the body and mind as the center. Which requires nursing staff should continue to enhance their quality of care, especially in the operating room nurses, to do a good job in the comprehensive preoperative, intraoperative and postoperative nursing, take the initiative and enthusiasm to contact with the patient, in-depth understanding of patient physiological and psychological characteristics, in order to enable the patient to security successfully survive the surgery, and improve the postoperative quality of life.%随着医学模式的不断发展,护理模式发生了根本性的改变,从以治疗疾病为中心转变为以病人的身心恢复为中心。这就要求护理人员应不断提升自身的护理素质,尤其是手术室护士,要做好术前、术中、术后全面的护理,主动热情地接触病人,深入了解病人的生理、心理特点,以使病人能够安全顺利地度过手术关,提高术后生活质量。

  2. Time-motion analysis of clinical nursing documentation during implementation of an electronic operating room management system for ophthalmic surgery.

    Science.gov (United States)

    Read-Brown, Sarah; Sanders, David S; Brown, Anna S; Yackel, Thomas R; Choi, Dongseok; Tu, Daniel C; Chiang, Michael F

    2013-01-01

    Efficiency and quality of documentation are critical in surgical settings because operating rooms are a major source of revenue, and because adverse events may have enormous consequences. Electronic health records (EHRs) have potential to impact surgical volume, quality, and documentation time. Ophthalmology is an ideal domain to examine these issues because procedures are high-throughput and demand efficient documentation. This time-motion study examines nursing documentation during implementation of an EHR operating room management system in an ophthalmology department. Key findings are: (1) EHR nursing documentation time was significantly worse during early implementation, but improved to a level near but slightly worse than paper baseline, (2) Mean documentation time varied significantly among nurses during early implementation, and (3) There was no decrease in operating room turnover time or surgical volume after implementation. These findings have important implications for ambulatory surgery departments planning EHR implementation, and for research in system design.

  3. [Nursing professionals and health care assistants' perception of patient safety culture in the operating room].

    Science.gov (United States)

    Bernalte-Martí, Vicente; Orts-Cortés, María Isabel; Maciá-Soler, Loreto

    2015-01-01

    To assess nursing professionals and health care assistants' perceptions, opinions and behaviours on patient safety culture in the operating room of a public hospital of the Spanish National Health Service. To describe strengths and weaknesses or opportunities for improvement according to the Agency for Healthcare Research and Quality criteria, as well as to determine the number of events reported. A descriptive, cross-sectional study was conducted using the Spanish version of the questionnaire Hospital Survey on Patient Safety Culture. The sample consisted of nursing professionals, who agreed to participate voluntarily in this study and met the selection criteria. A descriptive and inferential analysis was performed depending on the nature of the variables and the application conditions of statistical tests. Significance if p < .05. In total, 74 nursing professionals responded (63.2%). No strengths were found in the operating theatre, and improvements are needed concerning staffing (64.0%), and hospital management support for patient safety (52.9%). A total of 52.3% (n = 65) gave patient safety a score from 7 to 8.99 (on a 10 point scale); 79.7% (n = 72) reported no events last year. The total variance explained by the regression model was 0.56 for "Frequency of incident reporting" and 0.26 for "Overall perception of safety". There was a more positive perception of patient safety culture at unit level. Weaknesses have been identified, and they can be used to design specific intervention activities to improve patient safety culture in other nearby operating theatres. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  4. Assessment of Clinical Stressful Factors Among Academic Students of Nursing and Operating Room of Dezful University of Medical Sciences (2015

    Directory of Open Access Journals (Sweden)

    Mojtaba Raji

    2016-07-01

    Full Text Available Background and Objective: Nursing students are exposed to clinical environmental stresses in addition to educational environmental stresses. The aim of this study was to assessment of clinical stressful factors among Academic Students of Nursing and Operating Room of Dezful University of Medical Sciences in 2015.Materials and Methods: This study was a description-analytical study with 234 students of nursing and operation room up to two semesters for enrolled. Data was using a self-made researcher Questionnaire consisted of demographic information and clinical stressful factors. Data analysis was performed by descriptive and inferential statistics using SPSS-PC (v.20.Results: The findings showed that the main stressors in students of nursing and operation room were unpleasant emotions and least stressful areas were interpersonal communication in a clinical environment. The results showed that the average score of the field of education and humiliating experiences using Spearman correlation test (P=0/045 (r=0/16.Conclusion: Study showed, the mean stress is the moderate level. Stressful areas obtained in the four areas of personal communication, clinical practice stressful, unpleasant feelings and humiliating experience that fortunately, in many cases reform and change.

  5. Predicting Correct Body Posture based on Theory of Planned Behavior in Iranian Operating Room Nurses

    National Research Council Canada - National Science Library

    BAHAREH ABEDI; RABIOLLAH FARMANBAR1; SAEED OMIDI; MAHDI JAHANGIR BLOURCHIAN

    2015-01-01

    Due to the importance of correct posture for preventing musculoskeletal disorders, the purpose of this study was to evaluate Theory of Planned Behavior in Predicting correct Body Posture in operating room...

  6. Nursing Experience of the Nurse Preoperative Visit in Operation Room%手术室护士术前访视的护理体会

    Institute of Scientific and Technical Information of China (English)

    孙红玉

    2013-01-01

    An operating room nurse must understand the psychological status of patients and gives them appropriate psychological nursing to make patients actively cooperate with the surgical treatment, which is very important for the success of operation. This ar-ticle analyzes and discusses how to perform preoperative visit well for nurses in operation room.%  作为一名手术室护士,必须了解手术患者的心理状态,给予患者适当的心理护理,使其积极地配合手术治疗,这对手术的成功极为重要。文章对手术室护士如何做好术前访视进行了分析和探讨。

  7. Nursing Work in Operation Room%浅谈手术室护理工作职业

    Institute of Scientific and Technical Information of China (English)

    赵凤凤

    2015-01-01

    本文的主要目的在于研究在临床工作的过程中,手术室护理工作职业存在的一些危害因素,以及研究产生这些危害因素的内在原因是什么,以及我们如何解决这些危险性因素,从而保障护理人员的健康。促使护理人员在手术室护理工作中能够实现自我保护。减少在护理过程中引发的一系列职业病,保障手术室护理人员的身体健康。%The main purpose of this paper is to study some harmful factors in the course of clinical work, and to study the inherent causes of these harmful factors, and how to solve these risk factors, so as to ensure the health of nursing staf . To promote the nursing staf in operation room nursing work to achieve self protection. Reduce a series of occupational diseases caused by the nursing process, ensure the health of nursing staf in operation room.

  8. 循证护理在手术室的应用%Evidence-based nursing application in operation room

    Institute of Scientific and Technical Information of China (English)

    车南飞

    2011-01-01

    Objective To investigate the model of evidence - based nursing application in operation room. Methods Based on the model of evidence - based nursing, hypothermia, pressure ulcer in perioperative and postoperative cervicobrachialgia pain after laparoscopic operation were all clinically analyzed. Results Following the model of evidence- based nursing, compared with the common practice, hypothermia, pressure ulcer in the perioperative and postoperative cervicobrachialgia after laparoscopic all achieved significant results. Conclusion The model of evidence -based nursing application in operation room could obtain better effects.%目的 探讨循证护理模式在手术室的应用.方法根据循证护理模式,对手术常见的压疮、低体温、腹腔镜手术后引起的颈肩痛进行循证护理研究.结果遵循循证护理模式后,手术常见的压疮、低体温、腹腔镜手术后引起的颈肩痛与既往所采取常规措施比较,均取得良好效果.结论在手术室工作中遵循循证护理模式,可取得良好效果,值得推广.

  9. Nursing care system development for patients with cleft lip-palate and craniofacial deformities in operating room Srinagarind Hospital.

    Science.gov (United States)

    Riratanapong, Saowaluck; Sroihin, Waranya; Kotepat, Kingkan; Volrathongchai, Kanittha

    2013-09-01

    For a successful surgical outcome for patients with cleft lip/palate (CLP), the attending nurses must continuously develop their potential, knowledge, capacity and skills. The goal is to meet international standards of patient safety and efficiency. To assess and improve the nursing care system for patients with CLP and craniofacial deformities at the operating room (OR), Srinagarind Hospital, Khon Kaen University. Data were collected for two months (between March 1, 2011 and April 30, 2011). Part I was an enquiry regarding the attitude of OR staff on serving patients with CLP; and, Part 2.1) patient and caregiver satisfaction with service from the OR staff and 2.2) patient and caregiver satisfaction with the OR transfer service. The authors interviewed 28 staff in OR unit 2 of the OR nursing division and 30 patients with CLP and his/her caregiver. The respective validity according to the Cronbach's alpha coefficient was 0.87 and 0.93. The OR staff attitude visa-vis service provision for patients with CLP service was middling. Patient and caregiver satisfaction with both OR staff and the transfer service was very satisfactory. Active development of the nursing care system for patients with CLP and craniofacial deformities in the operating room, Srinagarind Hospital improved staff motivation with respect to serving patients with CLP. The operating theater staff was able to co-ordinate the multidisciplinary team through the provision of surgical service for patients with CLP.

  10. Carry Out the Nursing Quality of Operation Room%深入开展手术室优质护理体会

    Institute of Scientific and Technical Information of China (English)

    郭颖

    2014-01-01

    Objective To explore the further improvement of nursing in operation room, operation room nursing method to improve the quality of service level. Methods Nursing care, seamless, comfortable nursing, pain nursing methods through the humanization of the in-depth development of operation room nursing quality. Results The nursing measures for patients undergoing selective operation implement standard nursing service, make patients at admission to the whole process of discharge are enjoy humanized, standardization, quality care. Conclusion High quality of nursing care in operation room, to enhance the satisfaction degree of nursing service object.%目的:探讨进一步改进手术室护理工作,提升手术室优质护理服务水平的方法。方法通过人性化的护理、无缝护理、舒适护理、疼痛护理等方法深入开展手术室优质护理。结果通过上述护理措施为择期手术患者实施规范化护理服务,使患者在入院到出院的全过程中都享受到人性化、系统化、规范化的优质护理服务。结论手术室优质护理,提升了护理服务对象满意度。

  11. Affecting factors and countermeasures of holistic nursing applied in operating room.%加强术中体位管理预防周围神经损伤

    Institute of Scientific and Technical Information of China (English)

    王燕

    2011-01-01

    Objective:To explore the relevant factrs affecting holistic nursing applied in the operating room and propose appropriate countermeasures for improving quality of holistic nursing. Methods: Retrospective study was used to conclude the status of holistic nursing applied in the operating room, then analyzed the relevant factors affeting implementation effect, and proposed appropriate countermeasures, Results: The factors including insufficient number of nursing staff,much pressure,low quality, being lack of communication skills and defer nursing management limited implementation effect of holistic nursing care applied in the operating room. Conclusion:Appropriate countermeasures might be adopted in accordance with different condition. Measures including increasing nursing staff, reducing working pressure, improving quality, training communication skills and improving nursing management might improve quality of holistic nursing care in operating room.%目的:加强术中体位管理,预防周围神经损伤.方法:术中采取的体位主要有仰卧位、俯卧位、侧卧位、截石位及坐位等,对发生周围神经损伤原因进行分析.结果:周围神经损伤主要由神经长时间的受牵连、压迫及缺血所致.结论:合理安排手术体位,加强管理,是减少周围神经损伤的关键.

  12. Operating room manager game

    NARCIS (Netherlands)

    Hans, Erwin W.; Nieberg, Tim

    2007-01-01

    The operating room (OR) department of a hospital forms the heart of the organization, where the single largest cost is incurred. This document presents and reports on the “Operating Room Manager Game,” developed to give insight into managing a large hospital's OR department at various levels of cont

  13. Robotic nurse duties in the urology operative room: 11 years of experience

    Directory of Open Access Journals (Sweden)

    Ali Abdel Raheem

    2017-04-01

    Full Text Available The robotic nurse plays an essential role in a successful robotic surgery. As part of the robotic surgical team, the robotic nurse must demonstrate a high level of professional knowledge, and be an expert in robotic technology and dealing with robotic malfunctions. Each one of the robotic nursing team “nurse coordinator, scrub-nurse and circulating-nurse” has a certain job description to ensure maximum patient's safety and robotic surgical efficiency. Well-structured training programs should be offered to the robotic nurse to be well prepared, feel confident, and maintain high-quality of care.

  14. [Education in operating room nursing: transformation of the discipline at University of São Paulo School of Nursing (Brazil)].

    Science.gov (United States)

    Turrini, Ruth Natalia Teresa; Costa, Ana Lucia Siqueira; Peniche, Aparecida de Cassia Giani; Bianchi, Estela Regina Ferraz; Cianciarullo, Tâmara Iwanow

    2012-10-01

    The objectives of this paper are to present a summary of the evolution of the content of perioperative nursing at the University of São Paulo School of Nursing (EEUSP) and reflect on the National Curriculum Directives (NCD) for the nursing course. The study was developed from a brief history of the practice of perioperative nursing and the inclusion of this topic in the nursing curriculum at EEUSP. The National Curriculum Directives are important because they permit undergraduate schools to determine the amount of teaching time for each course that will comprise their curriculum, but the competencies and skills proposed are nonspecific. We believe that the general nurse should have theoretical and practical learning opportunities to work in every area and level of healthcare.

  15. Effect of an Ergonomics-Based Educational Intervention Based on Transtheoretical Model in Adopting Correct Body Posture Among Operating Room Nurses

    OpenAIRE

    Moazzami, Zeinab; Dehdari, Tahere; Taghdisi, Mohammad Hosein; Soltanian, Alireza

    2015-01-01

    Background: One of the preventive strategies for chronic low back pain among operating room nurses is instructing proper body mechanics and postural behavior, for which the use of the Transtheoretical Model (TTM) has been recommended. Methods: Eighty two nurses who were in the contemplation and preparation stages for adopting correct body posture were randomly selected (control group = 40, intervention group = 42). TTM variables and body posture were measured at baseline and again after 1 and...

  16. Investigation of self-efficacy and countermeasures for the nursing activities of nurses in operation room%手术室护士护理活动自我效能的现状调查及对策分析

    Institute of Scientific and Technical Information of China (English)

    张月玲; 郭金荣; 张洪芬; 马红霞

    2012-01-01

    Objective To investigate the self-efficacy for the nursing activities of nurses in the operation room and explore the ways of improving the self-efficacy of nursing activities of nurses in the operation room.Methods 160 nnrses in the operation rooms of four hospitals in Binzhou city were chosen as the observation group.160 non-operation room nurses in these four hospitals were chosen as the control group.The self-efficacy of nursing activities questionnaires were used to survey the self-efficacy of nurses.According to the analysis of survey results,measures to improve the self-efficacy of nursing activities were discussed.Results The self-efficacy scores for 160 operation room nurses were lower than those non-operation room nurses.Among 5 dimensions,nursing skill was with the lowest score in 160 nurses who had been investigated.The difference of self-efficacy scores of care activities for nurses in operation rooms of different hospitals was significant.Conclusions Nursing activity in the operation room has its own specialty.The self-efficacy of nursing activities was lower than non-operation room nurses generally,especially in nursing skills.Improving leadership and working environment of nurses,giving positive social support and re-education programs are the scientific ways to improve self-efficacy of nursing activities in the operation room.%目的 对手术室护士护理活动自我效能现状进行调查,探讨提高手术室护士护理活动目我效能的对策.方法 选择滨州市4所医院160名手术室护士作为观察组,同时选择该4所医院非手术室护士160名作为对照组.采用自制手术室护理活动自我效能感调查表对其进行自我效能调查;分析调查结果,探讨提高手术室护士护理活动自我效能感的对策.结果 160名手术室护士的自我效能感得分平均分均显著低于非手术室护士护理活动自我效能得分;160名被调杳护士中,5个维度中护理技能得分最低,和其

  17. 手术室护理带教方法的探讨和学习%Discussion and Study on Teaching Methods of Nursing Teaching in Operation Room

    Institute of Scientific and Technical Information of China (English)

    贺俭

    2016-01-01

    Objective To investigate the operating room nursing teaching method and effect. Methods Hospital from January 2015 to December 2015 30 cases of operating room nursing students as research subjects were randomly divided into two groups to take the way, each 15 nursing students were named as the observation group and the control group. For nursing students in the control group using traditional teaching methods with, for the observation group of nursing students use group learning with teaching. Results The nursing students theoretical test scores, test scores as well as the operation of teaching work satisfaction rate was higher nursing students. Conclusion The group learning with teaching applied operating room nursing teaching work significant effect can be widely promoted.%目的探讨手术室护理带教方法及效果。方法将我院2015年1月~12月30例手术室护生作为研究对象,采取随机分成两组的方式,每组15名护生,分别命名为观察组和对照组。对对照组护生采用传统带教法,对观察组护生采用小组学习带教法,对比两组护生带教的效果。结果观察组护生理论考试成绩、操作考试成绩以及对带教工作的满意率均高于对照组护生。结论将小组学习带教法应用于手术室护理带教工作中效果显著,可进行广泛推广。

  18. 手术室护理专业护生的带教体会%The teaching experiences for operating room nursing students

    Institute of Scientific and Technical Information of China (English)

    李秀芬; 刘云凤

    2015-01-01

    ObjectiveTo improve the operating room nursing students nursing teaching quality.Methods Selection of qualified with a teacher, to develop a detailed lesson plans, unified standardized basic skills and theoretical assessment. With teaching for nursing students to implement one-way, nursing students follow their own with a teacher, the completion of the main teaching programs and a variety of quantitative indicators.ResultsThe nursing students working procedures for operating room nursing familiarity and proficiency with common surgery has increased significantly.Conclusion One with teaching methods, for nursing students in the operating room nursing teaching really works, to improve with the quality of teaching.%目的:提高手术室护生的护理带教质量。方法:选拔合格的带教老师,制订详细的教学计划。带教老师和护生实行一对一带教方法,让护生跟随自己的带教老师,完成主要的教学计划和各种量化指标。结果:护生对于手术室的护理工作程序的熟悉度,以及常见手术的配合熟练度有明显的增加。结论:一对一带教方法,对于护生在手术室护理带教是确实可行的,提高带教质量。

  19. A STUDY OF PRE OPERATION NURSING VISIT ABOUT THE NURSES’ VIEW FROM THE SURGERY ROOM OF A UNIVERSITY HOSPITAL.

    Directory of Open Access Journals (Sweden)

    Izilda Esmenia Muglia Araújo

    2004-08-01

    Full Text Available This study to do an analysis of the PONV`s importance, by nurses from the Daily’s SurgeryRoom of an University Hospital, through forms distributed to them and to apply the written communicationinstrument on the PONV,proposed by NORONHA & ARAÚJO (1995. The results this research were: 92,9% ofthe nurses from the Daily’s Surgery Room think that it is important the performance of the PONV to the patientand Nursing aid, and 85,7% think the PONV is important for the nurse who works in a Surgery Room. Thewritten communication instrument on the PONV was applied with success, being really easy to fill it in with clearquestions , showing so to be a lot of viable but some items of the instrument like blood group and FATOR RHcouldn’t be filled even after the records check. In this way, I think it is worth the suggestion o9f sitting the writtencommunication instrument proposed by ARAÚJO AND NORONHA (1995 at this State University, proposinghowever, inclusion on the patients’ records data about blood group and FATOR RH.

  20. Investigation and analysis of job satisfaction of operating room nurses/%手术室护士工作满意度调查分析

    Institute of Scientific and Technical Information of China (English)

    许振丹; 张会敏; 李荣

    2012-01-01

    目的 调查手术室护士的工作满意度,为手术室护理人力资源管理提供依据.方法 应用护士工作满意度量表对新乡地区三级甲等医院102名手术室护士进行问卷调查.结果 手术室护士在工作条件、同事、工作的稳定性3个条目满意度较高;在所承担的职责、护士的收入、工作时数3个条目满意度较低.结论 应根据手术室护士的工作满意程度及影响因素,进行针对性管理,提高护士工作积极性及护理质量.%Objective To investigate the job satisfaction of the operating room nurses,so as to provide references for human resources management of nursing. Methods A total of 102 operating room nurses from 3A - level hospitals in Xinxiang were investigated with the Nurses'Job Satisfaction Scale. Results The overall satisfaction rates were higher in working conditions,colleagues and the stability of work and lower in responsibilities taken,working incomes and working time. Conclusion Managers should carry out specific management to improve the positivity of nurses and nursing quality according to the job satisfaction and influencing factors of operating room nurses.

  1. Rethinking theatre in modern operating rooms.

    Science.gov (United States)

    Riley, Robin; Manias, Elizabeth

    2005-03-01

    Metaphor is a means through which a widely accepted meaning of a word is used in a different context to add understanding that would otherwise be difficult to conceive. Through etymological and metaphorical associations, we contend that aspects of "theatre" are still relevant in the modern operating rooms and that the use of dramaturgical metaphors can add another layer of understanding about the social reality in this setting. We begin by exploring the historical roots and derivation of the word theatre as it applied to anatomical dissection and surgery. Briefly, we touch on the work of Erving Goffman and examine how his work has been used by others to explore aspects of operating room nursing. Then, drawing on data from a postmodern ethnographic study that has been used to examine communication in operating room nursing, four dramaturgical metaphors are used to illustrate the argument. They are drama, the script and learning the lines, the show must go on, and changing between back stage and front stage. To conclude, the small amount of previously published literature on this topic is compared and contrasted, and the relevance of using dramaturgical metaphors to understand modern operating rooms is discussed. Being able to distinguish between the inherent drama in operating room work and the dramatic realisation of individuals who work within, can help operating room nurses to think differently about, and perhaps re-evaluate their social situation and how they function within it.

  2. Analysis and Coping Strategies of Operating Room Nurses Job Stress%手术室护士工作压力源分析与应对策略

    Institute of Scientific and Technical Information of China (English)

    杨在玲; 曹秀红

    2013-01-01

    Understanding the main sources of stress of nurses in operation room and harm, the correct understanding and try to reduce the work pressure, improve work ef iciency and work quality.%了解手术室护士的主要压力源及危害,正确认识工作压力并设法减少,提高工作效率及工作质量。

  3. 妇产科手术室的护理管理%Nursing Management of operation room of Obstetrics and Gynecology

    Institute of Scientific and Technical Information of China (English)

    陈慧; 周芸羊

    2015-01-01

    Objective To analyze the nursing management measures and effect of operation room of Obstetrics and Gynecology, and to improve the safety of operation.Methods Selected 10 nursing staff of operation room of Obstetrics and Gynecology in our hospital, and compared the nursing quality and awareness of risk protection of them before and after nursing care. Selected 72 cases of patients in Obstetrics and Gynecology from April 2012 to April 2013 and May 2013 to May 2014, and then compared the nursing satisfaction before and after nursing care. Results Only 4 had awareness of risk before nursing management, accounting for 40%, while 9 had awareness of risk after nursing management, accounting for 90%. The occurrence of nursing events of the control group was 16.7%, and nursing satisfaction was only 77.8%, but nursing events of the observation group was 2.8%, and nursing satisfaction was only 97.2% after the nursing management, which was significantly higher than the control group, it had significant differences between groups (P<0.05).Conclusion Nursing management in Obstetrics and Gynecology operation room can enhance awareness of risk effectively and improve nursing satisfaction and quality of care of patients and reduce the incidence of nursing event, which has positive clinical value.%目的:对妇产科手术室的护理管理措施与效果进行分析,为提高妇产科手术安全提供可靠保障。方法抽取本院10例妇产科手术室护理人员参与本次研究,对护理管理前后,妇科手术室的护理质量及护理人员的风险防控意识予以比较;分别于2012年4月~2013年4月、2013年5月~2014年5月选取本院妇产科接诊患者72例,对其进行临床护理,比较两组患者护理管理前后护理满意度。结果在进行护理管理之前,只有4例具有一定的风险意识,占40%,而护理管理之后,9例护理人员提高了风险意识,占90%;在护理管理之前对照

  4. Related Factors to Work Activity for Nurses in Operating Rooms%手术室护士工作能动性相关因素探讨

    Institute of Scientific and Technical Information of China (English)

    葛方英

    2015-01-01

    对如何提高手术室护士主动配合意愿和工作能动性的相关因素进行归纳整理,从以下五个面进行分析说明,包括营造本科室和谐的工作团队,绩效激励机制考核,加强观念转变,尊重护士工作,注重对护士的知识教育培训。以期为增强手术室护理人员的工作质量,改善医患关系提供参考。%In this paper,how to improve work activity and its related factors of operating room nurses was concluded,and analyzed from five aspects,including constructing a harmonious work team in our department,incentive mechanism,strengthening notion transformation,respecting nurse,regarding education for nurse,which provide a reference for work efficiency of operating room nurses and doctor-patient relationship.

  5. Application of Team Teaching Method in Nursing Teaching in Operation Room%团队教学法在手术室护理教学的应用

    Institute of Scientific and Technical Information of China (English)

    兰祥玉; 陈静

    2014-01-01

    Objective To find out the teaching method for practice nurses of operation room and improve the teaching quality of nursing students. Methods Through investigating results of al the practice nurses in traditional teaching and team teaching in three years ,and analyzed the results. Results The team teaching can strengthen Ideological education and the knowledge of practice nurses, can make practice nurses fast into the operation room work role. Conclusion The team teaching can improve the initiative and aviod defects of operation room teachers to improving the teaching quality of practice nurses of operation room.%目的:探讨手术室实习护生的带教方法,提高护生实习的教学质量。方法通过对手术室带教方法由传统教学法革新为团队教学法的前后各3年时间的全部实习护生进行调查,将实习护生出科成绩和带教人员情况进行对照分析。结果组成带教团队,加强对护生的思想教育与理论知识教学,从模拟训练过渡到实践操作,抓好师生之间的反思与总结工作,能使护生较快投入手术室的工作角色,进行正常的手术室护理工作,教学效果显著。结论团队教学法更能发挥手术室带教老师的积极性,规避带教老师的自身缺陷,形成取长补短的效应,对促进实习护生的教学质量有积极的作用。

  6. The Operating Room Nursing Safety Hazard and Prevention%手术室护理安全隐患与防范

    Institute of Scientific and Technical Information of China (English)

    俞静

    2014-01-01

    目的:手术室护理人员科学安全护理可以有效提高护理质量,保证患者以及医护人员自身的安全。方法2012年7月~2013年11月对190例普外科肝包虫手术患者进行术前访视,术后随访调查进行总结,列出下列护理安全隐患,列出内容分析原因,针对性地制定措施。结果确保安全护理操作,保证了患者的安全,此案例中无一列护理差错事故和护理纠纷的发生。结论加强和重视手术室护理安全操作,减少差错事故及医疗纠纷的发生,也是确保护理工作质量的重要措施。%Objective To the operating room nurses scientific safety nursing can ef ectively improve the quality of nursing,ensure the safety of patients and medical staf itself. Method -July,2012 in November 2013,190 cases of general surgery of liver hydatid surgery preoperative visits to patients,postoperative fol ow-up survey summary, list the fol owing nursing safety,lists the content analysis,targeted measures. Results to ensure safe nursing operation,ensure the safety of patients,this case there is no list of nursing error accident and the occurrence of nursing dispute. Conclusion to strengthen and at ach importance to the operating room nursing safety operation,reduce mistakes accidents and the occurrence of medical disputes,it is also an important measures to ensure the quality of nursing work.

  7. Effect observation of operating room nursing by details nursing Intervention%细节护理干预在手术室护理中的效果观察

    Institute of Scientific and Technical Information of China (English)

    陆小乙; 罗锦平

    2016-01-01

    Objective To approach result of operating room nursing by details nursing Intervention by details infection rate of puerpera.Method 1 500 cases of clinical data of operation puerpera were analyzed,They were divided into two group by Implemen-tation details nursing intervention,routine nursing group 500 cases and details nursing Intervention group 1 000 cases.Results The infection rate,nursing errors rate and puerpera satisfactionof details nursing intervention group were higher than that of routine nurs-ing group,the nursing knowledge,attitude of details nursing management,nursing error behavior,management environment score of puerpera after operation of details nursing intervention group were higher than that of routine nursing group,the differences were sta-tistically significant (P<0.05 ).Conclusion The operating room nursing by details nursing intervention could decrease,which could increase nursing work quality,which is to be used.%目的:探讨细节护理干预在手术室护理中的效果情况。方法:分析1500例手术产妇临床资料,依据是否实施细节护理干预进行分组,常规护理组500例和细节护理干预组1000例。结果:细节护理干预组手术室产妇感染发生率、护理差错发生率和产妇满意度均高于常规护理组,细节护理干预组手术室护理知识水平、对细节护理管理态度、应对护理差错行为、产妇术后管理环境评分均高于常规护理组,差异均有统计学意义(P<0.05)。结论:细节护理干预在手术室护理中应用可以降低产妇感染发生率,提高护理工作质量,值得临床推广应用。

  8. Application of Time Management in Operation Room Nursing%时间管理在手术室护理管理中的应用

    Institute of Scientific and Technical Information of China (English)

    王光明; 陈佐彩

    2015-01-01

    目的:探讨时间管理对提高手术室工作效率的效果。方法我院2013年制定并实施手术室时间管理,通过成立质量管理小组、建立手术室时间质量管理制度、严格控制第一台手术开台时间、缩短手术室台间间隔时间、节假日适当安排择期手术等方式方法,提高手术室工作效率。结果2013年共实施手术2469台,日均手术6.8台,第一台手术准时开台率达83%,高于2012年的27%。2013年各科室人员对手术室护理工作满意度明显提高。结论在手术室实施时间管理,可有效提升手术室工作效率、医护人员工作满意度,而且提高了医院经济效益。%Objective To investigate the effect of time management to improve the work efifciency of the operation room.MethodsIn our hospital in 2013 to develop and implement operation room, time management, through the establishment of quality management team, the establishment of operation room time quality management system, strictly control the ifrst surgery founding time, shorten the operation room table time interval, holidays elective surgery way methods appropriate to improve the working efifciency of the operation room.Results A total of 2469 units in 2013 to implement the operation, the daily operation of 6.8 units. In 2013 the ifrst operation time of founding rate of 83%, higher than the 27% in 2012.In 2013 the Department staff on operation room nursing satisfaction improved signiifcantly.ConclusionThe implementation of time management in the operation room, operation room can effectively improve work efifciency, job satisfaction of medical staff, and improve the economic benefit of hospital.

  9. Recovery room nurses' knowledge regarding postoperative airway ...

    African Journals Online (AJOL)

    Adele

    patients. Aim: To determine the knowledge of recovery room nurses regarding postoperative airway emergencies in adult patients in private hospitals ..... sia nursing care, as well as current research findings and new technologies in this field.

  10. 论手术室护士伦理素养的培养%Discussion on the Cultivation of Ethic Quality of Operation Room Nurses

    Institute of Scientific and Technical Information of China (English)

    吴秀婷; 郭瑞娟; 袁晓艳

    2016-01-01

    Under the new medical situation, operating room nurses should pay attention to improving their pro-fessional proficiency, but also to cultivating theethic quality. During the whole nursing process in operating room, nurses should carry forward Nightingale Spirit,practice the nursing conceptof integrationand humanization,conscien-tiously do a good job in every job,ensure the safety of the operation,closely collaborate with the medical team at the same time, reassure the teammates, satisfy the patients, and improve the quality of medicaltogether. It helpsculti-vate nurses′sense of responsibility and honor, make the nurses to establish the sense of responsibility, and develop their empathy, thus to provide more qualityservice to patients.%在新的医疗形势下,手术室护士不仅要注重自身业务能力的提高,更要注重伦理素养的培养。在手术室护理全过程中,护士要发扬南丁格尔精神,践行整体化、人性化的护理理念,认真做好每一项工作,保证手术的安全,同时与医疗团队密切协作,使队友放心,使患者满意,共同提高医疗质量。这样,有助于培养护士自身的荣誉感与责任感,使护士树立起责任心、培养起同理心,能够更好地为患者提供更加优质的服务。

  11. 人性化护理应用于手术室的疗效及护理体会%The efficacy and nursing experience of humanistic nursing applied in operation room

    Institute of Scientific and Technical Information of China (English)

    袁素兰

    2016-01-01

    目的:探讨人性化护理应用于手术室的临床疗效及护理体会.方法:160例手术室患者被随机将其分为对照组(常规护理)和观察组(人性化护理),观察和比较两组SAS评分、VAS评分、并发症、护理满意度.结果:与对照组相比,观察组SAS评分、VAS评分均明显减少,并发症发生率显著降低,护理满意度明显提高,P<0.05.结论:人性化护理应用于手术室,能够明显提高患者围术期舒适度及对护理服务的满意度,有利于建立良好的护患关系.%Objective To study the clinical efficacy and nursing experience of humanistic nursing applied in operation room.Methods The 160 operation patients were randomized into the control group (routine nursing) and the observation group (humanistic nursing). The SAS scores, VAS scores, postoperative complications and nursing satisfaction degree in the two groups were observed and compared.Results compared with the control group, the SAS scores and VAS scores were significantly decreased, the incidence of postoperative complication was obviously reduced, the nursing satisfaction degree was significantly increased in the observation group,P<0.05.Conclusion The humanistic nursing applied in operation room can significantly improve the patients' perioperative comfort and nursing service satisfaction degree, and help to establish a good nurse-patient relationship.

  12. Effect experience of implementing high quality nursing service in operating room nursing%手术室护理中实施优质护理服务的效果及体会

    Institute of Scientific and Technical Information of China (English)

    陈永霞

    2015-01-01

    目的:分析优质护理服务在手术室护理中的应用效果。方法:在实施优质护理服务前后,分别收治择期手术患者各100例,比较两组患者的手术焦虑程度、手术配合度及护理满意度。结果:实施优质护理服务后,患者手术焦虑程度、护理满意度及手术配合度均明显优于实施前(P<0.05)。结论:在手术室护理中实施优质护理服务有利于减少患者焦虑情绪,提高患者手术主动配合率和护理满意度。%Objective:To analyze the application effect of high quality nursing service in operating room nursing.Methods:Before and after implementing high quality nursing service,100 patients with selective operation were respectively selected.The surgery anxious degrees,surgery cooperation degrees and nursing satisfactions of patients in two groups were compared.Results:After implementing high quality nursing service,the surgery anxious degree,surgery cooperation degree and nursing satisfaction of patients were significantly better than those before implementing(P<0.05).Conclusion:Implementing high quality nursing service in operating room nursing helps to reduce the anxiety of patients,improve the surgery active cooperation rate and nursing satisfaction.

  13. 手术室相关人员对优质护理内涵的认知调查%Investigate the Cognition of Nurses for Quality Nursing Definition in Operating Room

    Institute of Scientific and Technical Information of China (English)

    束玲

    2014-01-01

    目的:评价手术室相关人员对优质护理内涵的认知水平与特点。方法行问卷调查,对比医师与护士各维度认知水平差异。结果手术室护士对优质护理主体内涵88.00%、基础护理86.00%、责任整体护理94.00%内涵认知与总分合格率88.00%高于医生76.00%、69.00%、61.00%、79.00%,学历、职称、工龄影响手术室护士认知水平,差异具有统计学意义(P<0.05)。结论护士对专业技术维度内涵认知仍有待提高;应针对性的开展优质护理培训活动;注重医护相互配合。%Objective To evaluate operating room personnel related to cognitive level of nursing connotation quality. Methods Compared all dimensions difference. Results Operating room nurses nursing subject connotation, basic nursing, 88.00% and 86.00% for quality, responsibility, 94.00%of holistic nursing care cognition and total qualified rate 88.00%, 69.00%, 61.00%, 69.00%, 76.00%above doctor degree, job title, length of service affect operating room nurses cognitive level, statistical y significant difference (P<0.05). Conclusion Cognitive connotation of professional and technical dimensions remains to be improved;it is necessary to carry out high quality nursing training activities and cooperate with each other.

  14. Study on the current situation about pressure of nursing staff in operation room%手术室护理人员压力现状调查及解压对策分析

    Institute of Scientific and Technical Information of China (English)

    王辉; 姚芳; 王艳

    2012-01-01

    OBJECTIVE To study the pressure of nursing staff in operation room, to analyze the causes and measures to relief pressure, and then improve the mental health of nursing staff working in a operation room, further improve the quality of nursing. METHODS Randomly selected 20 nursing staff from the operation room in our hospital, carried on the questionnaire survey, analyzed the current status of stress of nursing staff in operation room, and analyzed relationship of work nature, stress, physical and mental health in nursing staff in operation room. RESULTS In our hospital, the working pressure was relatively large in nursing staff in operation room, and the reason was due to heavy workload in operation room. CONCLUSION The nursing staff in operation room have responsibilities and heavy tasks. In order to improve the quality of nursing in operation room, it should often cany out health education for nursing staff, improve the mental health of nurses; reasonable scheduling could reduce the work stress among nursing staff.%目的 研究手术室护理人员的压力,分析其压力产生的原因以及缓解对策,进而提高手术室护理工作人员的心理健康素质,进一步提高手术护理质量.方法 随机选取某院手术室护理人员20名,对其进行问卷调查,分析当前手术室护理工作人员的压力现状,以及分析探讨手术室护理人员工作性质、压力、身心健康之间的关系.结果 就该院手术室护理人员工作实际来看,工作压力相对较大,其原因与手术室手术室护理工作繁重和强度密切相关.结论 手术室护理工作责任大、任务重,为了提高手术室护理质量,应常期对手术室护理工作人员进行心理辅导,提高护理人员心理健康水平;合理排班,减轻护理人员工作压力.

  15. 手术室护士分组岗位管理的实践与实施效果评价%Practice and effect evaluation of post management of nurses taking nursing group as a unit in operation room

    Institute of Scientific and Technical Information of China (English)

    崔雅清; 董巧云; 周娇

    2015-01-01

    Objective:To implement post management of nurses taking nursing group as a unit in operation room so as to strengthen the scientific management of nurses and mobilize the enthusiasm of nurses in operation room and to finally improve the scientific nursing man-agement in operation room. Methods:The post management of nurses taking nursing group as a unit was carried out,including post setting, manpower allocation,training and performance evaluation. Results:The quality of nursing care and satisfaction of nurses and doctors in op-eration room were significantly improved after the implementation of post management(P ﹤ 0. 05). Conclusion:The post management of nurses taking nursing group as a unit in operation room can not only improve the quality of nursing care,but also increase the enthusiasm and enhance self discipline of nurses so as to encourage the nurses to provide safe,high quality and satisfactory nursing care for patients.%目的:对手术室护士进行分组岗位管理,以期加强手术室护士队伍的科学管理,稳定和发展手术室护士队伍,调动手术室护士工作积极性,提高手术室护理科学管理水平。方法:以我院护士岗位管理实施为切入点,对手术室全体护士进行分组岗位管理,在岗位设置、人力配置、护士培训、绩效考核等方面进行科学实践与探索。结果:实施分组岗位管理后,有效提高了手术室护理质量,手术室护士及医生对分组岗位管理的满意度明显提高(P ﹤0.05)。结论:手术室实行护士分组岗位管理,不仅可以提高手术室专科护理质量,而且可以增加护士工作积极性和自律性,激励护士服务临床一线,更好地为患者和临床医生提供安全、优质、满意的护理服务。

  16. Prevalence and risk factors of needlestick injuries, sharps injuries, and blood and body fluid exposures among operating room nurses in Thailand.

    Science.gov (United States)

    Kasatpibal, Nongyao; Whitney, JoAnne D; Katechanok, Sadubporn; Ngamsakulrat, Sukanya; Malairungsakul, Benjawan; Sirikulsathean, Pinyo; Nuntawinit, Chutatip; Muangnart, Thanisara

    2016-01-01

    Operating room nurses are at high risk for occupational exposure to bloodborne pathogens. This study examined the prevalence of and risk factors for needlestick injuries (NSIs), sharps injuries (SIs), and blood and body fluid exposures (BBFEs) among operating room nurses in Thai hospitals. A cross-sectional study was performed in 247 Thai hospitals. Questionnaires eliciting demographic data and information on injury occurrence and risk factors were distributed to 2500 operating room nurses, and 2031 usable questionnaires were returned, for a response rate of 81.2%. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using multiple logistic regression analysis. The prevalence of NSIs, SIs, and BBFEs was 23.7%, 9.8%, and 40.0%, respectively. Risk factors for NSIs were training without practice (OR, 1.67; 95% CI, 1.29-2.17), haste (OR, 4.81; 95% CI, 3.41-6.79), lack of awareness (OR, 1.36; 95% CI, 1.04-1.77), inadequate staffing (OR, 1.60; 95% CI, 1.21-2.11), and outdated guidelines (OR, 1.69; 95% CI, 1.04-2.74). One risk factor was identified for SIs: haste (OR, 2.43; 95% CI, 1.57-3.76). Risk factors for BBFEs were long working hours per week (OR, 2.07; 95% CI, 1.06-4.04), training without practice (OR, 1.55; 95% CI, 1.25-1.91), haste (OR, 1.66; 95% CI, 1.30-2.13), lack of awareness (OR, 1.54; 95% CI, 1.22-1.95), not wearing protective equipment (OR, 1.61; 95% CI, 1.26-2.06), and inadequate staffing (OR, 1.63; 95% CI, 1.26-2.11). This study highlights the high prevalence of NSIs, SIs, and BBFEs among Thai operating room nurses. Preventable risk factors were identified. Appropriate guidelines, adequate staffing, proper training, and self-awareness may reduce these occurrences. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.

  17. 护生对手术室职业防护的认知性调查%Student nurses' cognition of occupational protection in operating rooms

    Institute of Scientific and Technical Information of China (English)

    高月平; 黄旭华; 郭惜珍

    2012-01-01

    Objective To understand student nurses' cognition of occupational protection in operating rooms; to provide support for clinical teaching,improve students' consciousness of self-protection,implement occupational protection measures,reduce the occurrence of occupational exposure,and promote physical and mental health.Methods A survey for cognition of occupational protection in operating rooms was conducted by self-designed questionnaires in 80 student nurses.Results There was a statistical significance in cognition between the groups with different educational background ( P< 0.05 ).28.7% of the students lacked enough awareness about occupational exposure in operating rooms,58.7% did not have enough knowledge of self-protection,48.7% did not take measures on occupational protection,and 88.7% thought training of occupational protection was necessary.The physical and mental health of most students were affected at different degrees during practice in operating rooms.Conclusions Lack of knowledge of occupational protection in operating rooms is associated with the educational background of the students.Outstanding teachers should be selected strictly.Education should be given based on different educational background of the students,occupational protection should be strengthened for student nurses in operating rooms.Daily nursing supervision needs psychological counselling.Implement of humane care will help raise awareness of occupational protection of student nurses,reduce the occurrence of occupational exposure,and promote physical and mental heahh.%目的 了解护生对手术室职业防护的认知,为临床带教提供依据,提高护生自我防护意识,落实职业防护措施,减少职业暴露发生,促进身心健康.方法 自行设计调查问卷对80名实习护生进行手术室职业防护的认知性调查.结果 不同学历的认知比较,对比组之间的差异有统计学意义(P<0.05),28.7%对手术室职业暴露认识不足,58.7

  18. Application Analysis of Evidence-based Operation Room Nursing in the Operation Room Emergency Patient Care%循证手术室护理在手术室急诊患者护理中的应用分析

    Institute of Scientific and Technical Information of China (English)

    张梅; 喻瑛; 龚俊仙

    2015-01-01

    Objective:To investigate the clinical application effect of evidence-based operation room nursing in the operation room emergency patient care,and provide a theoretical basis for improving the level of care for emergency patients.Method:100 emergency surgical patients in operation room of our hospital from February 2013 to March 2014 were retrospectively analyzed,they were randomly divided into the control group and the experimental group according to the different ways of surgical care,50 cases in each group.The patients in the control group were treated with routine care,while the patients in the experimental group were treated with routine care added evidence-based care.The clinical effects of the two groups were compared and analyzed.Result:The operative time and postoperative recovery time of the experimental group were (50.65±3.48)min,(5.47±1.62)d,which were significantly shorter than (69.47±3.62)min and (8.26±1.48)d of the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the experimental group was 96.0%(48/50),which was significantly higher than 72.0%(36/50) of the control group, the incidence of adverse reactions in the experimental group was 4.0%(2/50),which significantly lower than 26.0%(13/50) in the control group,the differences were statistically significant(P<0.05).The scores of depression,anxiety, hostility,fear in the experimental group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Application of evidence-based operation room nursing in the operation room emergency patient care can improve the quality of nursing care,decrease the postoperative recovery time,increase the satisfaction of emergency surgical patients,lower the incidence of adverse reactions,with obvious clinical practice value,it is worthy of further promotion and application.%目的:探讨循证手术护理在手术室急诊患者护理中的临床应用

  19. A Research on Psychological Resilience of Nurse Work in Operating Room%手术室护士心理弹性状况调查分析

    Institute of Scientific and Technical Information of China (English)

    杨玉玲; 吕德平; 王静; 李静; 杨晓琼

    2015-01-01

    Objective To explore the psychobiological status and psychological resilience of the nurses who work in operating room. Methods The general information questionnaire and the Chinese Version of Connor - Davidson mental resilience scale ( CD - RISC) was distributed to 100 nurses who work in operating room through random sampling,the SPSS17. 0 statistical software package were used for data analysis. Re-sults the average score of psychological resilience of the nurses work in operating room is (57. 34 ± 8. 69). The score of psychological resili-ence is different in different sex,different age groups,different titles and different hospital level older,and the differences is statistically signifi-cant (P<0. 05) . The score of the male nurses in operating room is higher than the female nurses(P=0. 043);the scores of Over 30 years old nurses is higher than 20~30 years old and under the age of 20 group(P=0. 021);the score of the nurses who work more than 15 years is higher than who work 5~15 years and above 5 years nurse(P=0. 003); the score of the nurse practitioner is higher than the nurse-in-charge,otherwise the psychobiological status of the nurse-in-charge is higher than nurses(P=0. 045). what’s more,the score of psycho-logical resilience of nurses work in operating room in second rate hospital is lower than the Third grade hospital(P=0. 003). Conclusion The scores of psychological resilience in such nurses who are young,with primary title,work in hospital which level is lower are lower. Clinical managers and educators should pay more attention to them and promote their psychobiological status and psychological resilience.%目的:了解手术室护士心理弹性状况并探索应对措施。方法用一般资料问卷和中文版Connor-Davidson心理弹性量表(CD-RISC)对随机抽取的四川地区三甲、二甲各2所医院100名手术室护士进行调查和施测,数据分析采用统计软件SPSS17.00。结果手术室护士

  20. PDCA循环管理在手术室护理带教中的应用%Application of PDCA Circulation Management in Nursing Teaching in Operation Room

    Institute of Scientific and Technical Information of China (English)

    袁蕾

    2016-01-01

    目的:探讨分析PDCA循环管理在手术室护理带教中的应用。方法选取我院2014年1月~2014年12月实习的72名护生为研究对象,根据不同管理方法分为对照组与观察组,各组36名。对照组给予常规管理,观察组给予PDCA循环管理,对两组护生的带教成果进行观察对比。结果观察组护生的理论成绩、实践成绩、带教满意度均高于对照组,差异具有统计学意义(P<0.05)。结论在手术室护理带教中施行PDCA循环管理,可提高护生的综合成绩与满意度。%Objective To explore the application of PDCA circulation management in nursing teaching in operation room.Methods72 nursing students in our hospital from January 2014 to December 2014 were selected and divided into two groups according to different management methods, namely, the control group and the observation group, 36 students in each group. The control group was given routine management, the observation group was given PDCA cycle management, and the two groups of nursing students were observed and compared with the results of teaching.Results Nursing students' theory, practice and teaching satisfaction in the observation group were higher than the control group, the difference between the two groups was significant (P<0.05).Conclusion The implementation of PDCA cycle management in nursing teaching in operation room can signiifcantly improve the comprehensive performance and satisfaction of nursing students.

  1. Professional nursing values and related factors of operation room nurses%手术室护士职业价值观评价及影响因素研究

    Institute of Scientific and Technical Information of China (English)

    胡小素; 耿笑微; 吴虎兵; 付庆新; 李程

    2011-01-01

    目的:探讨手术室护士职业价值观认知及相关因素的影响.方法:采用护士职业价值观量表、社会支持评定量表和自设护士相关资料问卷对手术室141 名护士进行问卷调查.结果:手术室护士职业价值观认知水平中等偏上(3.28±0.56).信任维度单项均分最高(3.59±0.71),行动主义维度单项均分最低(2.93±0.62).多元逐步回归分析中有无子女、居住方式、社会支持主观维度及护士自我认同是护士职业价值观的影响因素(P <0.01).结论:应重点提高手术室护士行动主义维度的认知水平,改进护士评价机制,以及根据个体差异,在有无子女、居住方式、社会支持主观维度以及护士自我认同方面给予更多关注与支持,从而有助于其个性化的发展.%Objective: To explore professional nursing values and related factors of operation room nurses. Methods: Questionnaires which included Nursing Professional Values Scale-R, Social support Scale, and self-designed demographic data form were utilized to collect data from 141 operation room nurses. Results: The score of professional nursing values of operation room nurses was above the average(3.28±0.56). Specifically,subscale of trust obtained the highest average score (3.59±0.71) and subscale of activism obtained the lowest average score (2.93±0.62). The results of multiple regression revealed that having children, living situation, perceived social support and self-identity were related factors of professional values among operation room nurses (P<0.01). Results: Operation room nurses had an above-average level of the professional values. In order to improve the development of nurses individually, it is very important to increase the cognition of activism, improve the nurses' evaluation mechanism, and support the nurses according to the individual differences at the aspect of having children, living situation, perceived social support, and self-identity.

  2. 手术室护理人员术前访视实施情况的调查研究%Investigation on the Implementing Situation of Pre-operative Interview of Nursing Staff in Operation room

    Institute of Scientific and Technical Information of China (English)

    易镁

    2013-01-01

      目的调查研究手术室护理人员实施术前访视的具体情况。方法选取2010年6月至2011年12月的42名手术室护理人员为研究对象,对其术前访视的具体实施情况进行调查研究。结果经调查研究发现,不同工作年限的护理人员在访视内容、实施方法、患者满意度存在明显的差异,P均<0.05,而不同学历者之间除访视内容及满意度外其他方面均无显著性差异。结论手术室护理人员术前访视实施情况较佳,且工作年限对其实施效果有明显的影响。%Objective To investigate the implementing situation of pre-operative interview of nursing staff in operation room. Methods 42 nursing staff in operation room from June 2010 to December 2011 were selected as research object,and the implementing situation of pre-operative interview of all the nurses were investigate . Results According to the investigation ,the interview content,implementation method and patients′satisfaction rate between different working years had significant differences,all P<0.05,but other items all had no significant differences between different academic careers except interview content . Conclusion The implementing situation of pre-operative interview of nursing staff in operation room is better,and the influence of working years for the pre-operative interview is obvious.

  3. The nurse-patient communication in the outpatient operation room nursing experience%护患沟通在门诊手术室中的护理体会

    Institute of Scientific and Technical Information of China (English)

    程洪玲; 王德刚

    2012-01-01

      目的:探讨护患沟通在门诊手术室中的护理体会。方法:对90例需要进行手术的患者进行术前、术中、术后宣教,实施人性化的护理。结果:所有患者经过有效的护患沟通及护理后,表现正常,未出现护患纠纷的事件发生,且睡眠情况、饮食情况均表现正常。结论:良好的护患沟通不仅可以促进护患之间和谐的关系,使患者保持最佳的心理状态进行治疗,还可以有效的提高手术的质量,减少护患之间的纠纷,提高患者满意度和医院社会效益。%  Objective:Analysis of nurse-patient communication in the outpatient operation room nursing experience. Method:In 90 cases the need for operation in patients with preoperative, intraoperative, and postoperative mission, the implementation of humane care . Result: All patients through effective nurse-patient communication and nursing, normal, did not appear the nurse-patient disputes incident,And sleep, diet showed normal.Conclusion:A good nurse-patient communication can not only promote the harmonious relationship between nurses and patients,Enable patients to maintain optimal mental state treatment, also can effectively improve the operation quality,Reduce nurse-patient disputes, improve the patient satisfaction and social benefits of the hospital.

  4. Analysis and investigation on the advantages and disadvantages of the male nurses in operation room nursing%男护士在手术室护理中的优劣势调查分析

    Institute of Scientific and Technical Information of China (English)

    赵静

    2014-01-01

    目的:了解男护士在手术室护理中的优势及劣势。方法:采用调查问卷的形式,调查手术患者、手术医生、女护士对男护士工作的满意度、需求认可度,以及男护士的优势与不足等。结果:68.5%的被调查者对男护士的工作表示满意,仍有20.2%的被调查者认为不需要男护士,大多数受访者认为男护士在体力、心理等方面有较大的优势,但也存在一定的不足。结论:手术室男护士虽然存在不足,但只要找出对策,解决问题,男护士将成为手术室护理工作中不可缺少的资源。%Objective:To understand the advantages and disadvantages of the male nurses in operation room nursing.Methods:By the questionnaire form,we investigated the satisfaction and the demand recognition of the patients,surgeons and female nurses about the male nurses,as well as the advantages and disadvantages of the male nurses.Results:68.5% informants were satisfied with the work of male nurses.However,still 20.2% informants considered that do no need male nurses.Most informants believed that male nurses had a greater advantage in terms of physical and psychological,but there were some deficiencies.Conclusions:Although the male nurses had some deficiencies,if we find out the countermeasures to solve the problem,the male nurses will become an indispensable resource in operation room nursing.

  5. 手术室护理工作量化考核的实施与探讨%To Explore and Implementation of Quantitative Evaluation of Nursing Work in Operating Room

    Institute of Scientific and Technical Information of China (English)

    李瑞云

    2015-01-01

    目的:探讨护理工作量化考核在手术室中的应用价值。方法2011年11月~2012年11月我院手术室未实施护理工作量化考核,了解我院手术室中的护理差错,并将此时期作为对照组。2012年12月~2014年12月我院手术室应用手术室护理工作量化考核,将此时期作为实验组,探讨护理工作量化考核效果。结果手术室常见护理差错包括静脉通道故障处理不及时、给药错误、标本混淆、体腔遗留手术器械。应用工作量化考核措施后,手术室护理差错发生率由6.0%降低至2.0%,患者护理满意度由86.0%提升至97.0%,P<0.05,差异具有统计学意义。结论手术室护理工作量化考核在手术室中具有较高的应用价值。%Objective To explore and implementation of quantitative evaluation of operating room nursing work. Methods The hospital operating room did not implement nursing quantiifcation assessment from November 2011 to November 2012, understand the hospital operating room in the nursing error as the control group. hospital operating room used in the operating room nursing quantitative assessment from December 2012 to December 2014 as the experimental group, to explore nursing effect of quantitative evaluation. Results The operating room nursing error such as venous channel failure were common processing was not timely, specimens of dosing errors, confusion, body cavity legacy surgical instruments. After the application of quantitative assessment measures, the operating room nursing error rate was reduced to 2.0%from 6.0%before the patient care satisfaction increased from 86.0% to 86.0%, P<0.05, had difference statistically significance. Conclusion The operating room nursing quantiifcation assessment has high application value in the operating room.

  6. 手术室护理安全隐患与安全管理对策%Nursing safety hazard and safety management in operation room

    Institute of Scientific and Technical Information of China (English)

    刘显莲

    2015-01-01

    目的:了解手术室护理过程中存在的安全隐患,根据分析结果制定对应的安全管理对策。方法:本院自2012年始在手术室护理管理中应用风险管理,随机抽取本院2012年后接受护理风险管理的患者50例为观察组,另随机抽取本院2010年1月-2011年12月收治接受常规护理管理患者50例为对照组。对比2组发生安全事故概率和患者对护理服务的满意程度。结果:观察组发生风险事故与投诉率等相对对照组患者有明显优越性,差异有统计学价值(P<0.05);观察组患者对护理服务满意程度为98.0%,对照组患者对护理服务满意率为84.0%,两者对比具有统计学价值(P<0.05)。结论:在手术室护理中应用风险管理有利于降低护理过程中发生事故的概率,提升患者对护理服务的满意程度,更有利于构建和谐护患关系,对于医院和患者均有重要价值,值得临床重视推广。%Objective: to understand the security hidden trouble in the process of nursing in operation room, and to formulate the corresponding safety management countermeasures according to the analysis results.Methods: the hospital from 2012 in the operation room nursing management in the application of risk management, a random sample of 50 cases of nursing risk management in our hospital in 2012, the observation group, and randomly selected 50 cases of patients treated in our hospital from January 2010 -2011 to December. Comparison of 2 groups of patients with safety accident probability and the degree of satisfaction of patients to nursing service. Results: in the observation group, there were significant differences in risk accident and complaint rate, the difference was statistically significant (P < 0.05); the satisfaction rate of nursing care in the observation group was 98%, and the satisfaction rate was 84% in the control group (P <0.05).Conclusion:application of risk management in operation

  7. Discussion on the Meaning of Operating Room Nursing Check System in the Prevention of Nursing Disputes%探讨手术室护理查对制度在防范护理纠纷中的意义

    Institute of Scientific and Technical Information of China (English)

    吴惠

    2014-01-01

    目的:探讨手术室护理人员心理压力源分析及防范策略。方法:将27例护理人员作为调查对象,采用自制调查问卷对其心理压力的原因进行统计分析,并提出防范策略。结果:手术室护理人员心理压力源依次为经常倒班及工作量太大、无用的书面工作太多、工作环境对健康的威胁、工资福利待遇低、进修学习机会少、竞争压力大、工作的高度风险等。结论:通过采取积极的主观措施减轻手术室护理人员的心理压力,消除或降低这些压力给手术室护土造成的身体和心理伤害,以提高工作效率。%Objective:To investigate the prevention measures and the source of psychological stress of nursing staff in the operation room. Methods:All 27 nurses were selected as the subjects, the reasons of psychological stress of nursing staff were ananlyzed statistically with selfmade questionnaires, and the prevention measures were raised according to the reasons of psychological stress. Results:The sources of psychological stress of nursing staff in the operating room were:shifting frequently, heavy workload, too much useless paper work, the threat of work environ-ment to the health, low wages and benefits, few chances to mid-caree studies, too much stress, high risk of the job and others. Conclusion:Positive subjective measures should be taken to find out an outlet of psychological stress of the nursing staff in the operating room, in order to get rid of or reduce physical and psychological damage to nurses in the operating room induced by the pressure, consequently to improve work efficiency.

  8. 手术室患者切口感染护理对策分析%Nursing Countermeasures for Operating Room Patients Wound Infection

    Institute of Scientific and Technical Information of China (English)

    朱世梅

    2016-01-01

    目的::分析预防手术室患者切口感染的护理对策。方法:选取手术治疗的110例患者,以随机数字表法将其分为两组各55例,对照组患者实施常规护理,观察组实施精心护理,比较两组患者切口感染发生情况。结果:对照组切口感染发生率18.2%,观察组切口感染发生率1.8%,两组差异显著(P <0.05)。术后观察组切口甲级愈合率显著高于对照组,丙级愈合率显著低于对照组(P <0.05)。结论:为手术室患者实施精心护理干预,有利于促进患者伤口愈合,降低切口感染发生风险,值得推广。%Objective:To analyze the nursing countermeasures of preventing the wound infection in oper-ation room patients.Methods:1 10 patients with surgical treatment were randomly divided into two groups, 55 cases in each group.The control group received routine nursing,the observation group received nursing care,compared with two groups of patients with wound infection.Results:The incidence of wound infection in control group was 18.2%,the incidence of wound infection in observation group was 1.8%,and the differ-ence between the two groups was significant (P <0.05).The postoperative incision healing rate of observa-tion group was significantly higher than the control group,the third healing rate was significantly lower than the control group (P <0.05).Conclusion:Nursing intervention for patients in the operation room is beneficial to promote wound healing and reduce the risk of wound infection.

  9. 手术室护士工作压力源与应对方式的相关分析%Correlation Analysis about job stress of operating room nurse and coping style

    Institute of Scientific and Technical Information of China (English)

    底会娟; 郭淑芸; 焦俊敏; 尹维宁; 吴爱须

    2011-01-01

    目的 分析手术室护士工作压力源现状及其与应对方式的相关性.方法 采用中国护士工作压力源量表及简易应对方式量表,以无记名问卷调查的形式对245名手术室护士的工作压力源和应对方式进行调查和相关分析.结果 手术室护士工作压力源中占首位的是担心工作中出现差错事故.手术室护士总工作压力程度较高,工作量及时间分配给手术室护士带来的压力最大.积极应对方式与工作量及时间分配、护理专业及工作方面相关性有显著意义(P<0.05);工作压力源与消极应对方式相关性有显著意义(P<0.01).结论 建议关注手术室护士工作压力源的主要影响因素,加强护士的专业知识培训,提高手术室护士的应对技巧.%Objective To analyze the relativity about job stress of operating room nurse and coping style. Methods The relativity of job stress of 245 operating room nurses and coping style were investigated and correlatively analyzed by the use of nurse job stress scale and simple coping questionnaire and the form of anonymous questionnaire. Results The top operating room nurse job stress is worried about an accident of errors at work. Total working stress levels of operating room nurses was at a high level. Workload and time allocation brings the greatest pressure to the operating room nurses. Them was significant correlation between work stress and negative coping style ( P < 0.01 ). There was significant correlation between active coping style, workload, time allocation, the nursing profession and work ( P < 0. 05 ). Conclusion The main factors about working pressure of the operating room nurses were should be concerned. Professional training of nurses and coping skills of operating room nurses should be improved.

  10. Affecting factors and countermeasures of holistic nursing applied in operating room.%手术室实施整体护理的影响因素与对策

    Institute of Scientific and Technical Information of China (English)

    宋玉香

    2011-01-01

    Objective:To explore the relevant factors affecting holistic nursing applied in the operating room and propose appropriate countermeasures for improving quality of holistic nursing. Methods: Retrospective study was used to conclude the status of holistic nursing applied in the operating room, then analyzed the relevant factors affeting implementation effect, and proposed appropriate countermeasures. Results: The factors including insufficient number of nursing staff,much pressure, low quality, being lack of communication skills and defet nursing management limited implementation effect of holistic nursing care applied in the operating room. Conclusion:Appropriate countermeasures might be adopted in accordance with different condition. Measures including increasing nursing staff, reducing working pressure, improving quality, training communication skills and improving nursing management might improve quality of holistic nursing care in operating room.%目的:探讨影响整体护理在手术室实施的相关因素,并提出相应对策以提高整体护理服务质量.方法:采用回顾性研究,总结手术室开展整体护理的现状,并加以分析,提出相应的对策.结果:护理人员数量不足、压力大、素质偏低和缺乏沟通技巧以及护理管理缺陷等因素制约了整体护理在手术室运用效果.结论:针对不同情况采取相应的对策,增加护理人员编制,减轻工作压力,提高护理人员素质,培训沟通技巧,提高护理管理水平等措施可提高手术室整体护理服务质量.

  11. The Experience of Using Holistic Nursing in Operation Room Nursing in Caesarean Section%整体护理模式在手术室剖宫产护理中的运用体会

    Institute of Scientific and Technical Information of China (English)

    李风芹

    2014-01-01

    Objective To explore the application effect of the whole nursing in operation room nursing in caesarean section. Methods 268 patients undergoing elective caesarean section were divided randomly into observation group and control group, 134 cases in each group, the control group received routine nursing mode, the observation group received holistic nursing mode, operation were compared between the two groups before and after the operation of heart rate and blood pressure of SAS score, anxiety index. Results In the observation group, preoperative and postoperative SAS score was significantly lower than that of the control group (P<0.01), heart rate and blood pressure were significantly lower than those of control group (P<0.01). Conclusion The implementation of holistic nursing care in operation room nursing in caesarean section, helps relieve maternal anxiety, maintain the heart rate and blood pressure stability, the women with the best physiological state of mind to accept and cooperate with operation.%目的:探讨整体护理模式在手术室剖宫产护理中的应用效果。方法将268例择期剖宫产产妇随机分成观察组及对照组,每组134例,对照组实施常规护理模式,观察组实施整体护理模式,比较两组产妇术前及术后焦虑指数SAS评分、术中心率及血压情况。结果观察组术前及术后SAS评分显著低于对照组(P<0.01),术中心率及血压显著低于对照组(P<0.01)。结论在手术室剖宫产护理中实施整体护理模式,有助于缓解产妇焦虑情绪,维持心率及血压稳定,使产妇以最佳生理心理状态接受和配合手术。

  12. Investigation and analysis of hand hygiene of nursing staff in operating room%手术室护工手卫生的调查与分析

    Institute of Scientific and Technical Information of China (English)

    陈秀芳; 朱燕平; 陈玉燕

    2013-01-01

    OBJECTIVE To investigate the current situation of hand hygiene of the nursing staff in operating room so as to improve the awareness of hand hygiene and reduce the incidence of nosocomial infections.METHODS A total of 23 nursing staff from four country level hospitals of Xianju were chosen as the study objects,then the hands of the subjects were sampled according to the medical personnel hand hygiene norms of the Ministry of Health,and the questionnaire survey was conducted for the current status of the hand hygiene.RESULTS The bacterial colony count of the operating room nursing staffs hands was (11.25 ±6.58) CFU/cm2 before the hand washing,(10.35±6.67) CFU/cm2 after the hand washing; the qualified rate of the hand hygiene was 43.5% before the hand washing,47.8% after the hand washing,48.8% ofter contacting the patients and 52.2% ofter contacting the sterilized objects.CONCLUSION The current situation of the hand hygiene of operating room nursing staff is not optimistic,with the execution rate of the hand hygiene low,the compliance with hand washing poor.%目的 调查手术室护工手卫生现状,提高护工手卫生意识,以降低手术室医院感染率.方法 将仙居县4所县级医院的23名护工作为研究对像,按照卫生部《医疗机构医务人员手卫生规范》中的标准,对其手进行采样,并采用发放调查问卷方式对手术室护工的手卫生执行情况进行调查.结果 手术室护工手菌落数洗手前为(11.25±6.58)CFU/cm2;洗手后为(10.35±6.67)CFU/cm2,洗手前手术室护工手上的菌落数多于洗手后,差异无统计学意义;手术室护工手卫生的合格率洗手前为43.5%,洗手后为47.8%,手术室护工手卫生接触患者后及接触无菌物品后执行率分别为47.8%及52.2%.结论 手术室护工手卫生状况不容乐观,手卫生执行率低,洗手依从性差.

  13. Clinical Analysis on Application of Comfortable Nursing Care in Operating Room%舒适护理于手术室护理中的运用分析

    Institute of Scientific and Technical Information of China (English)

    闵静

    2014-01-01

    Objective:To explore the therapeutic effect of comfortable nursing care in operating room. Method:Totally 416 inpatients scheduled for surgery from 2010 to 2012 were randomly divided into observation group and control group,each of 208 cases.The patients in control group received routine nursing care only.While the patients in observation group received confortable nursing care based on the routine nursing.Result:The patients’satisfaction of observation group and control group were 98.56%,94.71%,respectively(P<0.05),the rate of complications were 3.85%,8.65%(P<0.05).The difference of the rate of anxiety,fear,and pessimism was statistically significant between the control group and the observation group(P<0.05),and the difference postoperative comfortable rate in observation group was statistically significant between the two groups(P<0.05).Conclusion:It is fully embodied the people-oriented nursing concept that applying the comfortable nursing mode during the operation,which can significantly improve the quality of nursing and promote the patients’recovery.%目的:探讨舒适护理在手术室护理工作中的应用效果。方法:选择本院2010-2012年进行手术治疗的患者416例,随机分为观察组和对照组各208例,对照组患者给予手术室常规护理,观察组患者给予舒适护理。结果:观察组、对照组对护理工作满意率分别为98.56%、94.71%,观察组高于对照组(P<0.05);两组并发症的发生率分别为3.85%、8.65%,观察组低于对照组(P<0.05)。观察组术中处于焦虑、恐惧、悲观状态的比例明显低于对照组(P<0.05);观察组患者术中、术后感觉舒适的比例明显高于对照组(P<0.05)。结论:手术室护理工作中应用舒适护理模式,能够提高护理质量,促进患者早日康复。

  14. Investigation of health education among operating room nurses%手术室护士健康教育现状的调查

    Institute of Scientific and Technical Information of China (English)

    李跃荣; 何琴; 赵伟鹏; 彭炜

    2011-01-01

    目的 了解手术室护士开展健康教育现状,发现问题,提出改进措施.方法 自制问卷,随机抽取重庆市21所医院的390名手术室护士进行问卷调查,课题组成员对结果进行分析.结果 有效问卷回收率为85.64%.术前、术中及术后健康教育实施率分别为92.82%、100%和79.94%.84.43%的被调查者认为有必要进行健康教育;67.96%有接受健康教育培训的需求.人员缺乏、工作量大和知识缺乏等是影响健康教育质量的前六位影响因素.结论 重庆市手术室护士具备健康教育意识和健康教育培训需求,健康教育实施方式和资料形式有待进一步完善.%Objective To explore the current status of perioperative health education performed by operating room (OR) nurses, identify related problems and provide effective measures. Methods 390 OR nurses from 21 hospitals in Chongqing were randomly chosen and surveyed with self-designed questionnaire.Results The response rate was 85. 64%. Health education rates of preoperative, intraoperative, and postoperative were 92.82%, 100%, 79.94%, respectively. 84.43% of the nurses surveyed stressed the importance of health education and 67.96% of them had training needs. Human resource shortage, heavy workload and knowledge inadequacy were the primary factors influencing the quality of health education.Conclusions OR nurses in Chongqing have health education consciousness and training needs, and the materials and approaches of the education system need to be improved.

  15. Investigation of work stress and lassitude of nurses in operating room%手术室护士工作压力与工作疲溃感的调查分析

    Institute of Scientific and Technical Information of China (English)

    杜惠梅; 梁秋娴; 陈志梅

    2009-01-01

    Objective to know about main stress source of work and the sense of lassitude in nurses working in operating room, and to find out the relationship between the both sides. Methods a total of 100 nurses working in operating room were investigated by filling out questionnaires. Results the major sources of work stress among nurses in operating room were in orderly as the nursing profession and work issues; workload and time pressure; resource and environment problems; patient care and interaction, and interper-sonal relationships and management issues. It also showed that nurses had moderate level of exhaustion on both Emotional Exhaustion (EE) and Depersonalization (DP), and that nurses had a high level of exhaustion on the Personal Accomplishment (PA) .There was a signifi-cantly positive correlation betwwn work stress and the level of lassitude. Conclusions The work stress of nurses working in operating room came from various aspects. They had more severe and lassitude . It suggested that nursing administrators should search for some effective measures to relieve the work stress of nurses in operating room.%目的 了解手术室护士的主要工作压力源及工作疲溃感,并明确两者之间的关系.方法 采用问卷调查法对100名手术室护士进行调查.结果 手术室护士的工作压力源依次为护理专业及工作方面的问题、工作量及时间分配问题、工作环境及资源方面的问题、病人护理方面的问题、管理及人际关系方面的问题.工作疲溃感中情绪耗竭、去人格化倾向为中度耗竭,个人成就感为高度耗竭.工作压力与工作疲溃感之间有显著相关性.结论 手术室护士压力源来自多方面,工作疲溃感较严重,建议护理管理者应寻求缓解手术室护士工作压力的有效措施.

  16. 手术室护士职业倦怠与心理健康状况的调查分析%Analysis the relative factors and interventions for job burnout of nurses in operation room

    Institute of Scientific and Technical Information of China (English)

    张平; 白晓霞

    2011-01-01

    目的 探讨手术室护士的职业倦怠及心理健康状况,进行有效的干预措施.方法 采用一般健康问卷和MaSlach工作疲溃感量表对本院手术室98名护士进行问卷调查.结果 手术室护士的工作倦怠主要表现在个人成就感丧失,而情感枯竭和去人格化维度倦怠程度较轻;心理状况不佳者占19.3%.结论 手术室护士职业倦怠水平较高,心理状况较差,应重视对职业倦怠及心理健康的管理,从管理者和个人角度去减少或消除压力源,减轻工作倦怠,促进护士心理健康.%Objective To investigate the causes of professional bumout about the nurses in operation room, exploring ef fective interventions. Methods Adopt general healthy questionnaire and Job bumout scale to 98 nurses in our hospital operation room. Results Lose of personal accomplishment sense,,emotion exhausted and depersonalization are the mainy representations of job bumout concerning nurses in operation room; 19. 3% nurses are in poor psychological state. Conclusion Working characteris tics ., working Environment, Individual factors and managers'factors are the main reasons lead to job bumout of nurses in operation room, the inverventions which from manager or individual can reduced or remove nurses'job stress ,, relieve job stress and improve quality of service.

  17. RCA(Analysis Root Cause)Application in Operation Room Nursing Buried in Safety Management%RCA(根因分析法)在手术室护理安全管理中的应用

    Institute of Scientific and Technical Information of China (English)

    陈杏秀

    2015-01-01

    Objective:To explore the application effect of RCA in the whole course nursing in operation room. Method:2013 August to 2014 August in our hospital 12 000 elective operation patients were selected as research objects, the application of RCA and the effect of nursing safety management in operation room was observed. Result:The root cause analysis method of fishbone diagram clearly found operation room nursing problems and solutions. Conclusion:The related concept of combined application of RCA conclusion of whole nursing in operation room,help to improve the nursing effect, enhance the operation side effect,which is worth promoting.%目的:探讨RCA在手术室全程护理中的应用效果。方法:选择2013年8月-2014年8月本院开展的12000例择期手术患者作为研究对象,应用RCA观察对手术室护理安全管理中的影响。结果:经根因分析法的鱼骨图可清晰发现手术室护理存在的问题及解决方法。结论:手术室全程护理中联合应用RCA相关理念,有助于提升护理效果,侧面提升手术效果,值得推广。

  18. 150名手术室护士核心能力的现状分析%Analysis on the Present Situation of the Core Competence of 150 Nurses in Operation Room

    Institute of Scientific and Technical Information of China (English)

    赵春红; 吴丹

    2015-01-01

    Objective To investigate the status of core competence of operating room nurses ,and to analyze its influencing factors. Methods Totally, 150 operating room nurses were recruited and investigated by Chinese registered nurse core com-petence scale. Results The total score of core competence of operating room nurses was (168.35±32.43). In the dimension of core competence,the highest score was that of ethical law practice of ( 3.27±0.56),the lowest score was that of educational consulting ( 2.55± 0.42),The influencing factor of nurses’ core competence was the hospital grade. Conclusions The core competence of operating room nurses is at a medium level.Managers should arrange post work reasonably basing on different level ofnursing staffs,formulate training and evaluating system for core competence of operating room nurses,in order to im-prove the quality of care, and promote the professional development of operating room nurses.%目的:探讨手术室护士核心能力现状并对其影响因素进行分析。方法采用中国注册护士核心能力测评量表对长春市医院的150名手术室护士进行问卷调查。结果手术室护士核心能力总分为(168.35±32.43)分,伦理法律实践维度均分为(3.27±0.56)分,教育咨询维度均分最低(2.55±0.42)分,影响手术室护士核心能力的主要影响因素是医院等级。结论因手术室护士核心能力处于中等水平,管理者应根据科室的发展提高其护理质量,从而促进手术室护士自身快速发展。

  19. Operating room of the future.

    Science.gov (United States)

    Bharathan, Rasiah; Aggarwal, Rajesh; Darzi, Ara

    2013-06-01

    Development of surgical care in the 21st century is increasingly dependent on demonstrating safety, efficacy and cost effectiveness. Over the past 2 decades, the potential role of simulation in surgery has been explored with encouraging results; this can now be linked to direct improvement in the quality of care provision. Computer-assisted surgical platforms, such as robotic surgery, offer us the versatility to embrace a host of technical and technological developments. Rapid development in nanomedicine will expand the limits of operative performance through improved navigation and surgical precision. Integration of the multiple functions of the future operating room will be essential in optimising resource management. The key to bringing about the necessary paradigm shift in the design and delivery of modern surgical care is to appreciate that we now function in an information age, where the integrity of processes is driven by apt data management.

  20. Application of electronic intraoperative cooperation conventions in cultivating operating room nurses' specialty%电子手术配合常规在手术室护士定向能力轮训中的应用

    Institute of Scientific and Technical Information of China (English)

    陈锐

    2011-01-01

    目的 促进低年资手术室护士尽快掌握专科手术配合方法,提高手术配合质量.方法 各专科手术间相对固定,设立专科组长,由专科组长利用手术间计算机信息系统,录入专科手术配合常规,包括手术体位、物品和器械准备、手术配合步骤、仪器设备使用指南等内容.采取术前阅读、术后修订、老师指导、护理配合过程中提问等形式,对19名轮训护士进行系统化培训.结果 应用电子专科手术配合常规后,轮训护士的护理质量、专科手术配合准确率及手术医生满意度显著高于应用前(P<0.05,P<0.01).结论 电子手术配合常规用于低年资护士定向能力轮训,指导性强,能提高手术配合质量.%Objective To boost junior operating room nurses to master intraoperative cooperation in certain specialty surgeries, and to improve quality of intraoperative nursing care. Methods Specialty surgeries were conducted in relatively fixed operating rooms, and a group leader of nurses was established to construct the intraoperative cooperation conventions for a certain specialty surgery by using computer in the operating room. The contents of the conventions included body position for operation, preparation of materials and equipments, procedures of intraoperative cooperation and instruction of equipment use, etc. Nineteen junior nurses were trained by using the following methods: they were asked to read the conventions before operation and to revise the conventions after operation under teachers' tutelage,and they were questioned during nursing process. Results The nursing quality and accuracy rate of intraoperative cooperation of the 19 nurses, the satisfaction of surgeons were significantly improved after implementation of the electronic intraoperative cooperation conventions (P<0. 05, P<0. 01 ). Conclusion The electronic intraoperative cooperation conventions for cultivating junior operating room nurses' specialty, can provide

  1. 手术室护士工作压力与心理健康状况的研究%Research in operation room nurses' job stress and mental health status

    Institute of Scientific and Technical Information of China (English)

    任小宇; 刘跃晖

    2010-01-01

    目的 了解手术室护士工作压力水平与心理健康状况,探讨缓解手术室护士压力的对策.方法 选择2010年4~8月2所三级综合性医院和3所二级综合性医院的手术室护士共82人为研究对象,采用症状自评量表及焦虑、抑郁自评量表和护士工作压力源量表进行问卷调查,并对结果 进行分析.结果 手术室护士的工作压力与她们的心理健康状况显著相关.结论 手术室护士在心理健康状况和工作压力的一些方面存在问题,应该引起手术室护理管理者的高度重视.%Objective To understand the operation room nurses' job stress and mental health status and discuss the countermeasures to ease pressure. Methods 82 patients were selected from five hospitals from April to August 2010. We used symptom checklist, self-rating anxiety scale, self-rating depression scale and nurse' job stress scale to carry out the questionnaire survey. Results The pressure of operation room nurses were related with their mental health status. Conclusions Some problems existed in mental health and work stress in operation room nurses, which should be highly valued by operation room nursing managers.

  2. Influence of behavior control on occupational exposure of operating room nurses%行为控制对手术室护士职业暴露的影响

    Institute of Scientific and Technical Information of China (English)

    林华; 余丽君; 袁慧

    2015-01-01

    目的:探讨行为控制对手术室护士职业暴露的影响。方法:统计我院2009年7月~2013年6月施行行为控制前后66名手术室护士在35767例手术配合过程中发生的职业暴露次数,比较行为控制对手术室护士职业暴露的影响。结果:行为控制前护士的职业暴露率为0.18%,采取行为控制后职业暴露率为0.06%。结论:行为控制能有效降低职业暴露对手术室护士的伤害,可以作为预防和减少职业暴露的方法在临床使用。%Objective:To investigate the behavioral control of occupational exposure to operating room nurses.Statistical methods in our hospital in July 2009 to June 2013 after 66 behavioral control purposes operating room nurse in 35,767 cases occur during surgery with occupational exposure times,more behav-ioral control on the impact of occupational exposure to operating room nurses.Results:Behavioral control former nurse occupational exposure was 0.18%,af-ter taking behavior control occupational exposure was 0.06%.Conclusion:Behavioral control can effectively reduce occupational exposure to operating room nurse injuries,can be used as prevention and reduction of occupational exposure in clinical.

  3. Clinical effect analysis of application of risk consciousness management in nursing management of operating room%手术室护理管理中应用风险意识管理的临床效果分析

    Institute of Scientific and Technical Information of China (English)

    于介然

    2016-01-01

    目的:探讨手术室护理管理中应用风险意识管理的临床效果。方法:收治手术患者80例,分为两组。对照组给予常规护理,观察组在对照组基础上给予风险意识管理,比较两组护理质量、护理满意度及风险发生率。结果:护理后,观察组护理质量、护理满意度和风险发生率均优于对照组,差异具有统计学意义(P<0.05)。结论:在手术室护理管理应用风险意识管理能显著提高护理效果,有效减少风险事故的发生。%Objective:To explore the clinical effect of application of risk consciousness management in nursing management of op-erating room.Methods:80 cases of surgical patients were divided into two groups.The control group was given routine nursing,and the observation group was given risk consciousness management based on the control group.The nursing quality,nursing satisfac-tion and risk occurrence rate of the two groups were compared.Results:After nursing,the nursing quality,nursing satisfaction and risk occurrence rate in the observation group were better than those in the control group,and the differences were statistically sig-nificant(P<0.05).Conclusion:The application of risk consciousness management in nursing management of operating room could improve the nursing effect significantly and reduce the incidence of risk accidents effectively.

  4. 手术室护士标准预防认知与执行现状调查研究%Status of cognition and implementation about standard precautions of operating room nurses

    Institute of Scientific and Technical Information of China (English)

    徐爱梅; 叶培英; 卓青

    2011-01-01

    OBJECTIVE To explore the cognizance, implementation and related influencing factors of standards precaution in current operation-room nurses. METHODS Taking stratified random sampling method, we randomly selected a total of 174 operating room nurses in 3 grade-3 hospital and 6 grade-2 hospitals in Fujian. We got the information through questionnaires, interviews, on-site observation conducting. SPSS statistical software used for statistical analysis of the data. RESULTS The accuracy rate for cognition about standard precautions of nurses with different job titles was different, the nurse was 82. 1 %, the nurse practitoner was 63.9 %, the nurse-in-charge was 93. 5%, the professor of nursing was 75. 0%. In multiple linear regression analysis, we found that the related influencing factors of standards precaution including hospital degree, necessity of training about precautions,recognition degree about precautions. CONCLUSION The status of cognition and performing about Standard Precautions of operating room nurse need to be improved. The supervision and management of standard precautions of operating room nurse should be strengthened.%目的 了解手术室护士标准预防认知与执行现状并分析其影响因素. 方法 采用随机抽样法,抽取福建省3所三级医院、6所二级医院手术室护士共174名为研究样本;通过问卷、访谈、现场观察等方式进行调查;采用SPSS统计软件对资料进行统计学分析. 结果 不同职称护士对标准预防认知的正确率分别是护士82.1%,护师63.9%,主管护师93.5%,主任护师75.0%;经多元线性回归模型分析对标准预防执行有意义的影响因素有医院级别、防护培训必要性和防护重视程度. 结论 手术室护士对标准预防的认知和执行力度都有待于进一步提高,应加强对标准预防工作的监督和管理.

  5. 长沙市综合医院手术室男护士工作现状调查%Investigation of Working Present Situation of Male Nurses at Operating Room in General Hospital of Changsha City

    Institute of Scientific and Technical Information of China (English)

    余尚昆; 董小文

    2016-01-01

    目的:调查湖南省长沙市二级甲等以上综合医院手术室男护士的工作现状,以帮助他们正确看待自己的专业,解决一些疑惑,以便为改善医院手术室男护士身心健康状况提供依据,从而使他们以良好的状态工作。方法采取双向调查的方法,随机选择长沙市8所二级甲等以上综合手术室男护士和女护士各60人,以及男护士参与过手术的患者、手术医生、女护士各50名,采用自行设计的调查问卷进行调查。结果男护士在手术室中承担着大量有益的工作,与女护士比较男护士在应急、体力、学习、互补等方面具有优势,手术患者、手术室医生、手术室护士对男护士满意度较高,差异有统计学意义(P<0.05)。结论手术室应该根据自身情况,不断加强男护士队伍建设,充分发挥其优势,更好地服务患者。%Objective To investigate the working situation of male nurses at operating room in secondary A or higher general hospitals in Changsha and give them assistance to correctly view their major and solve their problems in order to provide evidence for improving the physical and mental health of operating room male nurses. Thus enable them to work in good condition. Methods Adopted to investigate two-way, 8 secondary hospitals above comprehensive operation room male nurses and nurse of 60 people were randomly selected in Changsha, as well as male nurses in surgery patients, doctors and women nurses 50 cases, using self-designed questionnaire survey. Results Male nurse takes a lot of useful work in the operating room, compared with female nurses male nurses in emergency, physical strength, gender, learning, complementary, have obvious advantages, surgery patients, operating room doctors and nurses on male nurse satisfaction is high, the difference has statistical significance (P<0.05).ConclusionAccording to self-condition, operating rooms should continue to

  6. 人性化护理沟通技巧在手术室护理中的应用效果%Humane Care Communication Skills Application Effect in the Operating Room Nursing

    Institute of Scientific and Technical Information of China (English)

    宋小溪

    2016-01-01

    目的:人性化护理沟通技巧在手术室护理中的应用效果。方法选取2014年1月至2015年1月在大连市友谊医院手术室择期进行手术的101例患者,随机分为试验组与对照组,对照组50例采取普通护理措施,试验组51例在对照组的基础上在护理过程中加入人性化沟通技巧,比较两组患者的满意度。结果试验组满意度高于对照组(P0.05)。结论在手术室护理中采取人性化沟通技巧,提高患者对手术的满意度,值得在临床推广。%Objective Humane nursing communication skills in the application of the operating room nursing effect. Methods Choose from January 2014 to January 2015 in Dalian friendship hospital operating room 101 patients undergoing elective surgery, were randomly divided into experimental group and control group. Control group had 50 patients used routine nursing intervention. Test group had 51 patients on the basis of routine nursing intervention used humanized nursing communication skills. Results The test group patients' satisfaction is higher than the control group (P0.05). Conclusion Human-oriented communication skills in the operating room nursing, enhance patient satisfaction for surgery, is worth popularizing in clinical.

  7. Observation of Nursing Intervention on the Prevention of Surgical Wound Infection in Operation Room%护理干预对手术室外科伤口感染的预防效果观察

    Institute of Scientific and Technical Information of China (English)

    丛金萍

    2015-01-01

    目的:分析护理干预对手术室外科伤口感染的预防效果。方法将158例患者分为A、B两组各79例,分别给予护理干预及常规护理,分析两组护理效果。结果A组甲级愈合率高于B组,伤口感染率A组2.5%低于B组13.9%,P<0.05。结论护理干预可预防手术室外科伤口感染。%Objective To analyze the effect of nursing intervention on the prevention of surgical wound infection in operation room. Methods 158 patients were randomly divided into A,B two groups with 79 cases in each group,they were given nursing intervention and routine nursing care,the nursing effect of two groups were analyzed. Results In group A,Class-A healing rate was significantly higher than that of group B,wound infection in group A was 2.5%,lower than that in group B which was 13.9%,P<0.05. Conclusion Nursing intervention can prevent wound infection in operation room.

  8. 手术室专科护士临床实践能力指标体系的构建%Study on the clinical practice competence index system of operating room nurse specialist

    Institute of Scientific and Technical Information of China (English)

    刘锐; 石秀杰; 宋艳; 谷晓丽; 吴琼; 宋知宁

    2014-01-01

    Objective: To formulate the clinical practice competence index system of operating room nurse specialist. Methods: Delphi technique was used to consult 40 experts. Results: Authority coefifcients of experts was 0.87. Return rates of two rounds were 95.00% and 92.10%, respectively. Coordination coefifcients of the ifrst and the second indexes were 0.38 and 0.31, respectively. The clinical practice competence index system of operating room nurse specialist included 6 ifrst-level indicators and 25 second-level indicators. Conclusion: The clinical practice competence index system of operating room nurse specialist could provide reference for employment, training and evaluation of operating room nurse specialist.%目的:构建科学、全面的手术室专科护士临床实践能力指标体系。方法:采用德尔菲法从全国范围内选取专家40名进行两轮函询。结果:专家函询的群体权威系数为0.87,两轮函询问卷回收率分别为95.00%、92.10%,一级指标和二级指标的协调系数分别为0.38、0.31。最终形成的手术室专科护士临床实践能力指标体系包含6个一级指标及25个二级指标。结论:初步确定手术室专科护士临床实践能力指标体系,为手术室专科护士的培训、评价提供科学依据。

  9. 浅析5S管理对手术室优质护理服务的促进作用%Brief Analysis of 5S Management Improving High Quality Nursing of Operating Room

    Institute of Scientific and Technical Information of China (English)

    范东英; 谢圆

    2014-01-01

    Objective:To analyze the impact of 5S management on high quality nursing in the operating room. Methods:The records of the operating room were collected from January, 2013 to March, 2013 when 5S manage-ment was carried out, 20 cases were randomly chosen and compared with 20 cases of operation record before 5S management was carried out, the impact of 5S management on the work of the operating room was analyzed. Re-sults: Articles arrangement in the operating room, clothing return rate, operation articles preparation time, whole quality of nuring staff and other aspects were changed obviously (P<0.01). Conclusion:The implementation of 5S management in the operating room could make the operating room cleaner, enhance the initiative of the nurses and improve work efficiency of the nursing as well as satisfactory degree of the patients, which could promote the devel-opment of high quality nursing.%目的:分析5S管理对手术室优质护理服务的影响。方法:收集2013年1~3月实行5S管理后手术室工作记录资料,随机抽取20例与未实行5S管理的20例手术资料进行对比,分析5S管理对手术室工作的影响。结果:手术间物品归位摆放程度、患者衣物归还率、手术物品准备时间、护理人员整体素质等方面有明显变化(P<0.01)。结论:手术室实行5S管理,手术间更加整齐清洁,能增强护士工作主动性,提高护理工作效率及患者满意度,促进优质护理服务的开展。

  10. Application of whole seamless nursing model on high-quality nursing in Operating Room%全程无缝隙护理模式在手术室优质护理中的应用

    Institute of Scientific and Technical Information of China (English)

    徐匀; 潘名娥

    2015-01-01

    Objective To explore clinical effects of whole seamless nursing model on high-quality nursing in Operation Room ( OR) . Methods A total of 136 patients with abdominal surgery had been averagely divided into control group and experimental group by random number table from March 2013 to March 2014. The control group was implemented OR high-quality of nursing while the experimental group was carried out the whole seamless nursing model. The psychological status, operation stress, and nursing satisfaction before and after intervention had been assessed SAS and SDS, that cited form ‘The diagnostic and statistical manual of mental disorders’ made by American Psychiatric Association, and assessed stress reaction by monitoring patient′s blood pressure, heart rate and cortisol levels. Results After intervention, the score of SAS and SDS in two groups decreased, but these of experimental group declined more apparently between two groups (P0. 05). The satisfaction was 98. 53% (67/68) in the experimental group, higher than 91. 18% (62/68) in the control group (P0.05);护理后,观察组收缩压、舒张压、心率、皮质醇水平低于对照组,差异有统计学意义(P<0.05)。观察组满意度为98.53%(67/68),高于对照组的91.18%(62/68),差异有统计学意义(P<0.05)。结论对患者实施优质护理服务时应用全程无缝隙护理模式,其可有效改善手术患者的心理状态,减少各种手术应激发生,促使患者保持良好心态接受手术治疗,提高患者满意度。

  11. 手术室实施无缝隙护理办法对护理质量的影响评价%The Implementation Effect of Nursing Quality Evaluation of Seamless Nursing Measures for Operation Room

    Institute of Scientific and Technical Information of China (English)

    张理霞

    2015-01-01

    目的:评价分析在手术室实施无缝隙护理对临床护理质量的影响作用。方法:将本院普外科2013年12月-2014年12月收治的210例患者纳入研究,按随机数字表法,将全部患者均分为研究组和对照组,每组105例。对照组给予常规的手术室护理,研究组则采用手术室全程无缝隙护理办法,比较两组患者心理舒适度、心率、血压、皮质醇、术后疼痛等护理指标的变化及护理满意度等情况。结果:研究组麻醉前的SAS评分、SDS评分、心率、血压、皮质醇指标均比对照组低;研究组术后疼痛评分显著更低于对照组;另外,研究组医生、患者对护理满意度评分高于对照组,无缝隙护理模式获得的认同程度更高,比较差异均有统计学意义(P<0.05)。结论:对外科手术患者实施手术室全程无缝隙护理,对改善其术前负性情绪、手术应激反应等有积极影响,且能减轻术后疼痛程度,提高护理的满意率。%Objective: To evaluate and analyze the influence of the implementation of seamless care and clinical quality of care in the operating room.Method: In our hospital from December 2013 to December 2014, 210 patients were selected into the study, according to random number table method, all the patients were divided into the study group and the control group, each group contained 105 cases. The control group was given conventional nursing in operation room, the study group was given seamlessnuring method in operation room. The psychological comfort, heart rate change, blood pressure, cortisol, postoperative pain,nursing care and satisfaction indicators, etc of the two groups were compared. Result: Before anesthesia, SAS score, SDS score, heart rate, low blood pressure, cortisol index of the study group were lower than those of the control group; postoperative pain score of the study group was significantly lower; in addition, doctors, patients care

  12. Application of quality control circle activity in reducing the operating room nurses tour times out%品管圈活动在减少手术室巡回护士外出次数中的应用

    Institute of Scientific and Technical Information of China (English)

    程慧

    2016-01-01

    目的:运用品管圈(QCC)活动减少手术室巡回护士外出次数。方法:组建品管圈活动小组,通过圈员投票将减少巡回护士外出作为本次活动的主题,按照品管圈活动步骤及方法,对影响手术间巡回护士外出次数的原因进行分析,制定相应的措施并组织实施。结果:手术间巡回护士外出次数由品管圈活动前的8.29次/台降低到5.61次/台,降幅达32.32%。结论:通过品管圈活动能提高护士工作效率,保证患者手术安全,推进手术室护理管理标准化。%Objective:To apply quality control circle (QCC) tour activities to reduce go out of the operating room nurses.Method:Reduced the visiting nurse go out as the theme of the event by circle member vote to form QCC activity group,according to the QCC activity method,analyzed the reasons of the affecting operation between circuit nurses,and the number of out formulate corresponding measures and organize their implementation.Results:Between operation circuit nurses out by QCC activity times 8.29 times down to 5.61 times,drop of 32.32%.Conclusion:Through the QCC activity increase work efficiency of nurses,to ensure the safety of patients,and promote standardization of the operating room nursing management.

  13. 手术室护生实习压力源的质性研究%Qualitative research of the stress origin of the nursing student practicing in operating room

    Institute of Scientific and Technical Information of China (English)

    严玮; 李惠萍

    2011-01-01

    Objective To discuss the pressure origin of nursing students who practice in operating room and provide the information on clinical nursing education to promote physical and mental health of nursing students.Methods Selecting 15 nursing students practicing in operating room as research objects, using in-depth interviews of phenomenological approach to investigate the origin of their stress.Results The psychological stresses of the nursing students practicing in operating room mainly arise from the following five areas: the special operating room environment; learning and working pressure; emotional stress; social bias pressure and occupational hazard pressure.Conclusions Nursing educators should reform the traditional teaching model to improve the professional level of the teacher, emphasis on the education of standard precaution and security protection, strengthen the ability of nursing students themselves to deal with setbacks and communicate with peoples.%目的 探讨护生在手术室实习期间压力的来源,给护理临床带教提供信息,促进护生身心健康.方法 立意抽样选择15名在手术室实习的护生作为研究对象,采用深入访谈的现象学研究方法探寻其心理压力产生的根源.结果 手术室实习护生的心理压力源主要来自以下5个方面:手术室特殊的环境;手术室学习和工作方面的压力;情感方面的压力;社会偏见压力;职业危害压力.结论 护理教育者应改革传统教学模式,提高带教老师专科业务水平,注重标准预防和安全防护的教育,加强护生自身应对挫折的承受能力和人际沟通能力的培养.

  14. 优质护理在提升手术室工作质量中的应用%High Quality of Nursing in Operation Room in the Application of Lifting Work Quality

    Institute of Scientific and Technical Information of China (English)

    王雅茹

    2015-01-01

    Objective To explore the clinical application and ef ect of high quality of nursing in operation room work. Methods Select our hospital 144 cases of patients with surgery, according to dif erent nursing methods for its adoption, divided into the control group (routine nursing) and observation group (high quality nursing), compared two groups of patients with the ef ect of nursing care and nursing satisfaction of doctors and patients. Results The incidence of complications was lower than that of the control group, the observation group patients after operation, nursing satisfaction is significantly higher than the control group, the <0.05, with statistical significance. Conclusion The quality of nursing in operation room work clinical application ef ect is bet er than the routine nursing care, and can ef ectively improve the patients' satisfaction to nursing care, is conducive to the harmonious development of nurse patient relationship, the relationship between doctors and patients, it is worthy of wide clinical application.%目的探究优质护理在手术室工作中的临床应用及效果。方法选取本院144例手术患者,根据对其采用的不同护理方式,分为对照组(常规护理)和观察组(优质护理),比较两组患者的护理效果和医患护理满意度。结果观察组患者术后并发症发生率明显低于对照组,护理满意度明显高于对照组,<0.05,具有统计学意义。结论优质护理应用在手术室工作中的临床效果优于常规护理,且能有效提高患者的护理满意度,有利于护患关系、医患关系的和谐发展,值得临床广泛应用。

  15. [Management for the operating room].

    Science.gov (United States)

    Tschudi, O; Schüpfer, G

    2015-03-01

    Business companies, which in the current times also includes hospitals, must create customer benefits and as a prerequisite for this must sustainably generate profits. Management in the world of business means the formation and directing of a company or parts of a company on a permanent basis, whereby management in this context is not exercising power but function. This concept of management is exemplary developed in this article for the important services sector of the operating room (OR) and individual functions, such as resource control, capacity planning and materials administration are presented in detail. Some OR-specific management challenges are worked out. From this it becomes clear that the economic logic of the most efficient implementation possible is not a contradiction of medical ethics, enabling the most effective treatment possible for patients while safeguarding the highest possible levels of safety and quality. The article aims to build a bridge for medical specialists to the language and world of commerce, emphasizing the profession-based competence and hopefully to arouse interest to go into more detail.

  16. 手术室针对患者实施优质护理服务体会%Nursing Experience for Patients With High Quality Nursing Service in Operation Room

    Institute of Scientific and Technical Information of China (English)

    陈永凤

    2015-01-01

    目的:探究与分析手术室实施优质护理服务的方法,旨在为患者提供安全、满意的优质护理服务。方法回顾性分析我院収治的2800例手术室患者的临床资料,按照就诊时间顺序分为常规护理组与优质护理组,每组各1400例,对比手术焦虑程度、护理满意度及手术配合情况。结果优质护理组与常规护理组相比,手术焦虑程度评分降低,护理满意度评分升高,差异具有统计学意义(P<0.05)。优质护理组与常规护理组相比,手术配合度提高,差异具有统计学意义(P<0.05)。结论手术室实施优质护理服务效果良好。%ObjectiveTo explore and analyze the methods to implement quality care in the operating room,and is designed to provide safety,satisfactory quality care for patients.Methods A retrospective analysis of the clinical data in our hospital operating room patients with 2 800 cases,according to the chronological treatment devided into routine care group and high quality care group,each with 1 400 cases,then compared to surgical anxiety, satisfaction with care and operation coordination degree.ResultsHigh quality care group than the usual care group compared with surgery anxiety score,care satisfaction scores increased,the defference with statistical significance(P<0.05). Quality care group increased compared with the usual care group compared with operation coordination degre, it had a statisticaly significant(P<0.05).Conclusion Operating room implementing high quality nursing service has a remarkable effect.

  17. Clinical Relieve Effects Observation of PDCA Mode Used in Occupation Burnout of Nursing Personnel in Operation Room%PDCA模式用于手术室护理人员职业倦怠感缓解效果探讨

    Institute of Scientific and Technical Information of China (English)

    殷薇; 邹磊; 易凤琼

    2015-01-01

    Objective To investigate clinical relieve effects of PDCA mode used in occupation burnout of nursing personnel in op-eration room. Methods From 2014 January to 2014 October were selected 70 cases of nursing personnel were chosen and random-ly divided into two groups including control group (35 cases) with conventional nursing management mode and observation group (35 cases) with PDCA nursing management mode; the degree of occupation burnout and self burnout of nursing personnel before and after intervention of both groups were compared. Results There was no significant difference in the degree of occupation burnout and self burnout of nursing personnel before intervention between 2 groups (P>0.05). The degree of occupation burnout and self burnout of nursing personnel after intervention of observation group was significant better than control group and before intervention (P0.05);观察组护理人员干预后职业及自我倦怠程度显著优于对照组及自身干预前,差异有统计学意义(P<0.05)。结论PDCA模式用于手术室护理人员可有效缓解职业倦怠感,具有临床应用价值。

  18. 探讨“写日记”对手术室新护士培训效果的影响%To explore the effect of the "diary" on the training effect of the new nurses in operation room

    Institute of Scientific and Technical Information of China (English)

    邓文琼

    2016-01-01

    目的:探讨“撰写规培日记”在手术室新护士规范化培训(简称“规培”)中效果的影响。方法:护士长讲解或引导如何撰写规培日记,并按时上交,批阅日记。结果:带教组在新护士入科后3个月进行考核,理论、操作考试成绩显著上升,新护士规培效果满意度明显提高。结论:通过撰写规培日记,提高了新护士的主动学习能力,撰写规培日记是培养手术室新护士的良好思维方式和学习习惯的有效途径。%Objective To explore the effect of "writing a diary" in the new nurses in the operation room (referred to as the"Regulations"), to achieve the purpose of reviewing the theory, accumulating experience and guiding the work.Methods The nurse to explain or guide how to write a diary of standardized training, and handed in on time, marking the diary.Results With the teaching group in the new nurse into the family after 3 months of assessment, theory, operation test scores were significantly higher, with a teacher to the new nurse training effect satisfaction significantly improved.Conclusion By writing a diary, the initiative learning ability of new nurses, Writing a diary is an effective way to train the new nurses in operation room.

  19. Application effect observation of evidence-based nursing in operating room nursing%循证护理在手术室护理中的应用效果观察

    Institute of Scientific and Technical Information of China (English)

    陈燕辉; 易红艳; 彭艳梅

    2015-01-01

    目的:探讨循证护理在手术室护理中的应用效果。方法选取本院2012年11月~2013年10月的184例手术患者作为研究对象,随机分为观察组和对照组,各92例。对照组给予传统护理,观察组给予循证护理。采用SCL-90量表评估两组的抑郁、焦虑等不良情绪,并对护理满意度、护理质量评分、并发症发生率进行比较。结果两组护理后的抑郁、焦虑、恐惧、敌对、偏执、人际关系评分显著低于护理后,差异有统计学意义(P<0.05)。观察组护理后的抑郁、焦虑、恐惧、敌对、偏执、人际关系评分显著低于对照组护理后,差异有统计学意义(P<0.05)。观察组的护理满意度显著高于对照组,差异有统计学意义(P<0.05)。观察组的护理质量评分为(98.32±3.58)分,显著高于对照组的(81.43±3.12)分,差异有统计学意义(P<0.05)。观察组的并发症发生率为1.09%,显著低于对照组的7.69%,差异有统计学意义(P<0.05)。结论循证护理能够缓解手术患者的不良情绪,改善护理质量,提高护理满意度。%Objective To explore the application effect of evidence-based nursing in operating room nursing. Methods 184 surgical patients in our hospital from November 2012 to October 2013 were selected and randomly divided into the observation group and the control group,92 patients in each group.The control group was given traditional nursing,the observation group was given evidence-based nursing.The SCL-90 scale was used to evaluate the adverse emotions in-cluding depression and anxiety in two groups,the nursing satisfaction degree,nursing quality and the incidence of com-plication was compared. Results The score of depression,anxiety,terror,hostility,paranoia and interpersonal relationship in two groups after nursing was lower than that before nursing,with significant difference (P<0.05).The score of depres-sion,anxiety,terror,hostility,paranoia and interpersonal

  20. Operating room management and operating room productivity: the case of Germany.

    Science.gov (United States)

    Berry, Maresi; Berry-Stölzle, Thomas; Schleppers, Alexander

    2008-09-01

    We examine operating room productivity on the example of hospitals in Germany with independent anesthesiology departments. Linked to anesthesiology group literature, we use the ln(Total Surgical Time/Total Anesthesiologists Salary) as a proxy for operating room productivity. We test the association between operating room productivity and different structural, organizational and management characteristics based on survey data from 87 hospitals. Our empirical analysis links improved operating room productivity to greater operating room capacity, appropriate scheduling behavior and management methods to realign interests. From this analysis, the enforcing jurisdiction and avoiding advance over-scheduling appear to be the implementable tools for improving operating room productivity.

  1. 手术室护士长在协调医护关系中的作用分析%Operating Room Head Nurse Role in Coordinate the Relationship between the Medical Analysis

    Institute of Scientific and Technical Information of China (English)

    朱会群

    2015-01-01

    For hospital operating room key sites in severe cases, surgery and salvage its nursing trival, work fast and surgi-cal risk is high, easy to increase the contradiction between doctors and nurses, friction, affect the surgical treatment effect, so need to establish good relationship between medical care, to facilitate the operation is completed. This paper mainly from the characteristics of medical relationship, this article mainly from the operating room medical contradiction and cause and the coordination between (nurse) in the "four combinations" and "four relations" coordination between (medical) in the two aspects of the specific analysis of the operating room the role of the head nurse's role in coordinating the medical relations, so as to actively play a role of the operating room head nurse, to establish a harmonious relationship between medical care, improve the overall quality of life in patients with, realize the goal of the hospital and promote the development of each department.%手术室为医院实施手术与抢救重症患者关键场所,具有护理工作繁琐、工作节奏较快与手术风险高等特点,易增加手术医师与护理人员之间矛盾、摩擦,影响手术治疗效果,因此需建立良好医护关系,以利于手术顺利完成,该文主要从手术室医护关系的特点、医护矛盾与原因及"四结合"(护士间的协调)与"四关系"(医护间的协调)两方面具体分析手术室护士长在协调医护关系中的作用,以便积极发挥手术室护士长作用,建立和谐医护关系,提高患者整体生活质量,实现医院目标与促进各科室发展.

  2. New heuristics for planning operating rooms.

    NARCIS (Netherlands)

    Molina-Pariente, J.M.; Hans, E.W.; Framinan, J.M.; Gomez-Cia, T.

    2015-01-01

    We tackle the operating room planning problem of the Plastic Surgery and Major Burns Specialty of the University Hospital “Virgen del Rocio” in Seville (Spain). The decision problem is to assign an intervention date and an operating room to a set of surgeries on the waiting list, minimizing access t

  3. SBAR在手术室护理教学早查房中的应用%Application of SBAR for nurse students morning rounds in operation room

    Institute of Scientific and Technical Information of China (English)

    李跃荣; 李红; 钟昌艳; 邬舟玥; 胡军; 易凤琼; 赵庆华

    2016-01-01

    Objective To identify the effect of SBAR (situation, background, assessment, recom-mendation) in OR (operating room)nursing teaching rounds. Methods According to internship turns, rou-tine group (even number, Group A:68 students) and SBAR group (odd number, Group B:70 students) were chosen by drawing lots. Group A used conventional mode for history report, while Group B used SBAR mode. Students' performance was evaluated by OR nurse students' rounds standard scale and the reporting time was recorded. Each nurse students filled in Communication Self-efficacy Evaluation Form on the fifth week in OR. The information was input into excel. The results of the two groups were compared with SPSS 11, and the data were analyzed by chi square test and t test. Results The average reporting quality score was 16.74 for Group A, and 18.66 for Group B. The average score of Group B was higher than that of Group A. Compared with the cases scores above 18 between the two groups, the result was statistically significant, P=0.039. The average score of communication Self-efficacy in Group A was 42.88, while it was 44.94 in Group B, which showed that Group B had better score than that of Group A. Significant differences was found between the two groups when compared the cases with score above 45, P=0.010. The average reporting time was (2.42±1.16) minutes for Group A and (2.32±1.21) for Group B, and there is no significant differences between the 2 groups. Conclusion SBAR is helpful for improving students communication Self-efficacy, and making progress on nursing round reporting quality,and it is worth promoting in clinical teaching.%目的:探讨SBAR(situation-现状、background-背景、assessment-评估、recommendation-建议)在手术室护理教学早查房中的效果。方法依据护生临床实习轮次抓阄确定常规组(偶数轮,A组68人)和SBAR组(奇数轮,B组70人),A组病史汇报采用常规模式,B组采用SBAR模式。使用《手术室

  4. 尼泊尔地震救援中手术室标准化护理管理模式探讨%Discussion on the standardized nursing management mode of operation room in the earthquake rescue of Nepal

    Institute of Scientific and Technical Information of China (English)

    白晓霞; 宋龙超; 杨丽娜; 敬洁

    2016-01-01

    目的:根据汶川、玉树、芦山、尼泊尔地震的手术室救援经验,加强地震救援中手术室护理工作环节配合。方法在多次地震救援的实践基础上,规范救援现场临时手术室人员配备、物资管理、手术流程、感染控制,形成手术室标准化护理管理模式,应用于尼泊尔地震救援中。结果标准化管理模式在尼泊尔地震救援中运用良好,无一台手术发生意外和死亡。结论地质灾害频发,灾害应对的人才储备及管理改进,有着非常重要的现实意义。%Objective To strenghten the coordination of nursing job in the operation room during the earth-quake rescue on the basis of the rescue experience in the operation room in Wenchuan, Yushu, Lushan and Ne-pal. Methods On the practice basis of several earthquake rescues, the temporary operating room personnel allocation, material management, surgical process and infection control should be standardized on the rescue spot to form standard-ized nursing management mode for operating room, which were applied to the earthquake rescue of Nepal. Results The standardized management mode was applied well to the earthquake rescue of Nepal without any accident or death in the operation. Conclusions Since the geological disasters occured frequently, it is critically important to reserve the talents and improve the management.

  5. 基于胜任力的手术室低年资护士临床培训模式的构建%Construction of competency-based clinical training mode for junior nurses in operating room

    Institute of Scientific and Technical Information of China (English)

    高玲; 邓静

    2013-01-01

    Objective:To build competency-based clinical training mode for low seniority of operating room nurses,so as to provide theoretical and practical evidences for constantly improving the standardized training for operating room nurses and formation of self-development diversified platform of specialist nurses.Methods:Literature novelty,open questionnaire survey and professional consulting methods were used for initial establishment of competency-based clinical training mode for low seniority of operating room nurses.A total of 15 experts were selected by using Delphi method,and they carried out three turns of opinion surveys for the contents of competency-based clinical training,and put forward opinions and suggestions targeted at indicators projects and coverage of primary model.Results:The effective recovery rate of two turns of expert consultation questionnaire was 100.0%,the selected experts involved in operating room nursing,nursing education,nursing management,epidemiological investigation,the field of statistics,and the experts had better representation of disciplines;indicators authoritative coefficient of experts was more than 0.88;the basic contents were established including teachers' requirement,training cycle,training content,training methods and effect evaluation.Conclusion:The enthusiasm and authority of experts' evaluation are higher for initial construction of competency-based clinical training model for low seniority operating room nurses.%[目的]构建基于胜任力的手术室低年资护士临床培训模式,为不断完善手术室低年资护士规范化培训,形成专科护士自我发展的多元化平台提供理论与实践依据.[方法]运用文献查新、开放式问卷调查、专业咨询等方法初步建立基于胜任力的手术室低年资护士临床培训模式.采用德尔菲法选取15名专家对该模式内容进行3轮意见调查,针时初级模式指标项目、指标覆盖面提出意见和建议.[结果]3轮专家

  6. Analysis on the Problems of Continuing Education of Nurses in Operation Room%手术室护士继续教育途径与存在问题的对策探析

    Institute of Scientific and Technical Information of China (English)

    武丽媛

    2016-01-01

    The current situation, minimally invasive surgery technology and advanced technology development, medical research continues to advance, the new nursing concept and new theory emerge in endlessly. School education is no longer and clinical nursing needs to meet the demand for nurses, nurses should be targeted and planning to accept continuing education, so that to adapt to the development of nursing science. Summary the nursing staff to continue education process, the nurse business organizational learning has already become the important measures, the following is probing into the operating room nurses to continue education ways and existing problems of countermeasures.%当前形势下,微创手术技术和高精尖手术技术不断发展,医学研究不断进步,护理新概念和新理论层出不穷。学校教育已经无法对护士需求和临床护理需求进行满足,在职护士应有针对性和计划性地接受继续教育,以便适应护理学科的发展。在护理人员继续教育过程汇总,组织护士业务学习已经成为重要的举措,下面就探析手术室护士继续教育途径与存在问题的对策。

  7. 应用目标带教考评方法对手术室试用期护士的管理%Management of Operating Room Nurses in Probation Period by Appraising The Objective Faculty Adviser

    Institute of Scientific and Technical Information of China (English)

    韩旭; 范里莉

    2011-01-01

    Objective:To explore the management effects of operating room contract nurses in probation period by appraising the objective faculty adviser. Methods:A total of 30 contract nurses who have signed up operating room were investigated by management of appraising the objective faculty adviser under the SMAT principles. Results:Enthusiasm and hepotential abilities of both contract nurses and faculty adviser have been mobilized actively by applying the SMAT principles. Conclusions:Under the application of SMART principles, the contract nurses have come into being a complexion of enterprise and curiousness, also the enthusiasm and potential abilities of both contract nurses and faculty adviser have been mobilized actively.%目的:探讨军队医院手术室定科试用期合同护士目标带教考评的管理.方法:应用SMART 原则,对已经签订手术室试用期合同的合同护士30 名,进行目标带教考评管理.结果:应用SMART 原则管理,积极调动了师生双方的积极性和潜在的能力,使合同护士形成了积极向上、主动求学的局面.结论:应用SMART 原则管理,积极调动了师生双方的积极性和潜在的能力,使合同护士形成了向上、主动求学的局面.

  8. 腹腔镜下胆囊切除术的手术室护理配合对策探讨%Discussion on the Countermeasures of Nursing Cooperation in the Operation Room of the Patients Undergoing Laparoscopic Cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    李洁

    2016-01-01

    目的:探析腹腔镜下胆囊切除术的手术室护理配合对策。方法选取2014年1月~2015年12月我院行腹腔镜下胆囊切除术的患者264例,随机分成两组:对照组与观察组,各组132例。对照组施行常规围手术期护理,观察组在对照组的基础上加强手术室护理配合,对两组护理效果予以观察对比。结果观察组患者的并发症发生率、手术时间、术中出血量均要少于对照组(P <0.05)。结论在腹腔镜下胆囊切除术治疗中,加强手术室护理配合,可以减少并发症的发生,缩短手术时间,减少术中出血量。%Objective To analyze the countermeasures of nursing cooperation in the operation room of the patients undergoing laparoscopic cholecystectomy. Methods 264 cases of laparoscopic cholecystectomy patients from January 2014 to December 2015 in our hospital were selected and were randomly divided into two groups: control group and observation group, 132 cases in each group. Control group received conventional perioperative nursing, the observation group on the basis of the control group strengthen the operating room nursing, the nursing effect of two groups was observed. Results The occurrence rate of complications, the operative time and the volume of intraoperative blood loss of observation group were less than that of control group (P<0.05). Conclusion In the treatment of laparoscopic cholecystectomy, strengthening the operating room nursing cooperation can significantly shorten the operation time and reduce the occurrence rate of complications and the volume of intraoperative blood loss.

  9. The Investigation and Ethical Reflection of Physiological Function of the Operating Room Nurses%手术室护士生理机能的调查与伦理思考

    Institute of Scientific and Technical Information of China (English)

    史志良; 邵丽; 王理瑛

    2012-01-01

    Objective;Through the investigation of physiological function of the operating room nurses, to explore the related ethical issues. Method: By the use of questionnaires for conducting a questionnaire survey analysis in 229 operating room nurses who come from four Three A level hospitals'operating rooms. Results: In the work, operating room nurses have harmful factors and unreasonable work system and dietary behavior. Conclusion j In the modern operation room management process, use ethical thinking to understand their problems and emotion. Advocate the values of collectivism, socialist medical morality at the same time, in the maintenance of patient benefits under the premise, both health care workers benefit, optimizing the employment environment, insisting on people ?oriented, setting up a reasonable working system, improving the logistics and healthy life style, and providing reliable occupation health security and health protection for them.%目的 通过对手术室护士生理机能情况的调查,探讨相关的伦理问题.方法 对4所三级甲等医院的229名手术室护理人员进行问卷调查并对结果进行分析.结果 护理人员在工作中存在有害因素及不合理的工作制度和膳食行为.结论 在现代手术室管理过程中,用伦理思想去理解他们的问题及情感.倡导集体主义价值观、社会主义医德的同时,在维护病人利益的前提下,兼顾医护人员的利益,优化用人环境,以人为本,建立合理的劳动制度、完善的后勤保障和健康的生活方式,为其提供可靠的职业卫生安全和健康保护.

  10. Entire Accompanying for Deaf-and-dumb Patients by Sign Language Nurses in Operating Room%手语护士全程陪护聋哑患者手术的实践

    Institute of Scientific and Technical Information of China (English)

    罗忠梅; 张洪青; 雷菊红; 张湘云

    2012-01-01

    This paper summarized the experience of the entire accompanying for deaf-and-dumb patients by sign language nurses inoperating room.After the sign language training it: June 2009,two nurses in operating room communicated with deaf-and-dumbpatients in sign language in different period of operation.In the past two years,all the 17 patients were satisfied with theaccompanying.The entire accompanying for deaf-and-dumb patients by sign language nurses in operating room turns to be beneficialto the communication between patients and medical staff,which enhances patients' satisfaction and it proves to be effective andpractical.%探讨手语护士全程陪护聋哑患者手术的护理经验.从2009年6月起,各科室抽调2名护士参加医院组织的手语培训.手术室2名护士学会手语后,对聋哑手术患者用手语实行术前访视、接送患者、术中护理、麻醉恢复等全程陪护.2年来,手术全程陪护17例患者,全部患者手术顺利,围术期沟通顺畅,安全返回病房.认为开展手语护士陪护聋哑患者手术全过程,减少了护患、医患沟通障碍,减少患者对手术的忧虑,提高了患者满意度,密切了护患关系,是手术室开展优质护理的一种很好的服务方式.

  11. 层级护理模式对改善手术室护理质量及职业倦怠感的效果观察%Effect observation of level nursing mode in improveing the nursing quali-ty and occupation burnout of nurses in operation room

    Institute of Scientific and Technical Information of China (English)

    周小芳

    2014-01-01

    Objective To explore the effect of level nursing mode in improveing the nursing quality and occupation burnout of nurses in operation room. Methods 46 nurses from June 2012 to December 2013 were selected as research object,and they were randomly divided into control group (routine nursing mode group) and observation group (level nursing mode group),23 cases in each group.The nuring work quality and occupation burnout of two groups before and after the intervention was compared respsctively. Results There was no significant differences in the nuring work quali-ty and occupation burnout between two groups before the intervention (P>0.05),the nuring work quality excellent and good rate of observation group after the intervention was 100.00%,the rate of no occupation burnout was 95.65%,which was obviously better than that in control group,with statistical difference(P0.05),干预后观察组护理工作质量优良率为100.00%,无倦怠感率为95.65%,显著优于对照组,差异有统计学意义(P<0.05)。结论层级护理模式能够改善手术室护理人员的综合工作状态,值得临床推广应用。

  12. Relationship between job stress and job satisfaction and organizational commitment in operating room nurses%手术室护士工作压力、工作满意度与组织承诺的相关分析

    Institute of Scientific and Technical Information of China (English)

    高薇; 张静; 李娟

    2012-01-01

    目的 探讨手术室护士工作压力、工作满意度与组织承诺的关系,为手术室管理提供切实可行的依据.方法 选取201名手术室护士为研究对象,使用护士工作压力源量表、明尼苏达满意度问卷及组织承诺量表进行调查研究.结果 手术室护士组织承诺的3个维度价值承诺、努力承诺、留职承诺及总分分别为(20.28±2.83),(29.01±3.53),(45.99±8.18),(95.28±13.05)分;不同月平均夜班数、月收入护士组只承诺得分差异有统计学意义(P<0.05);手术室护士工作压力与组织承诺呈显著正相关(r =0.298,P=0.000);工作满意度与组织承诺有显著的相关性,外在满意度与组织承诺之间相关性最为显著(t=9.780,P<0.01).结论 手术室管理人员应注重缓解护理人员的工作压力,提高护理人员的满意度,提升护理人员的组织承诺.%Objective To explore relationship between the job stress,job satisfaction and organizational commitment of the operating room nurses,and to provide a practical basis for managing the operating room.Methods 201 hospital operating room nurses were selected for the study,and the nursing job stress scale,the Minnesota Satisfaction Questionnaire( MSQ )and organizational commitment scale were used to survey.Results The sare of value commitmont,effort commitment and emotional commitment and total was respectively(20.28 ± 2.83 ),( 29.01 ± 3.53 ),( 45.99 ± 8.18 ),( 95.28 ± 3.05 ) ; Operating room nurses working pressure and organizational commitment was significantly correlated (r =0.298,P < 0.01 ) ; job satisfaction and organizational commitment are significantly related,extrinsic satisfaction and organizational commitment correlation between the most significant ( t =9.780,P < 0.01 ).Conclusions Managers should focus on the operating room nurses to ease the work pressure,improve nursing satisfaction,organizational commitment to enhance the nursing staff.

  13. Clinical efficacy of nursing safety intervention mechanism in the operation room safety management%手术室实施护理安全管理的效果分析

    Institute of Scientific and Technical Information of China (English)

    冉俊辉

    2014-01-01

    Objective:To observe the clinical efficacy of nursing safety intervention mechanism in the operation room safety management. Methods:A total of 1280 patients who received nursing safety management were selected into the observation group,another 1000 patients before the implementation of nursing safe-ty management were selected into the control group,the nursing qualities of the two groups were compared. Results:The score of nursing quality,the satisfaction degree of nursing job of the patients and doctors in the observation group were significantly higher than that in the control group (P<0. 05 ). The incidence of nursing errors in the observation group were shorter than that in the control group (P<0. 05 ). Conclusions:Nursing safety intervention mechanism can effective-ly reduce the incidence rate of safety risk and medical errors accident in operating room and can raise the satisfaction of patients.%目的:分析研究手术室实施护理安全管理的临床效果。方法:将我院实施护理安全管理的1280例手术的患者作为观察组,另选实施护理安全管理以前的1000例患者作为对照组,比较两组患者的手术室护理质量。结果:与对照组比较,观察组护理质量评分、患者和医生对护理工作的满意度明显增高(P<0.05);观察组护理差错发生率少于对照组,两组比较差异有统计学意义(P<0.05)。结论:在手术室的安全管理中,有效应用护理干预机制,可对手术室护理的安全质量起到提高效果,预防和减少风险事件的发生,提高手术配合质量。

  14. Implementing an operating room pharmacy satellite.

    Science.gov (United States)

    Powell, P J; Maland, L; Bair, J N; McCall, J D; Wong, K C

    1983-07-01

    Implementation of an operating room (OR) pharmacy satellite is described, and its impact on cost-effectiveness and efficiency of drug distribution is analyzed. The OR satellite provided pharmacy coverage for 30-35 patients per day in 10 centralized surgical suites, 2 obstetric suites, and 1 burn-unit suite in a 401-bed teaching hospital. Objectives of the satellite were to consolidate accountability for drug distribution and control, reduce controlled substance loss and waste, reduce inventory costs, and improve recording of patient charges. Stock on the OR supply cart was reduced, controlled substances were dispensed to anesthesiologists from the satellite, and a system of standardized anesthesiology exchange trays was developed. A new billing form served as both the charging document and replacement list. Reduction in the medication cart stock resulted in smaller discrepancies in patient charges. For the five most commonly used controlled substances, accounting discrepancies were reduced. Inventory turnover increased and inventory dollar value and cost per patient were reduced. The percent of nurses who believed that a pharmacist should work in the area increased from 31% before implementation of the satellite to 95% after. The pilot OR pharmacy satellite was a financial success. Efficiency and effectiveness in drug distribution and control were improved, and communication between pharmacists and other medical personnel working in the OR areas was enhanced.

  15. Analysis of factors which affecting the satisfaction of nursing in operation room and its improvement measures%患者对手术室护理满意度影响因素分析及其改进措施

    Institute of Scientific and Technical Information of China (English)

    黎艳娟; 赵晓嫦; 覃子韵

    2015-01-01

    目的 探讨患者对手术室护理满意度的影响因素,并提出相应的改进措施. 方法 选择2014年6月至2015年4月在我院进行手术治疗的342例患者,术后三天对患者进行问卷调查,调查内容包括患者一般资料、手术前后情况,并采用外科手术患者满意度调查量表对手术室护理满意度进行评分,比较分析影响手术室护理满意度的相关因素. 结果 单因素分析显示,患者在年龄、付费方式、疾病严重程度、手术恐惧、手术时间、术后并发症、离室时感觉疼痛以及离室时记忆八个因素上比较差异具有显著性意义( P<0.05);多因素回归分析显示,手术恐惧、离室时感觉疼痛、术后并发症以及付费方式进入Logistic回归模型(P<0.05),是影响患者对手术室护理满意度的重要因素. 结论 影响患者手术室护理满意度的重要因素包括手术恐惧、离室时感觉疼痛、术后并发症以及付费方式,手术室护理人员可根据患者自身情况,术前给予患者足够的手术、麻醉等相关知识以及心理支持,以缓解患者术前的紧张和恐惧感,并加强对患者围术期疼痛的管理,以提高患者对手术室护理服务质量的满意度.%Objective To explore the influence factors which affect the satisfaction of nursing in operation room , and put forward the corresponding improvement measures .Methods 342 patients got surgical treatment in our hospital from June 2014 to April 2015 were enrolled this study , three days after surgery , the patients were investigated by questionnaire .The contents included the general information of patients , and the condition pre-and post -surgical operation .The satisfaction degree of nursing satisfaction was evaluated by surgical patient's satisfaction questionnaire and analyzed the influence factors which affect the satisfaction of nursing in operation room .Results Univariate analysis showed that patients were significantly different

  16. 腹腔镜下胆囊切除术的手术室临床护理与配合分析%To Analyze the Clinical Nursing and Cooperation of Laparoscopic Cholecystectomy in the Operating Room

    Institute of Scientific and Technical Information of China (English)

    陈慧燕

    2013-01-01

      目的:分析腹腔镜下胆囊切除术的手术室临床护理和配合。方法:回顾性分析50例需要进行腹腔镜下胆囊切除手术的患者的资料,探讨腹腔镜下胆囊切除术的手术室临床护理和配合。结果:术前给予患者临床护理能够减轻患者的心理压力;术中做好手术准备,医护人员做好协助工作能够缩短手术的时间,保证手术顺利完成;术后做好出院指导,能够减少术后并发症的发生率和复发率。结论:腹腔镜下胆囊切除术中手术室良好的护理和配合是保证手术顺利完成的关键,在提高护理质量的同时能够提高手术成功率。%Objective: To analyze the clinical nursing and cooperation of laparoscopic cholecystectomy in the operating room. Meth-ods: Retrospective analysis of data of 50 cases of patients in need of laparoscopic cholecystectomy, to explore the clinical nursing and cooperation of laparoscopic cholecystectomy in the operating room. Results: Clinical nursing given to patients before surgery to reduce the patient's psychological pressure. Well prepared for surgery and the medical staff do the assist work can shorten the time of the surgery, to ensure the successful completion of the surgery. Made the discharge guidance well after surgery can reduce the inci-dence of postoperative complications and recurrence rate. Conclusion: Clinical nursing and cooperation of laparoscopic cholecystec-tomy in the operating room is the key to ensuring the successful completion of the surgery, while improving the quality of nursing can improve the success rate of surgery.

  17. 手术室优质护理对手术部位感染影响的分析%Impact of high-quality nursing on surgical site infections in operating rooms

    Institute of Scientific and Technical Information of China (English)

    张彩霞; 郑建萍; 杨东; 张敏丽; 姚霞

    2014-01-01

    OBJECTIVE To explore the impact of high-quality nursing on surgical site infections in operating rooms . METHODS In Apr 2012 ,the high-quality nursing was carried out to strengthen the organization and nursing man-agement ,improve nursing quality ,and enhance the environment of the operating rooms as well as the management of surgery ,then the monitoring indicators of control of the surgical site infections in Apr-Sep 2011 and Apr-Sep 2012 were analyzed ,and the quality of control of the surgical site infections was compared between before and after the conduct of high-quality nursing .RESULTS Before the conduct of high-quality nursing ,the surgical site infec-tions occurred in 60 of 6 386 patients who underwent the surgery ,with the infection rate of 0 .94% ;after the con-duct of high-quality nursing ,the surgical site infections occurred in 53 of 7 561 patients who underwent the surger-y ,with the infection rate of 0 .70% .The qualified rates of the surgical hand disinfection ,common hand washing , surveillance of air ,surveillance of object surfaces ,and environmental health were respectively 93 .33% ,86 .67% , 97 .22% ,88 .89% ,and 82 .86% before the conduct of high-quality nursing and were respectively 100 .00% ,and 96 .67% ,100 .00% ,94 .44% ,and 97 .77% after the conduct of high-quality nursing .CONCLUSION The conduct of high-quality nursing can promote the control of surgical site infections in the operating rooms .%目的:探讨手术室开展优质护理对手术部位感染的影响。方法2012年4月手术室开展以加强组织、护理管理,提高护理质量,加强手术室环境及手术管理为重点内容的优质护理服务;对2011年4-9月及2012年4-9月手术部位感染管理的各项监测进行分析,比较开展优质护理服务前后手术部位感染控制的质量。结果开展优质护理活动前,外科手术患者6386例,发生手术部位感染60例,感染率0.94%;开展优质护理

  18. Comparison on the influence of nursing age,education degree and social support degree for the occupation burnout of nurses in operation room%护龄、文化程度及社会支持程度对手术室护理人员职业倦怠感的影响比较

    Institute of Scientific and Technical Information of China (English)

    徐萍

    2014-01-01

    Objective To compare the influence degree of nursing age, education degree and social support degree for the occupation burnout of nurses in operation room. Methods 68 nurses in operation room from June 2010 to January 2014 were the study object, and they were all evaluated with maslach burnout inventory, then the evaluation results of nurses with different nursing age, education degree and social support degree were compared. Results The maslach burnout inventory evaluation results of nurses with 6 to 10 years nursing age, lower education degree and social support degree were all worse than those of nurses with other nursing age, higher education degree and social support degree, all P<0.05, there were all significant differences. Conclusion The influence of nursing age, education degree and social support degree for the occupation burnout of nurses in operation room are greater, and the nurses with 6 to 10years nursing age, lower education degree and social support degree should be paid more attention.%目的:比较不同护龄、文化程度及社会支持程度对手术室护理人员职业倦怠感的影响程度。方法选取2010年6月~2014年1月的68名手术室护理人员为研究对象,将其采用职业倦怠感量表进行评估,并比较其中不同护龄、文化程度及社会支持程度护理人员的评估结果。结果护龄6~10年者、文化程度及社会支持程度较低的护理人员的职业倦怠感量表评估结果差于其他护龄、文化程度及社会支持程度较低的护理人员,差异有统计学意义(P均<0.05)。结论护龄、文化程度及社会支持程度对手术室护理人员职业倦怠感的影响较大,应注意对护龄6~10年、文化程度及社会支持程度较低护理人员给予更多的干预。

  19. Implementation of a risk management plan in a hospital operating room

    Directory of Open Access Journals (Sweden)

    Li Guo

    2015-12-01

    Full Text Available A risk management program based on AS–NZS4360 risk management standards was developed and implemented in the operating room of Peking University Third Hospital. To accomplish this task, we developed a risk quantification matrix and a risk register form to identify potential risks in the operating room, and then implemented operating room policies designed to reduce or eliminate those risks. We also established a consultation mechanism and risk monitoring system designed to minimize risks to operation room nurses. Finally, we continuously seek to improve our operating room risk management capabilities, so we can continue to improve the quality of service provided and guarantee the safety of surgical patients.

  20. [Performance development of a university operating room after implementation of a central operating room management].

    Science.gov (United States)

    Waeschle, R M; Sliwa, B; Jipp, M; Pütz, H; Hinz, J; Bauer, M

    2016-08-01

    The difficult financial situation in German hospitals requires measures for improvement in process quality. Associated increases in revenues in the high income field "operating room (OR) area" are increasingly the responsibility of OR management but it has not been shown that the introduction of an efficiency-oriented management leads to an increase in process quality and revenues in the operating theatre. Therefore the performance in the operating theatre of the University Medical Center Göttingen was analyzed for working days in the core operating time from 7.45 a.m. to 3.30 p.m. from 2009 to 2014. The achievement of process target times for the morning surgery start time and the turnover times of anesthesia and OR-nurses were calculated as indicators of process quality. The number of operations and cumulative incision-suture time were also analyzed as aggregated performance indicators. In order to assess the development of revenues in the operating theatre, the revenues from diagnosis-related groups (DRG) in all inpatient and occupational accident cases, adjusted for the regional basic case value from 2009, were calculated for each year. The development of revenues was also analyzed after deduction of revenues resulting from altered economic case weighting. It could be shown that the achievement of process target values for the morning surgery start time could be improved by 40 %, the turnover times for anesthesia reduced by 50 % and for the OR-nurses by 36 %. Together with the introduction of central planning for reallocation, an increase in operation numbers of 21 % and cumulative incision-suture times of 12% could be realized. Due to these additional operations the DRG revenues in 2014 could be increased to 132 % compared to 2009 or 127 % if the revenues caused by economic case weighting were excluded. The personnel complement in anesthesia (-1.7 %) and OR-nurses (+2.6 %) as well as anesthetists (+6.7 %) increased less compared to the

  1. Silence, power and communication in the operating room

    Science.gov (United States)

    Gardezi, Fauzia; Lingard, Lorelei; Espin, Sherry; Whyte, Sarah; Orser, Beverley; Baker, G Ross

    2009-01-01

    Title. Silence, power and communication in the operating room Aim This paper is a report of a study conducted to explore whether a 1- to 3-minute preoperative interprofessional team briefing with a structured checklist was an effective way to support communication in the operating room. Background Previous research suggests that nurses often feel constrained in their ability to communicate with physicians. Previous research on silence and power suggests that silence is not only a reflection of powerlessness or passivity, and that silence and speech are not opposites, but closely interrelated. Methods We conducted a retrospective study of silences observed in communication between nurses and surgeons in a multi-site observational study of interprofessional communication in the operating room. Over 700 surgical procedures were observed from 2005–2007. Instances of communication characterized by unresolved or unarticulated issues were identified in field notes and analysed from a critical ethnography perspective. Findings We identified three forms of recurring ‘silences’: absence of communication; not responding to queries or requests; and speaking quietly. These silences may be defensive or strategic, and they may be influenced by larger institutional and structural power dynamics as well as by the immediate situational context. Conclusions There is no single answer to the question of why ‘nobody said anything’. Exploring silences in relation to power suggests that there are multiple and complex ways that constrained communication is produced in the operating room, which are essential to understand in order to improve interprofessional communication and collaboration.

  2. 机器人辅助手术中手术室专科护士的压力体验分析%Pressure from Robot-assisted Surgery for Operating Room Specialized Nurses

    Institute of Scientific and Technical Information of China (English)

    张圣洁; 王珏; 张海洋; 刘洋; 张丽; 高歌; 曹润泽; 徐梅

    2016-01-01

    目的:了解机器人辅助手术给手术室专科护士带来的压力,分析压力原因并提出应对建议。方法采用焦点人群座谈会形式,对北京协和医院的9名机器人辅助手术专科护士进行半结构访谈,并对相应资料进行分析整理,提炼主题。结果被访的手术室专科护士中9名认为压力来源于医生;8名认为来自于机器人系统本身;8名认为来自于手术过程;7名认为压力来自于自身知识储备有限。结论建议加强医护间沟通,为机器人辅助手术专科护士提供更多的学习空间与培训,模拟故障的发生及梳理应急预案等措施,以应对机器人辅助手术给手术室专科护士带来的压力。%Objective To investigate the pressure from robot-assisted surgery for operating room specialized nurses and to analyze its reasons then put forward suggestions to deal with the pressure. Methods We conducted semi-structured interviews among 9 operating room specialized nurses experiencing robot-assisted surgery in Peking Union Medical College Hospital and then carried out corresponding data analysis. Results We found that the doctor, robot system, operation process and inadequate knowledge of nurses were the main influence factors of the pressure. Conclusion It is important to promote doctor-nurse communication when conducting robot-assisted surgery and more training for nurses will contribute to alleviating the pressure of nurses.

  3. The vascular hybrid room--operating room of the future.

    Science.gov (United States)

    Hudorović, Narcis; Rogan, Suncica Andreja; Lovricević, Ivo; Zovak, Mario; Schmidt, Sasa

    2010-09-01

    The last two decades have seen a paradigm shift in the treatment of vascular related diseases from once traditional open surgical repairs to the entire vascular tree being amenable to percutaneous interventions. Neither the classic operating room nor the conventional angiography suite is optimal for both open surgery and endovascular procedures. Important issues for the vascular hybrid operating room include quality of the imaging equipment, radiation burden, ease of use of the equipment, need for specially trained personnel, ergonomics, ability to perform both open and percutaneous procedures, sterile environments, as well as quality and efficiency of patient care. The most important feature of working in a dedicated hybrid vascular suite should be the ability to attain best treatment of vascular patients. Whether the interventional radiologist or the vascular surgeon uses the facilities is of less importance. Establishment of an endovascular operating room suite has the benefit of a sterile environment, and the possibility of performing hybrid procedures and conversions when necessary. Moreover, angiography immediately before treatment gives contemporary anatomical information, and after treatment provides quality control. Consequently, better quality and service can be provided to the individual patient. These changes in the treatment of vascular disease require that a new type of vascular specialist, named 'vascular hybrid surgeon', trained to perform both endovascular and open surgical procedures in this highly complex patient group.

  4. 手术室潜在的护理安全隐患与管理对策分析%Analysis of Potential Nursing Security Hazards in Operating Rooms and Relative Management Strategies

    Institute of Scientific and Technical Information of China (English)

    薛冬梅

    2014-01-01

    Objective To analyze nursing potential security hazards in operating rooms and propose viable management strategies. Methods 60 patients in our hospital from May 2011 to May 2012 (a control group) were selected to analyze the nursing security hazards. And the management was actively improved. Another 60 patients from June 2012 to June 2013 (an observation group) were given targeted nursing management. The primary outcome was the comparison of the nursing efficacy between these two groups. Results The main nursing security hazards included specimens missing, gauze left in body cavities, infection of incisional wounds, electrosurgical burns, nerve and joint damage, stumble injuries, etc. After the implementation of targeted nursing management, no accidents metioned above occurred in the observation group. The accident rate was significantly lower (P <0.05). 100% of the observation group were satisfied with the operating room nursing service, significantly higher than the control group (P <0.05). Conclusions Operating room staffs should correspondingly implement systematic nursing care on the basis of their fully understanding of the security hazards and common nursing accidents.%目的:分析手术室护理工作潜在的安全隐患,并提出可行的管理对策。方法随机选取我院2011年5月至2012年5月期间60例手术患者为对照组,分析手术室护理安全隐患,并积极改进管理方式,另选我院2012年6月至2013年6月60例手术患者为观察组,给予针对性护理管理,对比两组护理结果。结果手术室护理安全隐患主要是标本丢失、体腔遗留纱布、切口感染、电刀灼伤、神经及关节损伤、跌撞受伤等。实施针对性护理管理后,观察组未见上述护理安全事故,事故发生率明显低于对照组(P<0.05)。观察组手术室护理服务满意度为100.0%,明显高于对照组(P<0.05)。结论手术室医护人员应在充分认识护理安全隐患及常见护

  5. Operating Room Telephone Microbial Flora

    Science.gov (United States)

    2007-11-02

    beta-lactamase expressing multi-resistant Acinetobacter baumannii transmitted in the operation area. J Hosp Infect, 2004. 57(4): p. 308-15. 63...Goodman, J. E., Volk, H. M., and Sood, R., Direct costs of multidrug-resistant Acinetobacter baumannii in the burn unit of a public teaching hospital...Scerpella, E.G., Wanger, A. R., Armitige, L., Anderlini, P., & Ericsson, C. D., Nosocomial outbreak caused by a multiresistant clone of Acinetobacter

  6. 基础护理流程的优化在创建手术室优质护理服务中的作用研究%Research on the efect of optimizing basic nursing procedure in high quality nursing service in operation room

    Institute of Scientific and Technical Information of China (English)

    杨柳蓉

    2015-01-01

    Objective To explore the effect of optimizing basic nursing procedure in high quality nursing service in operation room.MethodsThe procedure of basic nursing in operation room was revised and optimized from October 2013 to October 2014. The training of basic operation and nursing procedure for nurses and their nursing awareness were strengthened. Nursing care quality, patients' satisfaction rate, hospital inflection rate, nursing risky events and nurse-patient disputes before and after improvement of basic nursing procedures was compared. Results Scores of nurses' communication ability, responsibility, basic nursing, service attitude, writing normalization, emergency response capacity and overall nursing quality after optimization were significant higher than those before optimization (P<0.05). Patients' hospital inflection rate, rate of nursing risky events and rate of nurse-patient disputes after optimization were significantly lower than those before optimization, but patients' satisfaction rate was higher than that before optimization.Conclusion Optimizing basic nursing procedure in operation room can improve nurse's nursing quality and reduce the number of nursing risky events, which is good for providing high quality nursing service.%目的:探讨基础护理流程的优化在创建手术室优质护理服务中的作用。方法2013年10月~2014年10月通过完善及修订手术室基础护理流程,加强护理人员基础操作及护理流程培训,强化护理人员护理意识,比较基础护理流程优化前后护士护理质量、患者满意度、患者医院性感染率、护理风险事件及护患纠纷事件发生情况。结果优化后护理人员沟通能力、责任心、基础护理、服务态度、书写规范性、应急能力及总护理质量评分显著高于优化前(P<0.05)。优化后患者医院性感染率、护理风险事件及护患纠纷事件发生率低于优化前,而患者满意率高于优化

  7. Training of occupational protection of the nurses in operating room and its effectiveness%手术室护士职业防护培训方法与成效

    Institute of Scientific and Technical Information of China (English)

    李媛; 董薪; 何丽

    2013-01-01

    OBJECTIVE To explore the methods of training for the occupational protection of the nurses in operating rooms and observe its effectiveness so as to provide basis for better implementation of the occupational protection . METHODS In Jan 2012, the operating rooms carried out special training of occupational protection, including hospital infection knowledge of operating rooms, relevant laws and regulations, knowledge of occupational protection. The bacterial culture results, work efficiency, and satisfaction of the nursing staff's work were compared before and after the training. RESULTS After the occupational protection training, there were 16 (64.0%) nursing staff whose awareness of nosocomial infections in the operating rooms was excellent and 9 (36.0%) nursing staff whose awareness was good; there were 9 (36.0%) nursing staff whose awareness of the relevant laws and regulations achieved excellent and 12 (48. 0%) nursing staff whose awareness achieved good; there were 17(68. 0%) nursing staff whose awareness of the occupational protection achieved the excellence and 6 (24. 0%) nursing staff whose awareness achieved good. Before the training, the operating room nurses with excellent awareness of nosocomial infections accounted for 24. 0%, 20. 0% of the excellent awareness of relevant laws and regulations, and 12. 0% of the excellent awareness of occupational protection, as compared with those before the training, the difference was statistically significant. CONCLUSION Carrying out special training of occupational protection may contribute to the safety of operation, raising the work efficiency, relieving the nursing staff's stress on work, improving the nursing quality as well as the capability of occupational protection, so as to promote the satisfaction of the nursing.%目的 探讨手术室实行护士职业防护培训的方法以及取得成效,为更好贯彻落实手术室护士职业防护培训提供实践依据.方法 于2012年1月对手术室护士

  8. Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

    Science.gov (United States)

    Sexton, J Bryan; Makary, Martin A; Tersigni, Anthony R; Pryor, David; Hendrich, Ann; Thomas, Eric J; Holzmueller, Christine G; Knight, Andrew P; Wu, Yun; Pronovost, Peter J

    2006-11-01

    The Joint Commission on Accreditation of Healthcare Organizations is proposing that hospitals measure culture beginning in 2007. However, a reliable and widely used measurement tool for the operating room (OR) setting does not currently exist. OR personnel in 60 US hospitals were surveyed using the Safety Attitudes Questionnaire. The teamwork climate domain of the survey uses six items about difficulty speaking up, conflict resolution, physician-nurse collaboration, feeling supported by others, asking questions, and heeding nurse input. To justify grouping individual-level responses to a single score at each hospital OR level, the authors used a multilevel confirmatory factor analysis, intraclass correlations, within-group interrater reliability, and Cronbach's alpha. To detect differences at the hospital OR level and by caregiver type, the authors used multivariate analysis of variance (items) and analysis of variance (scale). The response rate was 77.1%. There was robust evidence for grouping individual-level respondents to the hospital OR level using the diverse set of statistical tests, e.g., Comparative Fit Index = 0.99, root mean squared error of approximation = 0.05, and acceptable intraclasss correlations, within-group interrater reliability values, and Cronbach's alpha = 0.79. Teamwork climate differed significantly by hospital (F59, 1,911 = 4.06, P teamwork climate is possible using this psychometrically sound teamwork climate scale. This tool and initial benchmarks allow others to compare their teamwork climate to national means, in an effort to focus more on what excellent surgical teams do well.

  9. 安全文化在手术室护理管理中的应用探析%Application analysis of the safety culture in the operating room nursing management

    Institute of Scientific and Technical Information of China (English)

    曾慕阳

    2013-01-01

    目的探讨安全文化在手术室护理管理中的应用效果。方法选取实施安全文化的我院手术室,全面加强安全文化在护理管理中的应用,对实施安全文化前后医生、患者满意度和危急患者抢救情况以及护理差错和护理纠纷发生率分别予以统计分析。结果实施安全文化后,医生、患者满意度和危急患者抢救成功率均明显提高,护理差错及护理纠纷发生率明显降低,差异均具有统计学意义(P<0.05)。结论手术室通过实施安全文化教育和管理后,医疗服务质量明显提高,值得临床推广应用。%Objective To analyze the application effect of the safety culture in the operating room nursing management. Methods Select the operating room of our hospital enforced the safety culture, comprehensively strengthen the application of safety culture in nursing management, the satisfaction degree of the doctors and patients, the salvage condition of the critical patients, and the incidence of nursing errors and disputes before and after the implementation of safety culture were statistically analyzed respectively. Results After the implementation of the safety culture, the satisfaction degree of the doctors and patients, the rescue success rate of the critical patients were improved obviously, the incidence of nursing error and disputes were significantly reduced, the differences were all statistically significant (P<0.05). Conclusion By implementing safety culture education and management, medical service quality of the operating room improved obviously, worth of clinical popularization and application.

  10. 瑜伽锻炼对手术室护士工作压力和应对方式的影响%Influence of Yoga exercise on the work stress and coping styles of operating room nurses

    Institute of Scientific and Technical Information of China (English)

    徐海丽; 张雪; 吴秀东; 蔡秀琴; 倪乐丹

    2015-01-01

    Objective To explore the influence of Yoga exercise on the work stress and coping styles of operating room nurses. Methods A total of 77 nurses were selected working in the operating room of our hospital,and all the nurses were randomly divided into observation group(38 cases)and the control group (39 cases). The nurses of observation group did Yoga exercise regularly,while the nurses of control group did not make any Yoga workout regularly. We used psychological stress scale( CPSS)to assess anxiety of two groups nurses before and after the intervention,and investigated every nurse's pressure coping style respectively before and after care. Results Pressure improvement mark in the observation group had been greatly improved after Yoga exercise intervention(16. 203 ± 4. 218),while it was(3. 127 ± 1. 037)in the control group with statistical significance( t = 3. 012,P < 0. 05);the improvement of anxiety in the observation group was significantly better than that of the control groups,the difference had statistical significance(P < 0. 05);the stress coping style of observation group were obvious improved after the intervention compared with that of the control group(P < 0. 05). Conclusions Yoga exercises can improve the working stress and coping operating room nurses effectively.%目的:探究瑜伽锻炼对手术室护士工作压力和应对方式的影响。方法选择手术室护士77人,按照随机数字表法将护士随机分为观察组38例和对照组39例。观察组护士定期进行瑜伽锻炼,对照组护士则不进行定期的瑜伽锻炼。运用心理压力量表(CPSS)对两组护士分别进行压力测评;运用焦虑自评量表对两组护士干预前后的焦虑状况进行评价;护理前后分别对每一位护士的压力应对方式进行调查。结果瑜伽锻炼干预后观察组护士压力改善状况得分为(16.203±4.218)分,对照组为(3.127±1.037)分,差异有统计学意义(t =3.012,P <0.05

  11. Analysis of effect by operating room high quality nursing service mode in prevention of abdominal ;operation incision infection%手术室优质护理服务模式对预防腹部手术切口感染效果分析

    Institute of Scientific and Technical Information of China (English)

    张玉红

    2016-01-01

    Objective To investigate effect by operating room high quality nursing service mode in prevention of abdominal operation incision infection. Methods A total of 2500 puerpera in abdominal operation were divided by their receiving of high quality nursing service mode into conventional nursing group and high quality nursing service mode group, with 1250 cases in each group. The conventional nursing group received conventional nursing measures, and the high quality nursing service mode group received high quality nursing service. Nursing effects of the two groups were compared. Results The high quality nursing service mode group had lower incidence of infection, nursing error, and higher satisfaction degree than the conventional nursing group. Their difference had statistical significance (P<0.05). Conclusion Operating room high quality nursing service mode can effectively reduce incidence of infection, nursing error and improve satisfaction degree. It is worthy of clinical promotion and application.%目的:探讨手术室优质护理服务模式对预防腹部手术切口感染的效果。方法2500例腹部手术产妇,依据是否实施优质护理服务模式分为常规护理组和优质护理服务模式组,各1250例。常规护理组给予常规护理措施,优质护理服务模式组给予优质护理服务。比较两组护理效果。结果优质护理服务模式组感染发生率、护理差错发生率和产妇满意度均高于常规护理组,差异有统计学意义(P<0.05)。结论手术室优质护理服务模式可以有效降低切口感染发生率和护理差错发生率,提高产妇满意度,值得临床推广应用。

  12. 手术室护士岗位管理与绩效考核的体会--“能级管理”%Operating room nurse job management and performance appraisal experience-“level management”

    Institute of Scientific and Technical Information of China (English)

    徐岩

    2014-01-01

    手术室是医院所有手术患者进行关键性治疗的场所,具有高风险性,手术室业务活动中护整个手术室护理质量的优劣受到工作服务质量的影响。因此,我们对手术室护士实施岗位管理及绩效考核的能级管理模式。综合考虑工作能力、年资等将护理人员分为N1、N2、N3、N4四个级别,实施弹性排班,制定绩效考核奖金分配原则的前提为保证护理质量,最大程度的体现护士的能力及自身价值、岗位职责。从工作态度、工作质量、工作数量、工作能力、个人创新与发展等5个方面进行评价。能级管理模式是近年来倡导的一种新型管理模式,护理人员按能级特异性能力被赋予不同的岗位职能,充分调动了护理人员的工作积极性,促进了护理质量的提高。%Hospital operating room surgical patients with critical treatment of all places, has a high risk, operating room business activities throughout the operating room nursing care quality will be affected by the quality of service. Therefore, we post management and operating room nurses performance appraisal level management. Considering the ability to work, seniority, etc. The nurses into N1, N2, N3, N4 four levels, the implementation of flexible scheduling, performance appraisal bonus allocation to develop the premise of principles in order to ensure quality of care, the ability to reflect the greatest degree of nurses and own values, job responsibilities. From the five aspects of evaluation work attitude, quality of work, quantity of work, ability to work, and other personal innovation and development. Level management model is advocated in recent years, a new management model, the ability of nurses to be given by the different levels of specific job functions, and fully mobilize the enthusiasm of nurses work to promote the improvement of quality of care.

  13. 手术室护士职业倦怠与工作压力源调查%A study on burn-out of operating room nurse and their job stresses

    Institute of Scientific and Technical Information of China (English)

    底会娟; 李素艳; 吴爱须; 尹维宁; 焦俊敏

    2011-01-01

    Objective To characterize the current status of operating room nurse' s burn-out, explore the relationship between the nurse burnout and job stress sources. Methods Applying cross section survey to do the descriptive study, choosing 445 operating room nurses were investigated by questionnaires, including MBI-HSS, and work pressure-source questionnaire (SSRS). Results Among the three burnout inventories,operating room nurses' high fatigue including emotional exhaustion which occupied 43.6%, depersonalization tendency which occupied 31.7%, low level of efficacy which occupied 54.6%. Compared with North American norm (33% for high fatigue), there was just depersonalization tendency which similar to North American norm,while the emotional exhaustion and low level of efficacy were highly above the norm; The top three factors which leading to the job stress were worrying about mistakes and accidents( 3.32 ± 0. 69), large work amount( 3.18 ±0.76), and social position ( 3. 12 ± 0.87). Conclusions The operating room nurse working pressure was generated from job burn-out, further influence nursing work quality and work efficiency.%目的 探讨手术室护士职业倦怠现状及其与工作压力源的关系。方法 采用横断面调查进行描述性研究。采用护士职业倦怠量表(MBI-HSS)和中国护士工作压力源量表对445名手术室护士进行调查分析。结果 职业倦怠的3个分量表中,手术室护士的高度倦怠感分别为:情感枯竭占43.6%,去人格化倾向占31.7%,个人成就感低落占54.6%。与Maslach正态分布样本的高度倦怠均为33%比较,只有去人格化倾向无显著区别,而情感枯竭、个人成就感低落显著高于常模。手术室护士工作压力源评分前3位是担心出现差错事故(3.32±0.69)分、工作量大(3.18±0.76)分、护理工作的社会地位低(3.12±0.87)分;手术室护士的职业倦怠与工作压力源存在相关性。结论 手术室护

  14. The effect of Quality Control Circle(QCC)in improving the cooperation ability of nurses in operation room%品管圈在提高手术室护士手术配合能力中的应用

    Institute of Scientific and Technical Information of China (English)

    胡敏

    2016-01-01

    Objective:To explorer effects of quality control cycle improving the cooperation ability of nurses in operation room. Methods:8 nurses in operation room of our hospital were selected to set up quality control cycle. Scores of communications between nurses and doctors, theoretic knowledge and professional skills of medical emergency were observed and compared before and after the implement of QCC. Results:After the implement of QCC, all scores of communications between nurses and doctors, theoretic knowledge and professional skills of medical emergency were higher than before, and all differences were signiifcant(P<0.05). Conclusion:The implement of QCC could effectively reinforce the theoretical knowledge of medical emergency, improve the level of professional skills, strengthen the communication between nurses and doctors, and ensure the operation to carry on successfully.%目的:探讨品管圈在提高手术室护士手术配合能力的作用效果。方法选取我院手术室的8名护士组成品管圈,比较品管圈实施前后护士在医护沟通、急救理论知识和急救操作技能的评分情况。结果实施品管圈后,护士在医护沟通、急救理论知识和急救操作技能方面的评分均高于实施前,前后比较,差异具有统计学意义(P<0.05)。结论品管圈活动可以有效夯实护士的理论知识,提高专业技能操作水平,强化医护的沟通,保证手术的顺利进行。

  15. 心理干预对手术室护士职业倦怠的影响%The Influence of Psychological Intervention on the Operating Room Nurses Job Burnout

    Institute of Scientific and Technical Information of China (English)

    张月敏; 崔修德; 都继华

    2014-01-01

    目的:判断心理干预对手术室护士职业倦怠的影响。方法:采用职业倦怠量表MBI-GS(修订版),筛选出40例得分在75分以上的护士,随机分成实验组(20人)和对照组(20人)2组。结果:实验组职业倦怠较干预前有明显的改善,对照组无改善或有加重趋势;干预后实验组的职业倦怠得分优于对照组。结论:心理干预对改善手术室护士职业倦怠效果显著,短期内其心理健康水平未能恢复到正常范围。%Objective:To determine the influence of psychological intervention on the operating room nurses job burnout.Methods:The job burnout scale MBI -GS ( revised edition) , 40 patients in 75 points above the nurse, and randomly divided into experimental group (20) and the control group (20) in the two groups.Results:The experimental group job burnout has improved, compared with before, the control group not to improve or worsen trend; The experimental group after intervention of job burnout score is better than the control group.Conclusion:Psychological intervention to improve the operating room nurses job burnout effect is remarkable, in the short term, the mental health level has not been able to return to normal range.

  16. Application effect of predictive nursing care in the control of operating room infection%预见性护理在手术室感染控制中的应用效果

    Institute of Scientific and Technical Information of China (English)

    万惠贞; 梁小敏

    2015-01-01

    Objective To explore the application effect of predictive nursing care in operating room infection control. Methods 96 cases of patients who required surgical treatment in our hospital from April to October 2014 were selected, and they were randomly assigned to experiment group and control group according to admission order,with 48 cases in each group.The control group was given regular regular nursing care,experiment group was given predictive nursing care.The incidence of infection,nursing satisfaction,settlement bacteria content of object surface and microbial content of air in operating room in two groups was compared. Results The incidence of infection in experiment group was 4.17%,which was significantly less than 14.58% of control group(P<0.05).Nursing total satisfaction in experiment group was 97.72%,which was higher than 85.42% of control group (P<0.05).Surface sampling results and air sampling results of experiment group before and after surgery were better than those of control group (P<0.05). Conclusion Predictive nursing care carried out in the control of operating room infection can effectively improve surface disinfection and air disinfection effect before and after operation,reduce the incidence of surgical infection,and improve patient satisfaction of nursing work,it is of important clinical significance,which is worthy of popularization and application.%目的:探讨预见性护理在手术室感染控制中的应用效果。方法选取2014年4~10月我院手术室收治的96例需行手术治疗的患者,按照入院顺序将其随机分为实验组与对照组,各48例。对照组患者采用常规护理方法,实验组患者采用预见性护理。比较两组患者的感染发生率、护理满意度以及手术室物体表面的沉降菌含量与空气中含菌量。结果实验组的感染发生率为4.17%,显著低于对照组的14.58%(P<0.05);实验组的护理总满意度为97.72%,高于对照组的85.42%(P<0.05);实验

  17. Surgical team turnover and operative time: An evaluation of operating room efficiency during pulmonary resection.

    Science.gov (United States)

    Azzi, Alain Joe; Shah, Karan; Seely, Andrew; Villeneuve, James Patrick; Sundaresan, Sudhir R; Shamji, Farid M; Maziak, Donna E; Gilbert, Sebastien

    2016-05-01

    Health care resources are costly and should be used judiciously and efficiently. Predicting the duration of surgical procedures is key to optimizing operating room resources. Our objective was to identify factors influencing operative time, particularly surgical team turnover. We performed a single-institution, retrospective review of lobectomy operations. Univariate and multivariate analyses were performed to evaluate the impact of different factors on surgical time (skin-to-skin) and total procedure time. Staff turnover within the nursing component of the surgical team was defined as the number of instances any nurse had to leave the operating room over the total number of nurses involved in the operation. A total of 235 lobectomies were performed by 5 surgeons, most commonly for lung cancer (95%). On multivariate analysis, percent forced expiratory volume in 1 second, surgical approach, and lesion size had a significant effect on surgical time. Nursing turnover was associated with a significant increase in surgical time (53.7 minutes; 95% confidence interval, 6.4-101; P = .026) and total procedure time (83.2 minutes; 95% confidence interval, 30.1-136.2; P = .002). Active management of surgical team turnover may be an opportunity to improve operating room efficiency when the surgical team is engaged in a major pulmonary resection. Copyright © 2016 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  18. Prevention of occupational exposure to nurses in operating room of grass-roots hospitals%基层医院手术室护士职业暴露的预防

    Institute of Scientific and Technical Information of China (English)

    徐秀琴; 谢多希; 谢灵智; 王淑珠; 贾仕林; 胡乐湖; 倪金莲

    2011-01-01

    OBJECTIVE To investigate the factors for occupational exposure to the nurses in hospital operating room,and to adopt intervention measures to reduce the incidence of occupational exposure. METHODS The incidence of occupational exposure to nurses in operating room was analyzed by using questionnaire survey; Efforts was made to develop the training, lectures, establish the management regulations and institute the intervention measures, including the operation guide, to reduce the incidence of occupational exposure. RESULTS After the intervention measures adopted by the target population, the awareness rate of the knowledge about occupational exposure were that before: 36. 8% ~ 89. 5%, after: 88. 2% ~ 100. 0%. The annual rate of occupational exposure were before: 47. 4%, after: 5. 3%. The difference before and after the intervention was statistically significant (P <0. 05 ). CONCLUSION The prevalence of occupational exposure widely occurs to nurses in operating room, the intervention activities related to occupational exposure can be effective in reducing the incidence of occupational exposure.%目的 探讨基层医院手术室护士职业暴露因素之间的关联性,采取干预措施以减少职业暴露发生率.方法 采用问卷调查的方式,统计基层医院手术室护士职业暴露发生情况;开展职业暴露防护培训、讲座、建立管理规章、制定操作防护指南等干预措施,减少职业暴露发生率.结果 职业暴露相关知识知晓率干预前36.8%~89.5%,干预后88.2%~100.0%;年职业暴露率干预前:47.4%,干预后:5.3%;干预前后比较差异有统计学意义(P<0.05).结论 手术室护士发生职业暴露普遍存在,开展职业暴露相关干预活动,可有效减少职业暴露发生率.

  19. 整形美容手术室护理风险因素分析与防范对策%Cosmetic surgery operating room nursing risk factor analysis and prevention countermeasures

    Institute of Scientific and Technical Information of China (English)

    李瑞

    2014-01-01

    Objective:to analyze the plastic hairdressing risk factors existing in the operating room nursing and effective prevention measures. Methods:from January 2012 to June 2013 to the hospital facial plastic surgery customers,70 people,has obtained the consent of the customer,will be randomly divided into observation group and control group(35)(35).During the plastic surgery to give control group routine nursing care,customer is the observation group customers take effective preventive nursing measures for nursing.Customer satisfaction. Results:observation group was obviously higher than that of control group, obvious data contrast difference between groups,statistically significant(P<0.05).Conclusion:timely statistics in the process of plastic hairdressing hospital operating room nursing risks,and take effective countermeasures,can improve customer satisfaction,and is worth popularizing widely.%目的:分析研究整形美容手术室护理中存在的风险因素以及有效的防范对策。方法:选择2012年1月到2013年6月到我院接受美容整形手术的患者70人,在征得患者同意后,将其随机分成观察(35人)组与对照组(35人)。在进行整形手术期间,给予对照组患者常规护理,则对观察组患者采取有效的防范护理防范措施进行护理。结果:观察组患者的满意度明显高于对照组,组间数据对比差异明显,具有统计学意义(P<0.05)。结论:及时统计整形美容手术室护理过程中存在的风险,并采取有效的防范对策,可以提高患者满意度,值得广泛推广。

  20. 腹腔镜胆囊切除术的手术室护理干预效果观察%To Observe the Effect of Nursing Intervention in the Operation Room of Laparoscopic Cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    宋王蓓

    2016-01-01

    Objective To analyze the effect of nursing intervention in clinical operation room of laparoscopic cholecystectomy.MethodsA total of 100 cases of laparoscopic cholecystectomy patients as the research object, according to the randomized single blind method divided into normal group and intervention group, each of 50 cases, conventional group take routine method of surgical nursing, the intervention group on the basis of routine nursing implementation of comprehensive nursing intervention, compared two groups of patients with operation time, intraoperative bleeding, emergence agitation and patient satisfaction.Results Theoperation time, blood loss, recovery agitation rate were significantly less than that in the conventional group, the rate of nursing satisfaction of the intervention group was significantly higher than that of the conventional group, the two groups had significant difference. Conclusion Laparoscopic gallbladder resection were performed in the operating room quality nursing intervention, not only can effectively accelerate the process of the operation, shorten operation time, reduce the amount of bleeding in operation, to protect the success rate of surgery, and to avoid postoperative emergence agitation, to improve patient satisfaction, promote rehabilitation has great signiifcance.%目的:分析腹腔镜胆囊切除术的临床手术室护理干预效果。方法选取100例腹腔镜胆囊切除术患者作为研究对象,按随机单盲法分为常规组和干预组各50例,常规组采取常规方法进行手术护理,干预组在常规护理的基础上实施综合护理干预,比较两组患者手术时间、术中出血、苏醒躁动情况及患者满意度。结果干预组患者手术时间、术中出血量、苏醒躁动发生率均少于常规组,干预组患者护理满意率高于常规组,两组比较差异具有统计学意义。结论临床腹腔镜胆囊切除术患者行手术室优质护理干预,不仅能有效

  1. 民族及西洋音乐干预对手术室护士心理状态的影响%Effect of western music and folk music on mental conditions in operating room nurses

    Institute of Scientific and Technical Information of China (English)

    符林秋; 伊乐; 钟文菲; 高允锁; 许晨耘; 陈玲; 高星; 柯雅娟; 马秀苗

    2012-01-01

    Objective To compare the influences of western music and folk music on nurses mental conditions in operating room. Methods 34 nurses from a surgical department received music intervention using two stage cross-over designs method. Nurses listened to folk music for the first two weeks. The third week was a period for blank music. Then 34 nurses listened to western music at weeks 4 and 5. Finally, the mental conditions were compared between pre- and post-intervention. Results There was no statistical difference between the first stage and the second stage. There was no statistical difference in the nurses' scores on factors of SCL-90 between the first and second stage (P > 0.05). Conclusion Both western music and folk music can improve nurses' mental conditions and promote nurses' mental health.%目的 比较民族音乐及西洋音乐对手术室护士心理状态的影响.方法 对34名手术室护士进行音乐干预,干预时间为5周.第1周和第2周(第1阶段),护士听民族音乐;第3周为洗脱期;第4和第5周,护士听西洋音乐.采用SCL-90症状自评量表测评音乐干预前后手术室护士心理状态.结果 音乐干预第1阶段和第2阶段,护士SCL-90各因子得分均低于常模,两两比较,均P> 0.05,差异无统计学意义.结论 无论采用民族音乐或西洋音乐均有效改善手术室护士的心理状态.

  2. The operating room as a clinical learning environment: An exploratory study.

    Science.gov (United States)

    Meyer, Rhoda; Van Schalkwyk, Susan C; Prakaschandra, Rosaley

    2016-05-01

    Students undertake their clinical placement in various clinical settings for the exposure to and acquisition of skills related to that particular context. The operating room is a context that offers the opportunity to develop critical skills related to the perioperative care of the patient. Despite numerous studies that have been undertaken in this field, few have investigated the operating room as a clinical learning environment in the South African private healthcare context. The aim of this study was to determine nursing students' perceptions of the operating room as a clinical learning environment. An exploratory, interpretive and descriptive design generating qualitative data was utilized. Eight nursing students completed an open-ended questionnaire, and twelve nursing students participated in the focus group discussion. Four themes emerged, namely, 'interpersonal factors', 'educational factors', 'private operating room context', and 'recommendations'. The opinion that the operating room offers an opportunity to gain skills unique to this context was expressed. However, despite the potential learning opportunities, the key findings of this study reveal negative perceptions of nursing students regarding learning experiences in the operating room. Exploration into the preparatory needs of students specific to learning outcomes before operating room placement should be considered. It will also be necessary to improve collaboration between lecturers, mentors and theatre managers.

  3. The role of the operating room nurse manager in the successful implementation of preoperative briefings and postoperative debriefings in the VHA Medical Team Training Program.

    Science.gov (United States)

    Robinson, Lori D; Paull, Douglas E; Mazzia, Lisa M; Falzetta, Lisa; Hay, James; Neily, Julia; Mills, Peter D; Carney, Brian; Bagian, James P

    2010-10-01

    To improve communication within surgical teams, Veterans Health Administration (VHA) implemented a Medical Team Training Program (MTT) based on the principles of crew resource management. One hundred two VHA facilities were analyzed. Nursing leadership participation in the planning stages of the program was compared with outcomes at follow-up. Nurse manager participation in planning was associated with higher rates of implementation of preoperative briefing and postoperative debriefing. Nurse managers are a critical component in the planning phase of team training programs focused on OR clinical staff. Published by Elsevier Inc.

  4. 手术室优质护理对手术部位感染影响的分析%Analysis of the Impact of the Operating Room Nursing Quality on Surgical Site Infection

    Institute of Scientific and Technical Information of China (English)

    刘素琼

    2015-01-01

    Objective:Analyze the influence of the operating room nursing quality to surgical site infection.Methods:Since March 2012,our hospital began the implementation of formal quality of nursing, and improved the quality of nursing by the behavior of strengthening supervision,optimizing the environment of the operating room and standard operation,such as behavior.Make the results of the manageG ment of surgical site monitoring to our hospital in March 2012 to August 2013 as the research object,analyze the operating room nursing quality to the influence of surgical site infection.Result:Before impleG menting high quality nursing,the hospital surgery patients with surgical site infection rate was 1.36%;With a high quality nursing after implementation,surgery surgical site infection control within 0.63%. Before implement high quality nursing,surgical hand disinfection percent of pass is 92.1%;Ordinary washing percent of pass is 88.4%;Air disinfection qualified rate 93.3%;An object's surface monitoring percent of pass is 90.6%;Environmental health percent of pass is 95.2%.After the implementation of high quality nursing,surgical hand disinfection percent of pass is 100%;Ordinary washing,percent of pass is 98.7%;Air disinfection qualified rate 100%;An object's surface monitoring percent of pass is 96.4%;Environmental health percent of pass is 98.8%.Conclusion:The implementation of the operating room nursing quality can ef ectively reduce the surgical site infections,and create favorable conditions for surgical site infection control work,it is suitable for clinical application.%目的::分析手术室优质护理对手术部位感染的影响.方法:我院自2012年3月起,正式实施优质护理,通过加强监管力度、改善护理行为、优化手术室环境、规范手术操作等行为,提高护理质量.将我院2012年3月~2013年8月,手术部位管理的监测结果作为研究对象,分析总结手术室优质护理对手术部位感染的影

  5. Safety culture in the gynecology robotics operating room.

    Science.gov (United States)

    Zullo, Melissa D; McCarroll, Michele L; Mendise, Thomas M; Ferris, Edward F; Roulette, G D; Zolton, Jessica; Andrews, Stephen J; von Gruenigen, Vivian E

    2014-01-01

    To measure the safety culture in the robotics surgery operating room before and after implementation of the Robotic Operating Room Computerized Checklist (RORCC). Prospective study. Gynecology surgical staff (n = 32). An urban community hospital. The Safety Attitudes Questionnaire domains examined were teamwork, safety, job satisfaction, stress recognition, perceptions of management, and working conditions. Questions and domains were described using percent agreement and the Cronbach alpha. Paired t-tests were used to describe differences before and after implementation of the checklist. Mean (SD) staff age was 46.7 (9.5) years, and most were women (78%) and worked full-time (97%). Twenty respondents (83% of nurses, 80% of surgeons, 66% of surgical technicians, and 33% of certified registered nurse anesthetists) completed the Safety Attitudes Questionnaire; 6 were excluded because of non-matching identifiers. Before RORCC implementation, the highest quality of communication and collaboration was reported by surgeons and surgical technicians (100%). Certified registered nurse anesthetists reported only adequate levels of communication and collaboration with other positions. Most staff reported positive responses for teamwork (48%; α = 0.81), safety (47%; α = 0.75), working conditions (37%; α = 0.55), stress recognition (26%; α = 0.71), and perceptions of management (32%; α = 0.52). No differences were observed after RORCC implementation. Quality of communication and collaboration in the gynecology robotics operating room is high between most positions; however, safety attitude responses are low overall. No differences after RORCC implementation and low response rates may highlight lack of staff support. Copyright © 2014. Published by Elsevier Inc.

  6. The perceived happiness and its related factors among nurses working in operating room%手术室护理人员总体幸福感及相关因素分析

    Institute of Scientific and Technical Information of China (English)

    鲁雪梅

    2011-01-01

    Objectives: To understand the impact of weekend operations arrangement upon perceived happiness among nurses, in order to provide information for improving nursing management strategy. Methods: 139 nurses from operating room involved the study and completed a questionnaire which included General Weil-Being Scale. Results: The reported general well-being in this study was lower than the average level (P<0.05). Factors included the length of employment, professional position, family structure, acceptability of workload, weekend duty, satisfaction with payment were considered relevant to the general well-being among these nurses. Conclusions: Workforce should be provided sufficiently with flexible shift arrangement in order to improve the general well-being of the nurses to enhance their work efficiency.%目的:了解医院开展的周末手术对护理人员总体幸福程度的影响,以及影响护理人员总体幸福感的因素,为护理管理方法的改进提供理论依据.方法:采用总体幸福感量表(GWB)对139名手术室护理人员进行调查.结果:手术室护理人员的总体幸福感得分低于全国常模(P<0.05).职称、工作年限、有无子女、是否值班、觉得工作量是否能接受及对报酬是否满意等因子是护理人员总体幸福感的影响因素.结论:护理管理者应合理配备人力资源,建立合理、灵活的排班制度,使护理人员的体力和精神能够得到及时的调整,从而提高护理人员的幸福感指数,提高工作效率.

  7. 层流手术室感染控制存在的问题及护理措施%Laminar flow operating room nursing infection control problems and the presence of

    Institute of Scientific and Technical Information of China (English)

    敖永琼

    2014-01-01

    Objective: To study the problems existing in the laminar flow operating room infection control and nursing measures. Methods: to choose between September 2013 and December 2013 in our hospital operating room for surgery of 190 cases as control group. Since the implementation of infection control management of between December 2013 and February 2013 in our hospital operating room as observation group, 260 patients underwent surgery. Combined with the specific situation of the hospital itself, the laminar flow operating room infection control the infection incidence of patients before and after comparison with data of satisfaction. Results: the control group of 190 cases occurred in 6 cases of infection, infection occurs in the observation group of 260 patients with 2 cases, significantly lower than the control group; Control group satisfaction was 66.84%, the observation group of satisfaction was 94.23%, obviously better than the control group. Conclusion: the laminar flow operating room infection control comprehensive nursing measures, to improve patient satisfaction and reduce the incidence of infection in patients with plays a very important significance, is worth popularizing widely.%目的::探讨层流手术室感染控制存在的问题及护理措施。方法:选取2013年9月至2013年12月在我院手术室进行手术的190例患者作为对照组。自实施感染控制管理之后的2013年12月至2014年2月在我院手术室进行手术的260例患者作为观察组。结合医院本身具体情况,将层流手术室感染控制前后患者的感染发生率与满意度数据进行比较。结果:对照组190例患者中发生感染的有6例,观察组260例患者中发生感染的有2例,明显低于对照组;对照组满意度为66.84%,观察组满意度为94.23%,明显优于对照组。结论:对层流手术室的感染控制采取全面的护理措施,对于提高患者满意度和降低患者的感染发生率起着非常

  8. Effects of Nursing Care Modes in Operating Room%手术室实施关爱护理模式的效果

    Institute of Scientific and Technical Information of China (English)

    顾徐翠; 沈惠青; 汪和美

    2011-01-01

    Objective To investigate the effects of implementation of standardized nursing care modes in surgical patients. Methods In view of "people-oriented, patient-centered" principle, the surgical patients underwent varied humanized nursing care modes on preoperative interview, intraoperative day reception and postoperative follow-up. Results The implementation of nursing care modes contributed to a harmonious relationship between doctors and patients, completely eradicated nursing disputes, effective relieve preoperative negative emotion,increased patient satisfaction and improved the quality of nursing service. Conclusion The implementation of standardized processes in surgical patients combined with varied humanized nursing care modes of preoperative visit , intraoperative day reception, postoperative follow-up can insure sound surgical results.%目的 探讨对手术患者实施规范化关爱护理模式的效果.方法 本着"以人为本、以病人为中心"的原则,采用对手术患者进行术前访视、术日接待、术后回访的护理模式,对手术患者实施各项人性化关爱护理.结果 医患关系融洽,无护理纠纷,有效缓解了患者术前负性情绪,患者满意度上升,提高了护理服务质量.结论 对手术患者实施规范化流程服务和术前访视、术日接待、术后回访的关爱护理模式可收到良好的护理效果.

  9. Attitudes and behavior towards patient safety in an operating room

    Directory of Open Access Journals (Sweden)

    María del Pilar Sánchez Moreno

    2013-09-01

    Full Text Available Patient´s safety is a priority line of action in the Quality of Health Care. Adequate patient safety culture is one of the important pillars in the health care. Also the World Health Organization reports that 7 million people, of 234 million of major surgeries, suffer complications and this can be reduced by half with a system that decreases the possibility of error. Objectives: To determinate the attitude and behavior of professionals in the operating room unit in Hospital Virgen de la Salud of Toledo towards patient safety. Material and method: The type of study is a descriptive and transversal. Population: medical and nursing staff of the theatre with over 1 year in service. Measurement of variables will be made by a validated test and adapted to Spanish territory by the Agency for Healthcare Research and Quality of the United States. We intend to identify the strengths and weaknesses in matter of operating room safety, to know the starting point for the implementation of the surgical safety checklist and to develop a safety culture in the operating room with standardized tools and regular quality controls.

  10. The radiation dose dilemma in the hybrid operating room

    NARCIS (Netherlands)

    de Ruiter, QMB

    2016-01-01

    The of the hybrid Operation room (an operation room combined with advanced radiological X-ray equipment) is gaining popularity, as it is now the preferred room to perform (complex) endovascular aortic procedures. The fixed C-arms equipped in these rooms make it possible to gain very high image

  11. The radiation dose dilemma in the hybrid operating room

    NARCIS (Netherlands)

    de Ruiter, QMB

    2016-01-01

    The of the hybrid Operation room (an operation room combined with advanced radiological X-ray equipment) is gaining popularity, as it is now the preferred room to perform (complex) endovascular aortic procedures. The fixed C-arms equipped in these rooms make it possible to gain very high image quali

  12. Local anaesthesia outside the operating room.

    Science.gov (United States)

    Chan, S K; Karmakar, M K; Chui, P T

    2002-04-01

    An increasing number of minor surgical procedures are performed under local anaesthesia in clinical settings outside the operating room, where monitoring and resuscitation equipment--as well as personnel skilled in resuscitation--may not be readily available. Serious adverse effects and even fatalities may result from the use of local anaesthetic agents, arising from a variety of causes such as systemic toxicity, allergy, vasovagal syncope, and reaction to additives present in the local anaesthetic. This article briefly reviews the pharmacology of local anaesthetic agents, and describes various techniques commonly used for local anaesthesia, with special emphasis on safety. Clinical features of toxicity, and its differential diagnosis and management, are also discussed.

  13. Prepare to protect: Operating and maintaining a tornado safe room.

    Science.gov (United States)

    Herseth, Andrew; Goldsmith-Grinspoon, Jennifer; Scott, Pataya

    2017-06-01

    Operating and maintaining a tornado safe room can be critical to the effective continuity of business operations because a firm's most valuable asset is its people. This paper describes aspects of operations and maintenance (O&M) for existing tornado safe rooms as well as a few planning and design aspects that affect the ultimate operation of a safe room for situations where a safe room is planned, but not yet constructed. The information is based on several Federal Emergency Management Agency safe room publications that provide guidance on emergency management and operations, as well as the design and construction of tornado safe rooms.

  14. Surgical attire and the operating room: role in infection prevention.

    Science.gov (United States)

    Salassa, Tiare E; Swiontkowski, Marc F

    2014-09-01

    ➤ Although there is some evidence that scrubs, masks, and head coverings reduce bacterial counts in the operating room, there is no evidence that these measures reduce the prevalence of surgical site infection.➤ The use of gloves and impervious surgical gowns in the operating room reduces the prevalence of surgical site infection.➤ Operating-room ventilation plays an unclear role in the prevention of surgical site infection.➤ Exposure of fluids and surgical instruments to the operating-room environment can lead to contamination. Room traffic increases levels of bacteria in the operating room, although the role of this contamination in surgical site infection is unclear.

  15. 手术室人性化护理在老年腹腔镜手术的应用研究%Research of Application of Operating Room Humanized Nursing in the Elderly Laparoscopic Surgery

    Institute of Scientific and Technical Information of China (English)

    胡敏

    2015-01-01

    Objective:Study the application value of operating room humanized nursing in the laparoscopic surgery of the elderly.Methods:Make elderly patients with laparoscopic surgery treated in our hospital departments of line 78 cases in April 2013 to April 2014 as the research object.Patients randomly divided into control group and observation group,control group 39 patients accepted conventional care;Observation group 39 patients on the basis of conventional nursing human care.Result:78 cases of elderly patients with laparoscopic surgery al goes wel with surgery,the results show that compared with the control group,observation group scores significantly lower anxiety,depression,significant dif erence comparing the two groups(P<0.05),statistical y significant;Control patients nursing satisfaction was 31.5%,the observation group of patients nursing satisfaction was 94.9%,the observation group of patients nursing satisfaction significantly higher than the control group,two groups comG pared significant dif erence(P<0.05),with statistical significance.Conclusion:Implement humanized nursing to patients can ef ectively improve the operation success rate,improve the quality of prognosis, smoothly working for surgical treatment to create favorable conditions,and it is suitable for clinical application.%目的::对手术室人性化护理在老年腹腔镜手术中的应用价值进行研究.方法:将2013年4月~2014年4月,我院接诊的78例老年行腹腔镜手术患者作为研究对象.随机将患者分为对照组与观察组,对照组39例患者接受常规护理;观察组39例患者在常规护理的基础上添加人性化护理.结果:78例老年腹腔镜手术患者均顺利通过手术,研究结果表明,相较于对照组,观察组焦虑、抑郁评分明显更低,两组对比差异显著(P<0.05),具有统计学意义;对照组患者护理满意度为76.9%,观察组患者护理满意度为94.9%,观察组患者护理满意

  16. Start time delays in operating room: Different perspectives

    Directory of Open Access Journals (Sweden)

    Babita Gupta

    2011-01-01

    Full Text Available Background: Healthcare expenditure is a serious concern, with escalating costs failing to meet the expectations of quality care. The treatment capacities are limited in a hospital setting and the operating rooms (ORs. Their optimal utilization is vital in efficient hospital management. Starting late means considerable wait time for staff, patients and waste of resources. We planned an audit to assess different perspectives of the residents in surgical specialities and anesthesia and OR staff nurses so as to know the causative factors of operative delay. This can help develop a practical model to decrease start time delays in operating room (ORs. Aims: An audit to assess different perspectives of the Operating room (OR staff with respect to the varied causative factors of operative delay in the OR. To aid in the development of a practical model to decrease start time delays in ORs and facilitate on-time starts at Jai Prakash Narayan Apex Trauma centre (JPNATC, All India Institute of Medical Sciences (AIIMS, New Delhi. Methods: We prepared a questionnaire seeking the five main reasons of delay as per their perspective. Results: The available data was analysed. Analysis of the data demonstrated the common causative factors in start time operative delays as: a lack of proper planning, deficiencies in team work, communication gap and limited availability of trained supporting staff. Conclusions: The preparation of the equipment and required material for the OR cases must be done well in advance. Utilization of newer technology enables timely booking and scheduling of cases. Improved inter-departmental coordination and compliance with preanesthetic instructions needs to be ensured. It is essential that the anesthesiologists perform their work promptly, well in time . and supervise the proceedings as the OR manager. This audit is a step forward in defining the need of effective OR planning for continuous quality improvement.

  17. The correlation research of job satisfaction of nurse and organization commitment in operating room%手术室护士工作满意度与组织承诺的相关性研究

    Institute of Scientific and Technical Information of China (English)

    吉琦; 王丽; 刘春霞

    2013-01-01

    Objective:To know the status of nurses' job satisfaction and organizational commitment in operating room and explore the correlation of both. Methods: Two hundred and fourteen nurses of operating room from 6 Grade 3 general hospitals were investigated using the questionnaires of organizational commitment and job satisfaction. Results: The average scores of organizational commitment and job satisfaction were 2. 74±0.50 and 2. 82±0. 63 , respectively, and which was positively correlated(P 0.05). There were statistical significance between job satisfaction in predicting the total average score of organizational commitment on the basis of controlling the demographic variables(P 0.05). Conclusions: Playing attention to the level of job satisfaction and taking some incentive measures can improve the level of satisfaction, promote organizational commitment, stabilize nursing team and alleviate the lack of nursing staff.%目的:了解目前手术室护理人员工作满意度与组织承诺的现状,探讨二者的相关性.方法:采用中国职工组织承诺量表、工作满意度量表,调查6所三级甲等综合医院的214名手术室护理人员.结果:组织承诺问卷整体平均分为2.74±0.50;工作满意度问卷整体平均分为2.82±0.63;工作满意度分数与组织承诺分数均呈正相关关系(P<0.01);组织承诺得分在不同性别之间和工作满意度得分在不同工作目的间差异均无统计学意义(P>0.05);在控制人口学变量基础上,工作满意度对组织承诺总均分的预测作用有统计学意义(P<0.01),增加的方差解释变异量提高了21.9%,而性别和工作目的在工作满意度进入回归方程后对组织承诺总均分的预测作用均无统计学意义(P>0.05).结论:关注手术室护士的工作满意度水平,采取一定的激励措施,以提高满意度水平,可促进组织承诺的提高,稳定护理队伍,缓解当下护理人员匮乏的现象.

  18. Effect of psychological capital on organizational commitment and job satisfaction of nurses in operation room%心理资本对手术室护士组织承诺、工作满意度的影响

    Institute of Scientific and Technical Information of China (English)

    邹珍珍; 陈淑

    2016-01-01

    目的:探讨心理资本对临床手术室护士组织承诺、工作满意度影响,为临床手术室护士人力资源管理提供依据。方法采用整群抽样对临床471名护士运用组织承诺量表、心理资本量表、工作满意度量表进行调查。结果相关分析显示:年龄、工作年限与组织承诺呈正相关(r =0.141,P <0.05;r =0.176,P <0.05),而与工作满意度呈负相关(r =-0.113,P <0.05;r =-0.156,P <0.05);经济水平与组织承诺、工作满意度呈正相关(r =0.164,P <0.05;r =0.185,P <0.05);心理资本与组织承诺、工作满意度间呈正相关(r >0.000,P <0.05)。多元回归显示:组织承诺得分的影响因素有:年龄、工作年限、职称、学历水平、心理资本;工作满意度得分的影响因素有:年龄、工作年限、经济水平、心理资本。结论临床护理管理者应通过提高心理资本水平,提高手术室护士组织承诺、工作满意度水平。%Objective To discuss the relationship between psychological capital on organizational commitment and job satisfaction of nurses in operation room,thus to provide the basis for human resource management.Methods A total of 473 nurses were included in the study.The psychological capital scale,organizational commitment scale and job satisfaction scale were used.Results Correlation analysis showed that the age,working age were positively correlated with organizational commitment scores(r =0.141,P 0.000,P <0.05).Multiple regression showed that the influence factors of organizational commitment scores were age,working age,professional title,educational level,psychological capital scores,and the influence factors of organizational commitment scores were age,working age,economic level and psychological capital scores.Conclusion Clinical nursing managers should improve the level of organizational commitment and job

  19. Changing Operating Room Culture: Implementation of a Post-Operative Debrief and Improved Safety Culture.

    Science.gov (United States)

    Magill, Stephen T; Wang, Doris D; Rutledge, W Caleb; Lau, Darryl; Berger, Mitchel S; Sankaran, Sujatha; Lau, Catherine Y; Imershein, Sarah G

    2017-08-23

    Patient safety is foundational to neurosurgical care. Post-procedural "debrief" checklists have been proposed to improve patient safety, but there is limited data about their use in neurosurgery. Here, we implemented an initiative to routinely perform post-operative debriefs and evaluated the impact of debriefing on operating room (OR) safety culture. A 10-question safety attitude questionnaire (SAQ) was sent to neurosurgical operating room staff at a major academic medical center before and 18-months after implementation of a post-operative debriefing initiative. Rates of debrief compliance and changes in attitudes before and after the survey were evaluated. The survey utilized a Likert scale and analyzed with standard statistical methods. After the debrief initiative, the rate of debriefing increased from 51% to 86% of cases for the neurosurgery service. Baseline SAQ responses found that neurosurgeons had a more favorable perception of OR safety than anesthesiologists and nurses. Following implementation of the post-operative debriefing process, perceptions of OR safety significantly improved for neurosurgeons, anesthesiologists and nurses. Furthermore, the disparity between nurses and surgeons was no longer significant. After debrief implementation, neurosurgical OR staff had improved perceptions of patient safety compared to surgical services that did not commonly perform debriefing. Debriefing identified OR efficiency concerns in 26.9% of cases and prevention of potential adverse events/near misses were reported in 8% of cases. Post-operative debriefing can be effectively introduced into the operating room and improves the safety culture after implementation. Debriefing is an effective tool to identify OR inefficiencies and potential adverse events. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. 质量控制小组管理模式在手术室护理管理中的应用分析%Application Analysis of Quality Control Team Management on Nursing Management in the Operating Room

    Institute of Scientific and Technical Information of China (English)

    吴娟娟

    2016-01-01

    目的:探析质量控制小组管理模式在手术室护理管理中的应用效果。方法选取我科720台手术操作,设立质量控制小组后,观察护理质量控制平均评分及不良事件发生率。结果实行质量控制管理后,护理质量和不良事件发生率均优于实施前(P<0.05)。结论质量控制小组管理模式的实施,可培养护理人员的管理能力,从而提高护理质量,减少不良事件发生率。%Objective Analysis of the quality control team management in the operating room nursing management.Methods Chose 720 surgical procedures,seting up quality control team to observe the quality of care and controling the average score after the incidence of adverse events.Results After the implementation of quality control management,quality of care and adverse events were significantly better than before(P<0.05).Conclusion The implementation of quality control team management mode,nurses can train management capabilities,thus improve the quality of care, reduce the incidence of adverse events.

  1. Application of an Online Reference for Reviewing Basic Statistical Principles of Operating Room Management

    Science.gov (United States)

    Dexter, Franklin; Masursky, Danielle; Wachtel, Ruth E.; Nussmeier, Nancy A.

    2010-01-01

    Operating room (OR) management differs from clinical anesthesia in that statistical literacy is needed daily to make good decisions. Two of the authors teach a course in operations research for surgical services to anesthesiologists, anesthesia residents, OR nursing directors, hospital administration students, and analysts to provide them with the…

  2. 手术室新护士学习笔记教学管理效果分析%Analysis on the effect of studying the note-taking teaching management of new nurses in the operation room

    Institute of Scientific and Technical Information of China (English)

    邓小军; 关中华; 董薪

    2008-01-01

    Objective To explore the method of studing the note-taking teaching management under the mode of tutor management for the new nurses and to furthermore complete the goal of clinical teaching management. Methods 24 new nurses received the training in the general surgery department and the ches separtment were chosen. They were divided into the experiment group and the control group according to the clinical teaching nurses' ability of note-taking teaching and management in different period, with 12 cases in each group. The control group adopted the stage-separated teaching method. The study note was graduately completed under the central teaching, instruetion and unified planing in the teaching research section. The experiment group adopted the stage-separated goal teaching method, and conducted one to one responsibility management and instruction system between the teaching nurses and the new nurses. The teaching research section applied the formative evaluation in the first stage (teacher teaching stage), and gave the intervention to the new nurses' mode resulted by studing note. Results There were statistical meanings in the total articles and average article for per person of notes and average article for per pelpson of little notes before and after the intervention(P<0.01).The total averatge article for per person of studying note and the articles for per person of large and little notes achieved the management goal. Conclusions The reasonable combination of tutor teaching method and the conventional teaching method produces the stage-separated goal teaching management mode in the operation room, and achieves a good clinical effect.%目的 探讨导师制管理模式下新护士学习笔记管理的方法,达到进一步完善临床专科教学管理的目的 .方法 选择24名在普外、胸科组接受培训的新护士,根据临床带教护士在不同时期具备的笔记教学与管理能力分为实验组和对照组,每组12名.对照组采用分阶段

  3. Human reliability analysis of control room operators

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Isaac J.A.L.; Carvalho, Paulo Victor R.; Grecco, Claudio H.S. [Instituto de Engenharia Nuclear (IEN), Rio de Janeiro, RJ (Brazil)

    2005-07-01

    Human reliability is the probability that a person correctly performs some system required action in a required time period and performs no extraneous action that can degrade the system Human reliability analysis (HRA) is the analysis, prediction and evaluation of work-oriented human performance using some indices as human error likelihood and probability of task accomplishment. Significant progress has been made in the HRA field during the last years, mainly in nuclear area. Some first-generation HRA methods were developed, as THERP (Technique for human error rate prediction). Now, an array of called second-generation methods are emerging as alternatives, for instance ATHEANA (A Technique for human event analysis). The ergonomics approach has as tool the ergonomic work analysis. It focus on the study of operator's activities in physical and mental form, considering at the same time the observed characteristics of operator and the elements of the work environment as they are presented to and perceived by the operators. The aim of this paper is to propose a methodology to analyze the human reliability of the operators of industrial plant control room, using a framework that includes the approach used by ATHEANA, THERP and the work ergonomics analysis. (author)

  4. Plan implementation and experience of the distribution of performance assessment bonus for nurses in operation room%手术室护士绩效考核奖金分配方案实施与体会

    Institute of Scientific and Technical Information of China (English)

    杨红英

    2015-01-01

    合理的奖金分配对调动医护人员工作积极性非常重要,依据手术室个人工作量、岗位、工作质量、专业能力不同、考核情况,制定手术室新的奖金分配方案,调动了每个护理人员的积极性和主动性,增加了竞争意识,加强了每个人的荣誉感和责任心,提高了工作效率和护理质量。%A reasonable allocation of bonus mobilize the enthusiasm of the medical staff,according to the operating room personal workload,job,work quality,different expertise,assessment,enacting new payout scheme,mobilizing the enthusiasm and initiative of each nurse,increasing the sense of competition,strengthening the sense of honor and responsibility of each person, improving the work efficiency and quality of care.

  5. Physician communication in the operating room.

    Science.gov (United States)

    Kirschbaum, Kristin A; Rask, John P; Fortner, Sally A; Kulesher, Robert; Nelson, Michael T; Yen, Tony; Brennan, Matthew

    2015-01-01

    In this study, communication research was conducted with multidisciplinary groups of operating-room physicians. Theoretical frameworks from intercultural communication and rhetoric were used to (a) measure latent cultural communication variables and (b) conduct communication training with the physicians. A six-step protocol guided the research with teams of physicians from different surgical specialties: anesthesiologists, general surgeons, and obstetrician-gynecologists (n = 85). Latent cultural communication variables were measured by surveys administered to physicians before and after completion of the protocol. The centerpiece of the 2-hour research protocol was an instructional session that informed the surgical physicians about rhetorical choices that support participatory communication. Post-training results demonstrated scores increased on communication variables that contribute to collaborative communication and teamwork among the physicians. This study expands health communication research through application of combined intercultural and rhetorical frameworks, and establishes new ways communication theory can contribute to medical education.

  6. HEMATOLOGIC FINDINGS IN OPERATING ROOM STAFFS

    Directory of Open Access Journals (Sweden)

    H SOLTANI

    2000-03-01

    Full Text Available Introduction. Long term exposure to trace amounts of anesthetic vapors and gases may produce hematologic and hepatic disorders in human. Since operating room (OR staffs are exposed to these agents, we decided to study their hematopoietic and hepatic systems in comparison with ordinary ward staffs. Methods. Seventy staffs from OR were compared with a matched similar number of ward staffs about their hematologic and hepatic laboratory findings in a historical cohort study. Findings. Mean of leukocyte and platelet counts were significantly lower in OR staffs, but in normal range. Mean of monocyte count was significantly higher in OR staffs. No significant differences were found between two groups for other hepatic and hematologic tests. Fatigue and headache were reported in OR staffs more than others. Conclusion. These findings may warn a risk to OR staffs but, it is not clear and requires further controlled studies.

  7. Influence of effectiveness group counseling on nursing teaching quality in Operating Room%效能团体辅导对手术室护理带教质量的影响

    Institute of Scientific and Technical Information of China (English)

    叶红华; 杨碧虹; 叶筱红

    2015-01-01

    目的:探讨效能团体辅导在手术室护理带教中的应用效果。方法选取2011年6月在手术室实习的72名护生,按照随机数字表法随机分为对照组和观察组,每组各36名。观察组护生采用效能团体辅导模式进行带教,对照组采用传统模式进行带教。采用自我效能感量表( GSES)、临床实习效果评价问卷调查以及理论和操作考试对护生实习情况进行测评。结果观察组护生理论考试成绩为(89.2±5.1)分,操作考试成绩为(91.4±7.2)分,均优于对照组护生,差异有统计学意义( t值分别为5.921,7.652;P<0.05)。带教后,观察组护生的自我效能感、理论知识、动作技能及实习总效果评分均高于对照组,差异有统计学意义(t值分别为9.641,6.382,4.332,8.632;P<0.05)。结论效能团体辅导可以提高护生的自我效能感,提高护生理论知识及实际操作能力和实习效果。%Objective To research the effectiveness of group counseling on nursing teaching in Operating Room. Methods A total of 72 nursing students in the Operating Room in June 2011 were divided into the control group and the observation group, with 36 students in each group. The control group underwent the traditional teaching mode. The observation group was given effectiveness group counseling. The General Self-Efficacy Scale ( GSES ) , clinical practice evaluation questionnaire and examination were used to evaluate the results of teaching. Results The scores of theory and skill examination of the observation group were (89. 2 ± 5.1)and(91.4±7.2),whichweresignificantlyhigherthanthoseofthecontrolgroup(t=5.921,7.652, respectively;P<0. 05). The self-efficacy, knowledge, skill practice and total score of clinical practice of the observation group were significantly higher than those of the control group ( t=9. 641, 6. 382, 4. 332, 8. 632, respectively;P<0. 05). Conclusions Group counseling can improve the effectiveness of self-efficacy in nursing

  8. Cause analysis and intervention measure of haematogenous occupational exposure of operating room nurses%手术室护士血源性职业暴露原因分析及干预措施

    Institute of Scientific and Technical Information of China (English)

    李丽娟

    2013-01-01

    Objective:To investigate the cause of haematogenous occupational exposure of operating room nurses,and to search for effective intervention measures.MethG ods:Data on 25 nurses who underwent haematogenous occupational exposure in the operating room of our hospital between October,2010 and October 201 3 was retrospecG tively analyzed.Result:Logistic regression analysis revealed that haematogenous occupational exposure was related with age (OR=0.6 65),working age (OR=0.814),eduG cational background (OR=0.852)and protective performance (OR=0.803)(P<0.05).Occupational exposures were mainly puncture wound of pol uted blade and needle (40 times,5 5 .5 6 %)in a hand (58 times,80.5 6 %)when treating pol uted instruments (43 times,5 9 .72%).Occupational exposure sources:hepatitis b virus (28 times), hepatitis c virus (1 3 times),syphilis (5 times),negative (24 times)and unspecified (2 times).Conclusion:Young age,junior working age,poor educational background and weak protective consciousness are main causes of haematogenous occupational exposure,hence,protection knowledge training should be strengthened,standard prevention be implemented,and operation procedure be standardized,especial y when operating patients with communicable diseases,to effectively prevent from the occurrence of haematogenous infection.%目的:探讨手术室护士血源性职业暴露原因,寻找有效干预措施.方法:回顾分析2010年10月~2013年10月,我院手术室发生血源性职业暴露25名护士的相关资料.结果:logistic 回归分析显示血源性职业暴露与年龄(OR=0.665)、工作年限(OR=0.814)、学历(OR=0.852)及防护行为(OR=0.803)有关(P<0.05).职业暴露方式以污染后刀片、针刺伤为主(40次,55.56%),职业暴露部位以手为主(58次,80.56%),职业暴露环节以处理污染器械为主(43次,59.72%).职业暴露源乙型肝炎病毒28次、丙型肝炎病毒13次、梅毒5次、阴性24次和不明2次.结论

  9. Research progress on risk factors and protect of occupational exposure to HIV in operating room nurses%手术室护士 HIV 职业暴露的危险因素及防护措施的研究进展1)

    Institute of Scientific and Technical Information of China (English)

    李源

    2014-01-01

    It reviewed the risk factors and protective measures of occupa-tional exposure to HIV occurred in operating room nurses in China in re-cent years.Its main influencing factors included the operating room nurses’ job characteristics,nurses ’mental and physical characteristics,operating procedures,the use of protective equipment as well as nonstandard post exposure treatment process.The main measures consisted of training for nurses,prevention for psychological and physiological factors of nurses, standardizing operation process,protesting measure and the right process to cope with risks.It points out that it can prevent and reduce risks in occu-pational exposure to HIV in operating room nurses to implement knowl-edge training,improve protection awareness and standard operating proce-dures.%本文综述近年来国内外对手术室护士发生人类免疫缺陷病毒(HIV)职业暴露的危险因素及防护措施,其主要影响因素包括手术室护士岗位的特点、护士心理和身体特征、操作流程、防护用品的使用、暴露后处理流程不规范。主要措施包括对护士培训、心理和生理因素的预防、规范操作流程、防护措施、暴露后正确处理流程。对护士实施知识培训、提高防护意识、规范操作流程等措施可有效预防并降低手术室护士发生 HIV 职业暴露的风险。

  10. Improving pharmacy supply-chain management in the operating room.

    Science.gov (United States)

    Thomas, J A; Martin, V; Frank, S

    2000-12-01

    Anesthesia services can account for a significant portion of a healthcare organization's costs. Deaconess Hospital of Evansville, Indiana, used a collaborative, multidisciplinary effort to implement process improvements that yielded significant cost savings while improving patient care. Shifting responsibility for drug distribution from the operating room (OR) nurses to a pharmacist, the hospital established a satellite pharmacy service for the OR. As a result, the hospital was able to improve control of drug distribution and record-keeping, reduce turnaround time for medication preparation, lower its medication charge error rate, and increase the percentage of surgeries that start on time. The success of the OR satellite pharmacy led the hospital to expand satellite pharmacy services to labor and delivery, the cardiac cath laboratory, and the intensive care units.

  11. 团体心理咨询对手术室护士心理状况的干预效果%Intervention effect of group psychological counseling on mental status of nurses in Operating Room

    Institute of Scientific and Technical Information of China (English)

    尚娜娜; 周爱萍; 谢青青; 陈婷婷

    2015-01-01

    目的:了解手术室护士的心理状况,评价团体心理咨询对手术室护士心理状况的干预效果。方法采取便利抽样的方法抽取某军区的5家军队医院及淮安市2家三级医院,采取整群抽样的方法抽取122名手术室护士,采取调查问卷的方法调查122名手术室护士的心理状况,将32名心理评估阳性者进行为期8次的团体心理咨询,咨询后再次进行问卷调查及比较,同时使用焦虑与抑郁自评量表进行前后评估。结果122名手术室护士SCL-90量表中躯体化、焦虑、抑郁、强迫、人际关系敏感、恐怖因子均分分别为(1.88±0.76),(1.78±0.80),(1.95±0.88),(2.05±0.84),(1.84±0.75),(1.43±0.72)分,均高于中国常模,差异有统计学意义(t值分别为7.41,5.38,5.65,5.65,2.80,3.07;P<0.05);焦虑量表、抑郁量表得分分别为(46.40±6.53),(51.82±8.87)分,均高于中国常模,差异有统计学意义(t值分别为4.06,12.38;P<0.05)。参加团体心理咨询的32名手术室护士干预前SCL-90量表中躯体化、焦虑、抑郁、强迫、人际关系敏感评分分别为(2.01±0.87),(1.88±0.75),(2.00±0.98),(2.13±0.94),(1.96±0.79)分,均高于干预后,差异有统计学意义(t值分别为2.56,2.20,2.13,2.20,2.09;P<0.05);焦虑、抑郁量表得分分别为(45.58±6.47),(42.25±11.24)分,低于干预前的(59.84±7.24),(61.76±6.32)分,差异有统计学意义(t值分别为8.31,8.56;P<0.01)。结论团体心理咨询可有效改善手术室护士的心理状况。%Objective To understand nurses′ psychological status in Operating Room ( OR ) and evaluate the intervention effect of group psychological counseling on OR nurses. Methods The questionnaire survey was adopted to investigate 122 OR nurses′ mental status in 5 military hospitals and 3 local level three hospitals by chester sampling. A total of 32 nurses in whole, who had positive symptom of psychological assessment, received group psychological counseling 8 times

  12. PDCA 循环法在手术室专科护士培训中的应用%Application of PDCA cycle on the training of specialist nurses in operating room

    Institute of Scientific and Technical Information of China (English)

    陆云; 王艳; 龚荣花; 刘霞

    2015-01-01

    目的::探讨 PDCA 循环法在手术室专科护士培训中的应用效果。方法:运用 PDCA 循环法,制定培训计划,理论教学采用多媒体教学、举办继续教育学习班等方法,临床实践采用一对一带教,集中进行专科技能培训和举办多项比赛观摩点评等实施方法。采用闭卷考试、随机抽考操作和答辩评审等方法进行检查考核,最后采用召开座谈会、发放调查表等方法进行处理,总结发现的问题,进入下一循环阶段。结果:3届学员理论和临床实践优秀率逐年提高;答辩评审前两届通过率100%,第 3届通过率95%。自行设计问卷调查,医师组理论教学满意度评分分别为89.28,90.13,92.52分;专科组长组理论和临床教学满意评分分别为85.23,87.54,88.92分。结论:PDCA 循环法用于手术室专科护士的培训,有利于提高培训质量。%Objective:To explore the effect of PDCA cycle applying in training base for specialist nurses in the operating room. Methods:To make the training plan with PDCA cycle. The multi - media teaching and continuing education courses were conducted in theory teaching. In clinical practice,we utilize a spe-cial teaching method where the relation of us was one on one. The following implementation methods were also used:the concentrated specialty skills train-ing,conducting various games,and then inspect and review them. We used the following three methods to evaluate the performance,closed - book exam,ran-dom quizzes operation and the defense of dissertation and appraisal. Then,we will discuss and solve the discovered new problems by holding a symposium, issuing a survey questionnaire and some other methods. Finally we enter into the next cycle. Results:The excellent rates of three terms of students in both theory and clinical practice increased with years. The passing rates of the first two terms in the defense of dissertation and appraisal were 100% ,while the third one was 95

  13. Door Opening Affects Operating Room Pressure During Joint Arthroplasty.

    Science.gov (United States)

    Mears, Simon C; Blanding, Renee; Belkoff, Stephen M

    2015-11-01

    Many resources are expended to ensure a sterile operating room environment. Efforts are made to prevent exposure of patients to personnel and to achieve positive room pressure to keep out airborne contaminants. Foot traffic into and out of the operating room during surgery can undermine these efforts. The authors investigated the number and duration of operating room door openings during hip and knee arthroplasty procedures and the effect of the door openings on room pressure. They tested the hypothesis that door openings defeat positive pressure, permitting air flow into the room. Room pressure and door status were monitored electronically during 191 hip and knee arthroplasty procedures. Operating room staff were unaware that data were being collected. The authors evaluated the data with regression analysis to determine whether the number and duration of door openings had an effect on room pressure. Significance was set at Poperating room. Total time with the door open significantly affected the minimum pressure recorded in the room (Poperating room sterility. The causes of excessive operating room traffic must be evaluated to identify ways to reduce this traffic and the associated risks.

  14. Safety status system for operating room devices.

    Science.gov (United States)

    Guédon, Annetje C P; Wauben, Linda S G L; Overvelde, Marlies; Blok, Joleen H; van der Elst, Maarten; Dankelman, Jenny; van den Dobbelsteen, John J

    2014-01-01

    Since the increase of the number of technological aids in the operating room (OR), equipment-related incidents have come to be a common kind of adverse events. This underlines the importance of adequate equipment management to improve the safety in the OR. A system was developed to monitor the safety status (periodic maintenance and registered malfunctions) of OR devices and to facilitate the notification of malfunctions. The objective was to assess whether the system is suitable for use in an busy OR setting and to analyse its effect on the notification of malfunctions. The system checks automatically the safety status of OR devices through constant communication with the technical facility management system, informs the OR staff real-time and facilitates notification of malfunctions. The system was tested for a pilot period of six months in four ORs of a Dutch teaching hospital and 17 users were interviewed on the usability of the system. The users provided positive feedback on the usability. For 86.6% of total time, the localisation of OR devices was accurate. 62 malfunctions of OR devices were reported, an increase of 12 notifications compared to the previous year. The safety status system was suitable for an OR complex, both from a usability and technical point of view, and an increase of reported malfunctions was observed. The system eases monitoring the safety status of equipment and is a promising tool to improve the safety related to OR devices.

  15. Application of Action Learning in Ethics Teaching For Operating Room Nursing Students%行动学习法在手术室护生伦理教学中的应用及探讨

    Institute of Scientific and Technical Information of China (English)

    吴越; 高长莉; 杨雪; 辛霞

    2015-01-01

    Objective:To explore the application effect of action learning for nursing ethic teaching in operating room.Methods:Total 94 nursing students were divided into two groups to compare the testing scores and the inci-dence of hidden security events .The control group underwent the traditional teaching method , and the experimental group taken Action learning .Results:The testing scores and the accurate rates of case analysis problem of the ex-perimental group were higher than those in the control group (P<0.05).While the rate of hidden danger events of the experimental group was significantly lower than that in the control group ( P <0 .05 ) .Conclusion: Action learning can stimulate students′learning potential , improve the effect of learning , and reduce the incidence of secu-rity events.%目的:探讨行动学习法在手术室护生伦理教学中的应用。方法将94名护生分为观察组和对照组,观察组采用行动学习法,对照组采用常规方法,对比两组护生出科考试成绩和安全隐患事件发生率。结果观察组护生的整体考试成绩及案例分析题的答对率均高于对照组(P<0.05),安全隐患事件发生率均低于对照组(P<0.05)。结论行动学习法与传统的教学方法比较,能够激发学生的学习潜能,提高护生学习效果,降低安全隐患事件发生率。

  16. Research on the Orientation of Nursing Specialty in Operation Room Nursing Specialty in Higher Vocational Colleges%高职高专手术室护理专业方向人才培训的研究

    Institute of Scientific and Technical Information of China (English)

    张卫玮; 贺玲

    2015-01-01

    Adjust nursing education structure,the development of higher nursing education,expand the scale of higher nursing education,improve the professional structure,the establishment of specialist nursing care job training system is China Development Plan(2011~2015),the main objective of the a[1].Reform and innovation vocational nursing training methods,evaluation and design training ef ect,has become an important vocational education levels of care tasks.%调整护理教育层次结构,发展高等护理教育,扩大护理高职高专教育的规模,完善专业结构,建立专科护理岗位培训制度是中国护理事业发展规划纲要(2011~2015年)的主要目标之一[1]。高职高专护理人才培训方法的改革和创新,培训效果的评价与设计,已成为高职高专层次护理教育的重要任务。

  17. POST OPERATIVE PROBLEMS IN ORTOPEDICS PATIENTS IN THE RECOVERY ROOM

    Directory of Open Access Journals (Sweden)

    Regiane Aparecida dos Santos Soares Barreto

    2002-12-01

    Full Text Available This study aimed at providing related problems in patients who had undergone orthopedic surgery through theevaluation of the following variables: sex, age, surgery type and anesthesia type. Two hundred and twenty patientswere studied. They had been submitted to an elective orthopedic surgical procedure from July to December 1998and their medical records were used for retrospective data collection. With regard to sex, 58% were males and42% were females. As to age, middle-aged patients - 35 to 65 years old - comprised 48%, young adults - 18 to 35years old - were 38% and elderly adults - over 66 years old - were 14%. The frequency of results were as follows:surgery on the upper limbs/shoulder, 27%, knee/leg, 32%, spinal cord, 17%, femur/hips, 15%, ankle/foot, 9%,regional anesthesia, 48%, general anesthesia, 38%, regional associated with general, 6% and blocking, 8%.Occurred 306 post-operative problems were observed as follows: pain, 45%, nausea/vomiting, 16%, blooding,11%, cardiovascular alterations, 10%, hypothermia, 9%, urinary retention, 5%, respiratory problems, 1% andhiperthermia, 0,6%. In this way, there was an attempt at making a profile of orthopedic surgery patients in POI as asource of data for planning nursing care. It is believed that the study has contributed to nursing care in postanesthesiarecovery room which is based on scientific data and not only on every-day practice.

  18. The anatomy room: a positive learning experience for nursing students.

    Science.gov (United States)

    Mc Garvey, A; Hickey, A; Conroy, R

    2015-01-01

    Management of death and dying is an important aspect of nursing practice. Many nursing students have not been exposed to death prior to their commencement in nurse education and typically do not encounter dying and death until their clinical experience begins. To examine the effects and impact of exposure of nursing students to an anatomy room for anatomy teaching compared with students taught anatomy in a laboratory using plastic anatomical specimens. Two groups of first year nursing students were surveyed; one group received tuition in anatomy using plastic specimens and the second group used dissected cadavers. Questionnaires were administered before and immediately after the first teaching experience and again 9 weeks later. Students studying anatomy using cadaveric specimens were more apprehensive of subsequent visits to the anatomy room. However, after 9 weeks there was no significant difference when compared to students using plastic specimens. The students using cadavers felt significantly more stressed and reported significantly more symptoms than those using plastic specimens after their first lesson. There was no significant difference in stress levels and symptom reporting between the groups after 9 weeks. While a large proportion of the students using both cadavers (97%) and plastic specimens (88%) found their learning experiences positive, 43% of the respondents using cadavers stated that as a result of this experience they felt more prepared to deal with death in a hospital and that they were happy to see death in a stress free environment. The responses from the group using plastic specimens were positive as essentially they had found the theory easier to learn. The results suggest that learning anatomy using cadavers is a beneficial learning experience and could be a valuable way to encounter death for the first time in a protected environment rather than in the clinical setting. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. 手术室护理管理对手术患者医院感染的干预意义研究%Study on the Significance of Nursing Management in Operation Room to the Hospital Infection of Surgical Patients

    Institute of Scientific and Technical Information of China (English)

    王雪梅

    2016-01-01

    Objective To investigate the significance of nursing management in the operation room for hospital infection.MethodsSelected from May 2014 to February 2016,75 cases of surgical patients admitted to our hospital were randomly divided into group A,group was given routine operation room management,B group line of comprehensive nursing management. Comparison of intervention results of two groups.Results Patients in group B were significantly higher than group A in nursing management,disinfection and isolation, standard hand washing,sterile operation quality was significantly better than that of A group,the incidence of hospital infection was significantly lower than that of A group,P<0.05.Conclusion The effect of operation room nursing management on hospital infection in patients with surgery.%目的:探讨手术室护理管理对手术患者医院感染的干预意义。方法选取2014年5月~2016年2月我院所收治的75例手术患者随机分组,A组给予手术室常规管理;B组行手术室全面护理管理。比较干预结果。结果 B组患者护理管理满意度比A组高,消毒隔离、规范洗手、无菌操作质量显著比A组好,医院感染发生率显著比A组低,P<0.05。结论手术室护理管理对手术患者医院感染的干预效果确切。

  20. The Patient Safety Attitudes among the Operating Room Personnel

    Directory of Open Access Journals (Sweden)

    Cherdsak Iramaneerat

    2016-07-01

    Full Text Available Background: The first step in cultivating the culture of safety in the operating room is the assessment of safety culture among operating room personnel. Objective: To assess the patient safety culture of operating room personnel at the Department of Surgery, Faculty of Medicine Siriraj Hospital, and compare attitudes among different groups of personnel, and compare them with the international standards. Methods: We conducted a cross-sectional survey of safety attitudes among 396 operating room personnel, using a short form of the Safety Attitudes Questionnaire (SAQ. The SAQ employed 30 items to assess safety culture in six dimensions: teamwork climate, safety climate, stress recognition, perception of hospital management, working conditions, and job satisfaction. The subscore of each dimension was calculated and converted to a scale score with a full score of 100, where higher scores indicated better safety attitudes. Results: The response rate was 66.4%. The overall safety culture score of the operating room personnel was 65.02, higher than an international average (61.80. Operating room personnel at Siriraj Hospital had safety attitudes in teamwork climate, safety climate, and stress recognition lower than the international average, but had safety attitudes in the perception of hospital management, working conditions, and job satisfaction higher than the international average. Conclusion: The safety culture attitudes of operating room personnel at the Department of Surgery, Siriraj Hospital were comparable to international standards. The safety dimensions that Siriraj Hospital operating room should try to improve were teamwork climate, safety climate, and stress recognition.

  1. 改良式手术室技能综合实训在大专外科护理教学中的应用%Modified operating-room skill comprehensive practical training in surgical nursing teaching at junior colleges

    Institute of Scientific and Technical Information of China (English)

    张源慧; 李鹏

    2013-01-01

    目的探讨改良式手术室技能综合实训在大专外科护理学中的改革和实践体会。方法随机抽取40名大专护生为实验组,另抽取40名为对照组。对照组采取传统手术室技能综合实训教学法,实验组采取改良式手术室技能综合实训,实行参与式角色扮演教学,对2组护生进行手术室技能考核,并发放自制调查问卷,进行教学效果评价。结果手术室技能理论考核成绩两组无统计学差异;手术室技能操作考核成绩实验组高于对照组(P<0.05);实验组护生对改良式手术室技能综合实训效果评价各项指标同意率均在90%以上,参与式角色扮演实训教学法受到大专护生普遍欢迎及认可。结论改良式手术室技能综合实训有利于提高大专护生的技能操作水平和自主操作积极性,减轻教师实训压力,提高了实训教学质量。%Objective To explore educational reform and practice experience of modified operating room skill comprehensive practical training in surgical nursing practical training of junior colleges.Methods We randomly selected 36 student nurses of Class 2010 in a junior college as the experimental group and another 40 as the control group .The control group received the traditional operating room skill comprehensive practical training teaching methodology while the experimental group received modified operating room skill comprehensive practical training and practice participating roll play teaching.The two groups of student nurses were tested in operating room skills and surveyed with a self -designed questionnaire for evaluating the teaching effects .Results There was no significant difference in operating room skill theoretical test scores ( P <0 .05 ) , but the experimental group outperformed the control group in operating room skill test .The agreement percentage of each effect evaluation index for educational reform and practice of modified operating

  2. The operating room: architectural conditions and potential hazards.

    Science.gov (United States)

    Koneczny, Sonja

    2009-01-01

    Ergonomics is still not fully implemented in the design of operation rooms (ORs). The OR staff has to deal with various ergonomic deficiencies which may be associated with potential hazards for the patient and/or the OR team.Three surveys were conducted among German OR staff at major conferences. Two of them dealt with the working conditions in the OR and were conducted among surgeons and OR nurses. The third survey queried OR nurses about the electrical safety in the OR.In addition, a specially developed checklist was used to evaluate the work place OR in five German OR units and the staff of these OR units were queried with questionnaires adapted from the surveys. For this article a few of the deficiencies found in the ORs were chosen to serve as examples for the plethora of results gathered.Findings showed that there was a high potential for ergonomic improvement and therefore an increase in safety and comfort. Many of these deficiencies may be eased by simple means such as the reduction of the number of different devices and mandatory training in the use of the devices since device operation is one of the main causes leading to potential hazards in the OR. Other deficiencies, such as the cable routing in the OR, require more extensive intervention and/or the implementation of new techniques, for example the "wireless" OR. All these deficiencies demonstrate the need for better implementation of ergonomics into the OR and for individual solutions, as there is no such thing as an 'one-size-fits-all' solution for OR units.

  3. Crew resource management improved perception of patient safety in the operating room.

    Science.gov (United States)

    Gore, Dennis C; Powell, Jennifer M; Baer, Jennifer G; Sexton, Karen H; Richardson, C Joan; Marshall, David R; Chinkes, David L; Townsend, Courtney M

    2010-01-01

    To improve safety in the operating theater, a company of aviation pilots was employed to guide implementation of preprocedural briefings. A 5-point Likert scale survey that assessed the attitudes of operating room personnel toward patient safety was distributed before and 6 months following implementation of the briefings. Using Mann-Whitney analysis, the survey showed a significant (P perception of patient safety, which was largely demonstrated by nursing personnel.

  4. Assessment on nursing serviceat hospital external consulting rooms

    Directory of Open Access Journals (Sweden)

    Mª Dolores Poyatos Ruiz

    2013-05-01

    Full Text Available The social needs and requests change constantly, so that health care is evolving to a more focused on the users, in order to meet users´ needs and expectations of those who are going to get our assistance. Aim: We have developed a research to evaluate the quality of the assistance received by the patientst in their first encounter in the hospital external consulting rooms of traumathology at Santa Bárbara Hospital, letting us know about the patient´s satisfaction after the consulting has finished. Material and method: A transverse descriptive study on the traumathology consulting room of Santa Bárbara Hospital in Puertollano was developed for two months. The research is formed by the patients who attend this consulting room for their first time. A self made multiple choice questionnaire, which was designe by experts, and patients were asked to answer it once their first consulting at traumathology service had finished. Results: 95.6% of the patients considered as good or very good the nursing kindness (confidence/reliabitity when seeing them; 93.5% of them considered as good or very good the information given to them and 90.6% of them considered as good or very good the medical explanations they got. We also noticed a significant statistical difference among nursing kindness (confidence/reliabitity, enough consultation time and explanations received, with regard to the variant high resolution. Conclusions: The study reveals that more than 90% of the interviewed people considered as good or very good the clinical assistance and service given. The research has allowed us to know the areas that we can work on and improve.

  5. A survey of static and dynamic work postures of operating room staff.

    Science.gov (United States)

    Kant, I J; de Jong, L C; van Rijssen-Moll, M; Borm, P J

    1992-01-01

    Work in health care units is associated with considerable physical strain and many musculoskeletal complaints. Most investigations have concentrated on the work of general hospital nurses; little is known about the physical stress load on other health care workers. We therefore carried out an ergonomic study amongst operating room staff in order to (i) determine the work (posture) stress load on this particular group of health care workers and the effect of static posture on this stress, (ii) identify activities involving poor work postures, and (iii) determine differences between specialties in regard to work posture stress load. The work postures and related work activities of four different groups of staff in operating rooms (surgeons, assistant anaesthesists, instrumentation nurses and circulating nurses) were recorded and evaluated using the specified Ovako Working posture Analysing System (OWAS). Observation during the course of 18 daily surgical programmes (total number of observations: 3714) in the specialties general surgery and ear-nose-throat (ENT) surgery revealed that the work-load according to OWAS for circulating nurses and assistant anaesthesists was not harmful. Some work postures seen among instrumentation nurses and surgeons, however, need improvement. The work posture stress load in these groups is mainly due to the high prevalence of static work postures during the activities "surgery" (surgeons) and "assisting surgery" (instrumentation nurses). Significant differences in ergonomic stress load were observed between general surgeons and ENT surgeons. This survey in operating theatres relates work postures to basic activities and can be used as a starting point from which to improve work conditions in order to reduce or eliminate physical complaints among operating room staff.

  6. Influence of disturbances on bacteria level in an operating room

    DEFF Research Database (Denmark)

    Brohus, Henrik; Hyldig, Mikkel; Kamper, Simon

    2008-01-01

    In operating rooms great effort is manifested to reduce the bacteria level in order to decrease the risk of infections. The main source of bacteria is the staff and the patient, thus, the resulting bacteria concentration is roughly speaking a combination of the ventilation system and the emission...... from the occupants. This study investigates the influence of two main disturbances in an operating room namely the door opening during the operation and the activity level of the staff. It is found that the frequent door opening in this case does not cause significant transport of air from outside...... the operating room to the wound area of the patient. However, a significant influence of the activity level on the bacteria emission and concentration is found. Counting the number of persons in an operating room to estimate the bacteria source strength is not sufficient, the corresponding activity level must...

  7. Concentrations of methoxyflurane and nitrous oxide in veterinary operating rooms

    Energy Technology Data Exchange (ETDEWEB)

    Ward, G.S.; Byland, R.R.

    1982-02-01

    The surgical rooms of 14 private veterinary practices were monitored to determined methoxyflurane (MOF) concentrations during surgical procedure under routine working conditions. The average room volume for these 14 rooms was 29 m3. The average MOF value for all rooms was 2.3 ppm, with a range of 0.7 to 7.4 ppm. Four of the 14 rooms exceeded the maximum recommended concentration of 2 ppm. Six rooms which had 6 or more air changes/hr averaged 1.1 ppm, whereas 8 rooms with less than 6 measurable air changes/hr averaged 3.2 ppm. Operating rooms that had oxygen flows of more than 1,000 cm3/min averaged 4.4 ppm, whereas those with flows of less than 1,000 cm3/min averaged 1.5 ppm. The average time spent during a surgical procedure using MOF, for all 14 facilities, was 2 hours. Nitrous oxide (N/sub 2/O) concentrations were determined in 4 veterinary surgical rooms. The average N/sub 2/O concentration for 3 rooms without waste anesthetic gas scavenging was 138 ppm. Concentration of N/sub 2/O in the waste anesthetic gas-scavenged surgical room was 14 ppm, which was below the maximum recommended concentration of 25 ppm.

  8. Operating room clinicians' ratings of workload: a vignette simulation study.

    Science.gov (United States)

    Wallston, Kenneth A; Slagle, Jason M; Speroff, Ted; Nwosu, Sam; Crimin, Kimberly; Feurer, Irene D; Boettcher, Brent; Weinger, Matthew B

    2014-06-01

    Increased clinician workload is associated with medical errors and patient harm. The Quality and Workload Assessment Tool (QWAT) measures anticipated (pre-case) and perceived (post-case) clinical workload during actual surgical procedures using ratings of individual and team case difficulty from every operating room (OR) team member. The purpose of this study was to examine the QWAT ratings of OR clinicians who were not present in the OR but who read vignettes compiled from actual case documentation to assess interrater reliability and agreement with ratings made by clinicians involved in the actual cases. Thirty-six OR clinicians (13 anesthesia providers, 11 surgeons, and 12 nurses) used the QWAT to rate 6 cases varying from easy to moderately difficult based on actual ratings made by clinicians involved with the cases. Cases were presented and rated in random order. Before rating anticipated individual and team difficulty, the raters read prepared clinical vignettes containing case synopses and much of the same written case information that was available to the actual clinicians before the onset of each case. Then, before rating perceived individual and team difficulty, they read part 2 of the vignette consisting of detailed role-specific intraoperative data regarding the anesthetic and surgical course, unusual events, and other relevant contextual factors. Surgeons had higher interrater reliability on the QWAT than did OR nurses or anesthesia providers. For the anticipated individual and team workload ratings, there were no statistically significant differences between the actual ratings and the ratings obtained from the vignettes. There were differences for the 3 provider types in perceived individual workload for the median difficulty cases and in the perceived team workload for the median and more difficult cases. The case difficulty items on the QWAT seem to be sufficiently reliable and valid to be used in other studies of anticipated and perceived clinical

  9. 手术室护理中实施以舒适为中心的护理方案对病人负性情绪的影响%Influence of comfortable centered nursing program on patients’negative emotions in operating room nursing

    Institute of Scientific and Technical Information of China (English)

    欧洁梅; 梁丹; 欧海玲

    2015-01-01

    Objective:To probe into the influence of Influence of comfortable centered nursing program on pa-tients’negative emotions in operating room nursing.Methods:A total of 100 operation patients in our hospital from January in 201 1 to July in 2013 were randomly divided into observation group and control group.All pa-tients had preoperative preparation and nursing actively,the patients in observation group received the comforta-ble centered nursing program on the basis of that,and then to compare the patients’negative emotions,opera-tion stress level,social support utilization,quality of life and nursing satisfaction in both groups.Results:The pa-tients’anxiety,fear,pessimism and depression scores in observation group were lower than that in control group,and the difference was statistically significant (P < 0.05 ).The patients’subjective support score and support utilization score in observation group were (83.22±5.83),(86.55±4.30),while those in control group were (75.10 ± 6.72 ),(81.37 ± 5.32 ),and the scores in observation group were higher than that in control group,and the difference was statistically significant (P <0.05).The patients’quality of life score and nursing satisfaction score in observation group were (84.30 ±8.12)and (91.37 ±4.48),while those in control group were (75.39±7.03)and (85.74±6.53),and the scores in observation group were higher than that in control group,the difference was statistically significant (P <0.05).Conclusion:The comfortable centered nursing pro-gram can have positive effect on operating room nursing,it can control the patients’negative emotions,reduce the patients’operation stress level and improve the patients’ability for social support utilization,quality of life and nursing satisfaction of patients.%[目的]探讨在手术室护理中实施以舒适为中心的护理方案对病人负性情绪的影响。[方法]选择2011年1月—2013年7月我院收治的100例各类手术病人为研究对象,

  10. 手术室护理人员绩效考核信息化管理体系的设计与应用%Design and application of information management system of job evaluation on nursing staff working in operation room

    Institute of Scientific and Technical Information of China (English)

    崔福荣

    2013-01-01

    目的:探讨手术室护理人员绩效考核信息化管理体系的设计与应用效果.方法:利用医院信息化平台开发绩效考核软件,对31名手术室护士根据护士年资、岗位、能级、工作质量、工作时间、风险系数等,建立适合手术室奖金分配制度的考核指标.结果:绩效考核信息化管理使护士职业满意度达100%;手术患者满意度由80.00%上升为98.67%;绩效考核时间由(5.84±0.27)d缩短为(2.44±0.64)d.结论:手术室护理人员绩效考核信息化管理体系的建立与应用,调动了护士工作积极性,保证了临床护理质量,提高了麻醉师、手术医生、手术患者满意度与护士职业满意度,提高了绩效考核的效率.%Objective: To investigate the design and application effect of information management system of job evaluation on nursing staff working in operation room. Methods : The hospital information platform was utilized to develop job evaluation software for the establish -ment of evaluation index of bonus distribution according to the investigation on seniority level , post, work quality , work time and risk factors of 31 nurses working in operation room. Results: The satisfaction of nurses with occupation was 100% because of the application of information management system of job evaluation ;the satisfaction of surgical patients increased from 80% to 98. 67% ;the job evaluation time was shortened from (5. 84 ±0. 27) days to(2. 44 ±0. 64) days. Conclusion : The establishment and application of information management system of job evaluation has mobilized the enthusiasm of nursing staff in operation room and ensured the quality of clinical nursing care so as to improve the satisfaction of anesthesiologist , surgeon , patients and nurses' satisfaction with occupation and the efficiency of performance appraisal.

  11. An Analysis of Operating Room Performance Metrics at Reynolds Army Community Hospital

    Science.gov (United States)

    2009-06-28

    the MTF does not receive any performance earnings from workload generated under the Dental inpatient and outpatient codes (CAA5 and ABFA). Also OR...increasing nursing staffing to permit completion of more cases: A case study. Anesthesia & Analgesia , 94(1), 138 - 142. Dexter, F., & Macario, A. (2002...as possible. Anesthesia & Analgesia , 94(5), 1272 - 1279. OR Metrics 54 Dexter, F., Macario, A., Traub, R.D., & Lubarsky, D.A. (2003). Operating room

  12. Design and Implementation of Air Conditioning System in Operating Room

    Directory of Open Access Journals (Sweden)

    Htet Htet Aung

    2014-10-01

    Full Text Available The system is air conditioning system in operating room. The main objective of the system was implemented to provide air balance and temperature necessary conditions and to control airflow system for ventilation units in operating room. The operation room can be controlled with fuzzy expert system and describes the desired outputs. Input parameters such as temperature, humidity, oxygen and particle are used and output parameters are chosen as air conditioning motor speed and exhaust motor speed. Input parameters of the system are taken into account optimal conditions based on oxygen as medium and other parameters are chosen minimum condition for operating room. The airflow control system is determined the two components: the airflow block and the thermal block for ventilation units in operating room. The mathematical modeling of each such system based on a computational procedure and to combine them together in an efficient manner. Whether it supports to the most suitable control for the system prototype was determined by simulating the operation with varying the number of personnel and duration of time. Finally, according to the combination of temperature and airflow regulations with PI controller, the results of simulation of the entire ventilation unit control system is obtained.

  13. Operating room waste: disposable supply utilization in neurosurgical procedures.

    Science.gov (United States)

    Zygourakis, Corinna C; Yoon, Seungwon; Valencia, Victoria; Boscardin, Christy; Moriates, Christopher; Gonzales, Ralph; Lawton, Michael T

    2017-02-01

    OBJECTIVE Disposable supplies constitute a large portion of operating room (OR) costs and are often left over at the end of a surgical case. Despite financial and environmental implications of such waste, there has been little evaluation of OR supply utilization. The goal of this study was to quantify the utilization of disposable supplies and the costs associated with opened but unused items (i.e., "waste") in neurosurgical procedures. METHODS Every disposable supply that was unused at the end of surgery was quantified through direct observation of 58 neurosurgical cases at the University of California, San Francisco, in August 2015. Item costs (in US dollars) were determined from the authors' supply catalog, and statistical analyses were performed. RESULTS Across 58 procedures (36 cranial, 22 spinal), the average cost of unused supplies was $653 (range $89-$3640, median $448, interquartile range $230-$810), or 13.1% of total surgical supply cost. Univariate analyses revealed that case type (cranial versus spinal), case category (vascular, tumor, functional, instrumented, and noninstrumented spine), and surgeon were important predictors of the percentage of unused surgical supply cost. Case length and years of surgical training did not affect the percentage of unused supply cost. Accounting for the different case distribution in the 58 selected cases, the authors estimate approximately $968 of OR waste per case, $242,968 per month, and $2.9 million per year, for their neurosurgical department. CONCLUSIONS This study shows a large variation and significant magnitude of OR waste in neurosurgical procedures. At the authors' institution, they recommend price transparency, education about OR waste to surgeons and nurses, preference card reviews, and clarification of supplies that should be opened versus available as needed to reduce waste.

  14. Nursing staff sizing in the emergency room of a university hospital

    Directory of Open Access Journals (Sweden)

    Taís Couto Rego da Paixão

    2015-06-01

    Full Text Available OBJECTIVE To verify the adequacy of the professional nursing staff in the emergency room of a university hospital and to evaluate the association between categories of risk classification triage with the Fugulin Patient Classification System. METHOD The classification of patients admitted into the emergency room was performed for 30 consecutive days through the methodology proposed by Gaidzinski for calculating nursing requirements. RESULTS The calculation determines the need for three registered nurses and four non-registered nursing for each six hour shift. However, only one registered nurse and four non-registered nurse were available per shift. There was no correlation between triage risk classification and classification of care by the Fugulin Patient Classification System. CONCLUSION A deficit in professional staff was identified in the emergency room. The specificity of this unit made it difficult to measure. To find the best strategy to do so, further studies should be performed.

  15. Flow analysis of airborne particles in a hospital operating room

    Science.gov (United States)

    Faeghi, Shiva; Lennerts, Kunibert

    2016-06-01

    Preventing airborne infections during a surgery has been always an important issue to deliver effective and high quality medical care to the patient. One of the important sources of infection is particles that are distributed through airborne routes. Factors influencing infection rates caused by airborne particles, among others, are efficient ventilation and the arrangement of surgical facilities inside the operating room. The paper studies the ventilation airflow pattern in an operating room in a hospital located in Tehran, Iran, and seeks to find the efficient configurations with respect to the ventilation system and layout of facilities. This study uses computational fluid dynamics (CFD) and investigates the effects of different inflow velocities for inlets, two pressurization scenarios (equal and excess pressure) and two arrangements of surgical facilities in room while the door is completely open. The results show that system does not perform adequately when the door is open in the operating room under the current conditions, and excess pressure adjustments should be employed to achieve efficient results. The findings of this research can be discussed in the context of design and controlling of the ventilation facilities of operating rooms.

  16. Google Glass in the Operating Room: The Plastic Surgeon's Perspective.

    Science.gov (United States)

    Sinkin, Jeremy C; Rahman, Omar F; Nahabedian, Maurice Y

    2016-07-01

    New technologies and innovations are common in the delivery of modern health care. Google Glass is one such device gaining increased attention in medical specialties. The authors surveyed residents and attending physicians in the Department of Plastic Surgery, MedStar Georgetown University Hospital, on their experience using Google Glass in the operating room. Ease of use, quality of images, gaze disruption, and distraction during surgery were measured. Overall, subjects found the device to be comfortable and satisfying to wear and use during surgery to capture images of good quality. Despite some identified weaknesses, Google Glass is a unique technology with a promising plastic surgical application in the operating room.

  17. Development of an operating room pharmacy substation on a restricted budget.

    Science.gov (United States)

    Buchanan, E C; Gaither, M W

    1986-07-01

    Pharmaceutical services implemented in an operating room (OR) pharmacy substation without addition of staff in a 764-bed teaching hospital with 22 operating rooms are described. In 1984 an interdepartmental task force recommended that pharmacy take control of responsibility for controlled drugs used in anesthesia. The anesthesia department contributed space for a pharmacy substation and some of the necessary equipment. Two technicians staff the substation (1.5 full-time equivalent positions); pharmacy contributed 0.5 FTE and the additional FTE was obtained through staffing adjustments in other departments. Anesthesiologists and nurse anesthetists obtain controlled drugs directly from the technicians, and records of drug disposition are compared with inventory twice daily. The substation also handles exchange carts for noncontrolled drugs for anesthesia and for other drugs used in the operating rooms. Total cost (additional cost to pharmacy and other departments) for operating the substation for its first year was +2161, and there were no unresolved discrepancies in controlled drug accounting. Undocumented use of noncontrolled drugs has been reduced by 67%, and cooperation and communication between the pharmacy and anesthesia departments has improved. Substation personnel do not prepare intravenous admixtures or provide clinical services. An operating room substation staffed by technicians 10.5 hours daily Monday through Friday provided cost-effective pharmacy control of drugs used in the OR.

  18. Effect analysis of quality control circle activity improving hand-washing compliance of circulating nurses in operating room%品管圈活动对提高手术室巡回护士洗手依从性效果分析

    Institute of Scientific and Technical Information of China (English)

    万美萍; 吴明琴; 罗媛榕

    2015-01-01

    目的:分析影响护理人员手卫生执行的相关因素,探究品管圈活动对于提高手术室巡回护士洗手依从性及综合素质的效果。方法选取我院12名手术室巡回护士为研究对象,采用品管圈的管理方式对其进行护理干预,比较不同时段内护理人员的洗手依从性及综合素质。结果干预实施前及干预1周后、干预2周后巡回护士的总体洗手执行率分别为72%、80.0%、73.3%,总体洗手执行率在干预1周后显著上升。2周后又回落到了干预前相似水平,干预实施前及干预1周后、干预2周后巡回护士的平均素质得分分别为(52.4±4.6)、(68.0±6.4)、(83.6±8.5),差异均有统计学意义(P<0.01)。结论品管圈活动可以有效提高手术室巡回护士的综合素质,在短期内也可迅速提升其洗手的依从性,但由于品管圈活动缺乏长期监督管理的环境,巡回护士其交接安置患者洗手率会严重回落,直接导致总体洗手依从性会再次回落。%ObjectiveTo analyze related factors of hand hygiene implementation and to explore effect of quality control circle activity on improving hand-washing compliance and comprehensive quality of circulating nurses in operating room.Methods12 circulating nurses of operating room in our hospital were selected as research objects and they were received nursing intervention by management method of quality control circle. Hand-washing compliance and comprehensive quality of nursing staff during different periods were compared.Results Total hand-washing implementation rates before intervention, 1 week after intervention and 2 weeks after intervention of circulating nurses were 72%, 80.0% and 73.3% respectively. Total hand-washing implementation rate of 1 week after intervention was significantly increased while total hand-washing implementation rate of weeks after intervention was the same as that before intervention. Average quality

  19. [Comprehensive system integration and networking in operating rooms].

    Science.gov (United States)

    Feußner, H; Ostler, D; Kohn, N; Vogel, T; Wilhelm, D; Koller, S; Kranzfelder, M

    2016-12-01

    A comprehensive surveillance and control system integrating all devices and functions is a precondition for realization of the operating room of the future. Multiple proprietary integrated operation room systems are currently available with a central user interface; however, they only cover a relatively small part of all functionalities. Internationally, there are at least three different initiatives to promote a comprehensive systems integration and networking in the operating room: the Japanese smart cyber operating theater (SCOT), the American medical device plug-and-play interoperability program (MDPnP) and the German secure and dynamic networking in operating room and hospital (OR.NET) project supported by the Federal Ministry of Education and Research. Within the framework of the internationally advanced OR.NET project, prototype solution approaches were realized, which make short-term and mid-term comprehensive data retrieval systems probable. An active and even autonomous control of the medical devices by the surveillance and control system (closed loop) is expected only in the long run due to strict regulatory barriers.

  20. Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process

    NARCIS (Netherlands)

    Wubben, I.; van Manen, Jeanette Gabrielle; van den Akker, B.J.; Vaartjes, S.R.; van Harten, Willem H.

    2010-01-01

    Background: Equipment-related incidents in the operating room (OR) can affect quality of care. In this study, the authors determined the occurrence and effects on the care process in a large teaching hospital. - Methods: During a 4-week period, OR nurses reported equipment-related incidents during

  1. Improving the Interdisciplinary Team Work in the Operating Room

    DEFF Research Database (Denmark)

    Tørring, Birgitte

    2016-01-01

    the black box of teamwork in search for relational elements critical to successful collaboration and communication. Few single studies exists which explore how RC could be observed and improved in this context. The present study examines surgical teams in selected operating rooms (OR) focusing on RC...

  2. Delays in the operating room: signs of an imperfect system.

    Science.gov (United States)

    Wong, Janice; Khu, Kathleen Joy; Kaderali, Zul; Bernstein, Mark

    2010-06-01

    Delays in the operating room have a negative effect on its efficiency and the working environment. In this prospective study, we analyzed data on perioperative system delays. One neurosurgeon prospectively recorded all errors, including perioperative delays, for consecutive patients undergoing elective procedures from May 2000 to February 2009. We analyzed the prevalence, causes and impact of perioperative system delays that occurred in one neurosurgeon's practice. A total of 1531 elective surgical cases were performed during the study period. Delays were the most common type of error (33.6%), and more than half (51.4%) of all cases had at least 1 delay. The most common cause of delay was equipment failure. The first cases of the day and cranial cases had more delays than subsequent cases and spinal cases, respectively. A delay in starting the first case was associated with subsequent delays. Delays frequently occur in the operating room and have a major effect on patient flow and resource utilization. Thorough documentation of perioperative delays provides a basis for the development of solutions for improving operating room efficiency and illustrates the principles underlying the causes of operating room delays across surgical disciplines.

  3. Facets of operational performance in an emergency room (ER)

    NARCIS (Netherlands)

    van der Vaart, Taco; Vastag, Gyula; Wijngaard, Jacob

    2011-01-01

    This paper, using detailed time measurements of patients complemented by interviews with hospital management and staff, examines three facets of an emergency room's (ER) operational performance: (1) effectiveness of the triage system in rationing patient treatment; (2) factors influencing ER's opera

  4. Decision support system for the operating room rescheduling problem

    NARCIS (Netherlands)

    Essen, van J. Theresia; Hurink, J.L.; Hartholt, Woutske; Akker, van den Bernd J.

    2012-01-01

    Due to surgery duration variability and arrivals of emergency surgeries, the planned Operating Room (OR) schedule is disrupted throughout the day which may lead to a change in the start time of the elective surgeries. These changes may result in undesirable situations for patients, wards or other in

  5. Gynaecological surgical training in the operating room : an exploratory study

    NARCIS (Netherlands)

    van der Houwen, Clasien; Boor, Klarke; Essed, Gerard G. M.; Boendermaker, Peter M.; Scherpbier, Albert A. J. J. A.; Scheele, Fedde

    2011-01-01

    Objective: One of the challenging goals of gynaecological education is preparing trainees for independent practice of surgery. Research, however, on how to acquire surgical skills in the operating room safely, effectively and efficiently is scarce. We performed this study to explore trainers' and tr

  6. A qualitative study on the experience and expectation of counting of junior nurses about inventory of surgical items in operating room%手术室低年资护士对手术物品清点工作体验与期望的质性研究

    Institute of Scientific and Technical Information of China (English)

    张晓霞; 陈莺; 王燕玲

    2016-01-01

    Objective:To explore the inner experience and expectation of the junior nurses in completing the inventory of surgical items at the operating room and to provide reference for the management personnel of the operating room to improve the program and psychological intervention measures. Methods:In -depth interviews were conducted to analyze the inner experience and expectation of 15 junior nurses in the operation when they counted the inventory of sur-gical items and analyzed it by phenomenological analysis. Results:Six subjects were identified,such as confusion about the completeness of all items and in-struments;anxiousness in the inventory of emergencies or complex procedures;confusion in the ways inventory were manipulated;expectation of support from experienced and responsible patrol nurses so that to gain a sense of security;expectation to receive role recognition in the surgical team;reconsidering of bad inventory behavior in the work. Conclusion:By improving and enriching the training contents and methods of the junior nurses in the operating room and optimizing the teaching staff and nurses,it can help the junior nurses to complete the counting of inventory of surgical items during the operation.%目的:探讨手术室低年资护士在完成手术物品清点工作方面的内心体验与期望,为手术室管理人员提供改进方案和心理干预措施提供参考。方法:采用深度访谈法了解15名手术室低年资护士在完成手术清点工作方面的内心体验与期望资料,以现象学分析法进行分析。结果:提炼出6个主题:对各类物品和器械完整性清点的困惑;对紧急情况或复杂手术的清点存在焦虑情绪;对物品清点中操作方法不一致的困惑;期望得到有经验、负责任的巡回护士的支持,获得安全感;期望在手术团队中得到角色认同;会反思工作环境中的不良清点行为。结论:通过对手术室低年资护士培训内容和方

  7. Emotional intelligence in the operating room: analysis from the Boston Marathon bombing.

    Science.gov (United States)

    Chang, Beverly P; Vacanti, Joshua C; Michaud, Yvonne; Flanagan, Hugh; Urman, Richard D

    2014-01-01

    The Boston Marathon terrorist bombing that occurred on April 15, 2013 illustrates the importance of a cohesive, efficient management for the operating room and perioperative services. Conceptually, emotional intelligence (EI) is a form of social intelligence used by individuals in leadership positions to monitor the feelings and emotions of their team while implementing a strategic plan. To describe the experience of caring for victims of the bombing at a large tertiary care center and provide examples demonstrating the importance of EI and its role in the management of patient flow and overall care. A retrospective review of trauma data was performed. Data regarding patient flow, treatment types, treatment times, and outcomes were gathered from the hospital's electronic tracking system and subsequently analyzed. Analyses were performed to aggregate the data, identify trends, and describe the medical care. Immediately following the bombing, a total of 35 patients were brought to the emergency department (ED) with injuries requiring immediate medical attention. 10 of these patients went directly to the operating room on arrival to the hospital. The first victim was in an operating room within 21 minutes after arrival to the ED. The application of EI in managerial decisions helped to ensure smooth transitions for victims throughout all stages of their perioperative care. EI provided the fundamental groundwork that allowed the operating room manager and nurse leaders to establish the calm and coordinated leadership that facilitated patient care and teamwork.

  8. 个性化管理理念在缓解手术室护理人员工作倦怠感中的效果观察%Effect of Individual Management Idea in Relieving the Job Burnout of Nursing Staff in Operation Room

    Institute of Scientific and Technical Information of China (English)

    曹绍娜

    2015-01-01

    目的 研究个性化管理理念在缓解手术室护理人员工作倦怠感中的效果.方法 选择2014年5~11月在我院手术室工作的护理人员62例,随机分成两组,每组各31例,对照组护理人员采用常规的管理方法,观察组护理人员在对照组基础上实行个性化管理,通过问卷调查表观察两组护理人员的工作倦怠情况及工作积极性.结果 观察组护理人员的工作倦怠评分低于对照组护理人员,差异具有统计学意义(P<0.05);观察组护理人员的工作积极性评分高于对照组护理人员,差异具有统计学意义(P<0.05).结论 个性化管理能有效的改善手术室护理人员的工作倦怠感,提高其工作的积极性.%Objective To study the effect of individual management idea in relieving the job burnout of nursing staff in operation room.Methods we Selected 62 cases for working in the operating room in our hospital from May to November 2014,and they were randomly divided into two groups,each group 31 cases. The control group used conventional management nurses, observation group used personalized management on the basis of control group. Questionnaires were used to observe the job burnout situation and work motivation of the two groups.Results Job burnout scores of the nurses in the observation group were lower than that of the control group. The difference had statistical significance(P<0.05). Working enthusiasm scores of the nurses in the observation group were higher than that of the control group. The difference had statistical significance(P<0.05).Conclusion Personalized management can effectively reduce nurses' feeling of working burnout and increase their working enthusiasm.

  9. [The application of operating room quality backward system in instrument place management].

    Science.gov (United States)

    Du, Hui; He, Anjie; Zeng, Leilei

    2010-09-01

    Improvement of the surgery instrument's clean quality, the optimized preparation way, reasonable arrangement in groups, raising the working efficiency. We use the quality backward system into the instrument clean, the pack and the preparation way's question, carry on the analysis and the optimization, and appraise the effect after trying out 6 months. After finally the way optimized, instrument clean quality distinct enhancement; The flaws in the instrument clean, the pack way and the total operating time reduce; the contradictory between nurses and the cleans arising from the unclear connection reduces, the satisfaction degree of nurse and doctor to the instrument enhances. Using of operating room quality backward system in the management of the instrument clean, the pack and the preparation way optimized, may reduce flaws in the work and the waste of human resources, raise the working efficiency.

  10. Operating Room Traffic: Is There Any Role of Monitoring It?

    Science.gov (United States)

    Parikh, Shital N.; Grice, Salih S.; Schnell, Beverly M.; Salisbury, Shelia R.

    2010-01-01

    Background Operating room (OR) human traffic has been implicated as a cause of surgical site infection. We first observed the normal human traffic pattern in our Pediatric Orthopaedic ORs, then examined the effect of surveillance on that traffic pattern. Methods This study consisted of two phases: phase I sought to observe the OR traffic pattern (number of door swings, maximum and minimum number of OR personnel, number of OR personnel at 30 minute intervals, or changes in nursing, anesthesia or surgeon staff) during surgical cases without OR personnel being notified, and for phase II, the same traffic pattern was monitored with their knowledge. Results 2442 minutes of surgical time were observed in phase I, and 1908 minutes were observed in phase II. There was no difference (p=0.06) in the time between door swings between phase I (1.39 minutes) and phase II (1.70), no difference (p=1.000) in the maximum number of people in the OR between phase I (11.5 people, range: 7–15 people) and phase II (11.5 people, range: 8–20 people), no difference (p=1.000) in the minimum number of people in the OR between phase I (4.67 people, range: 4–6 people) and phase II (4.71 people, range: 3–6 people). There was a difference in the time between door swings (p=0.03) and maximum number of people in the OR (p=0.005) based on length of surgery (less or more than120 minutes). There was no difference in the time between door swings (p=0.11), but there was a difference in the maximum number of people in the OR (p=0.002) based on type of surgery (spine vs. others). Conclusion There was no role of surveillance of human traffic in the OR. To achieve any change in the OR traffic pattern, monitoring alone may not be sufficient; other novel techniques or incentives may need to be considered. PMID:20733430

  11. Control of the Environment in the Operating Room.

    Science.gov (United States)

    Katz, Jonathan D

    2016-09-23

    There is a direct relationship between the quality of the environment of a workplace and the productivity and efficiency of the work accomplished. Components such as temperature, humidity, ventilation, drafts, lighting, and noise each contribute to the quality of the overall environment and the sense of well-being of those who work there.The modern operating room is a unique workplace with specific, and frequently conflicting, environmental requirements for each of the inhabitants. Even minor disturbances in the internal environment of the operating room can have serious ramifications on the comfort, effectiveness, and safety of each of the inhabitants. A cool, well-ventilated, and dry climate is optimal for many members of the surgical team. Any significant deviation from these objectives raises the risk of decreased efficiency and productivity and adverse surgical outcomes. A warmer, more humid, and quieter environment is necessary for the patient. If these requirements are not met, the risk of surgical morbidity and mortality is increased. An important task for the surgical team is to find the correct balance between these 2 opposed requirements. Several of the components of the operating room environment, especially room temperature and airflow patterns, are easily manipulated by the members of the surgical team. In the following discussion, we will examine these elements to better understand the clinical ramifications of adjustments and accommodations that are frequently made to meet the requirements of both the surgical staff and the patient.

  12. 手术室全期细节护理对手术室患者护理质量及满意度的影响探讨%Study on the Effect of Nursing Quality and Satisfaction Degree of Patients in Operation Room

    Institute of Scientific and Technical Information of China (English)

    陈晓莉

    2015-01-01

    Objective Discussion on influence of operating room full of details on the operating room nursing patient care quality and satisfaction. Methods 96 patients underwent surgical treatment were randomly divided into groups and routine care group, 48 cases each. Conventional group care program for the routine care, nursing care group care program for the details. Compared two groups of quality of care and satisfaction rating scores. Results Nursing care group quality score and satisfaction were (97.50±2.01) points, 95.83%, conventional group were (85.21±2.05) points, 83.33%, care group and satisfaction of quality of care are better than the conventional group, P<0.05, with statistical signiifcance. Conclusion Full details of the operating room care can improve quality of care and the promotion of satisfaction.%目的:探讨分析手术室全期细节护理对手术室患者护理质量及满意度的影响。方法将96例行手术治疗的患者随机分成常规组和护理组,各48例。常规组护理方案为常规护理,护理组护理方案为细节护理。对比两组的护理质量评分和满意评价。结果护理组的护理质量评分和满意度分别为(97.50±2.01)分、95.83%,常规组则分别为(85.21±2.05)分、83.33%,护理组的护理质量以及满意度均优于常规组,P<0.05,差异具有统计学意义。结论手术室全期细节护理可以促进护理质量以及满意度的提高。

  13. Nurses' perception of single-occupancy versus multioccupancy rooms in acute care environments: an exploratory comparative assessment.

    Science.gov (United States)

    Chaudhury, Habib; Mahmood, Atiya; Valente, Maria

    2006-08-01

    Health care design professionals, planners, and administrators cite the advantages of private patient rooms, including reduction of hospital-acquired infections, reduction of patient stress levels, and facilitation of nurses' and health care workers' efficiency [e.g., Ulrich, R. (2003). Creating a healing environment with evidence-based design. Paper presented at the American Institute of Architects, Academy of Architecture for Health virtual seminar-Healing environments; Ulrich, R., Quan, X., Zimring, C., Joseph, A., & Choudhary, R. (2004). The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime-opportunity. ]. A review of the literature revealed that operating costs are reduced in single-patient rooms compared with multioccupancy rooms due to reduction in transfer cost, higher bed occupancy rates, and reduction in labor cost. In addition, single rooms can positively impact patients' hospital experience through increased privacy, better interaction between family and staff, and reduced noise and anxiety. This pilot study focused on nurses' perception of the advantages and disadvantages of single-occupancy versus multioccupancy patient rooms in medical-surgical units in four hospitals in the northwest. A majority of respondents in the four hospitals favored single rooms over double-occupancy rooms for the majority of the 15 categories, including the following: appropriateness for patient examination, interaction with or accommodation of family members, and lower probability of dietary mix-ups. Future studies need to carefully examine the objective measures of patient care variables (e.g., incidents of medication errors, opportunities for surveillance), patient outcomes (e.g., recovery rate, falls), and implications of room occupancy on operating costs.

  14. Feasibility of touch-less control of operating room lights.

    Science.gov (United States)

    Hartmann, Florian; Schlaefer, Alexander

    2013-03-01

    Today's highly technical operating rooms lead to fairly complex surgical workflows where the surgeon has to interact with a number of devices, including the operating room light. Hence, ideally, the surgeon could direct the light without major disruption of his work. We studied whether a gesture tracking-based control of an automated operating room light is feasible. So far, there has been little research on control approaches for operating lights. We have implemented an exemplary setup to mimic an automated light controlled by a gesture tracking system. The setup includes a articulated arm to position the light source and an off-the-shelf RGBD camera to detect the user interaction. We assessed the tracking performance using a robot-mounted hand phantom and ran a number of tests with 18 volunteers to evaluate the potential of touch-less light control. All test persons were comfortable with using the gesture-based system and quickly learned how to move a light spot on flat surface. The hand tracking error is direction-dependent and in the range of several centimeters, with a standard deviation of less than 1 mm and up to 3.5 mm orthogonal and parallel to the finger orientation, respectively. However, the subjects had no problems following even more complex paths with a width of less than 10 cm. The average speed was 0.15 m/s, and even initially slow subjects improved over time. Gestures to initiate control can be performed in approximately 2 s. Two-thirds of the subjects considered gesture control to be simple, and a majority considered it to be rather efficient. Implementation of an automated operating room light and touch-less control using an RGBD camera for gesture tracking is feasible. The remaining tracking error does not affect smooth control, and the use of the system is intuitive even for inexperienced users.

  15. 质量控制小组在手术室护理管理中的作用循证分析%The role of quality control team in the operating room nursing management evaluated by evi-dence-base analysis

    Institute of Scientific and Technical Information of China (English)

    安莉

    2015-01-01

    目的:采用循证医学方法分析质量控制小组模式在手术室中的作用,为护理管理提供参考依据。方法以质量控制小组、手术室护理管理为检索词,在中国医院数字图书馆检索中国知网CNKI期刊全文数据库、PubMed数据库,1994年1月至2014年12月期间的相关文章,按照Cochrane标准,对纳入研究进行循证分析,比较质量控制小组模式实施前后护理不良事件发生情况及护理质量评分。结果15篇符合纳入标准的研究中实施质控小组管理模式后,9篇手术室护理质量评分提高了8.32~16.22分,Meta分析差异有极显著统计学意义( Z=20.58,P<0.001);8篇手术室不良护理事件的发生率降低了66.98%~93.33%。结论质量控制小组模式能有效地提高手术室护理管理质量,减少手术室护理不良事件的发生率。%Objective To analyze the role of medicine quality control team in the operating room by evidence-based medicine in order to provide reference for nursing management.Methods We searched articles from Jan.1994 to Dec.2014 in China Hospital Knowledge Database( CHKD) of CNKI by words of quality control team and nursing management in operating room.All the included studies were assessed and summarized in Cochrane Review systematically.The adverse event and quality of care score before and after applying quality control team mode were compared.Results Thirteen studies were obtained for analysis based on inclusion criteria,a-mong which after applying quality control team mode,the quality of care score had increased 8.32~16.22 in 9 studies.Meta-analysis showed that there was significant difference ( Z=20.58, P <0.001 ) .In 8 studies, incidence of adverse event had reduced 66.98-93.33%.Conclusion The model of quality control team can improve the quality of nursing management in operating room and reduce the incidence of adverse events in operating room nursing.

  16. Don't break the chain: importance of supply chain management in the operating room setting.

    Science.gov (United States)

    Bilyk, Candis

    2008-09-01

    Management of supplies within the operating room (OR) has considerable implications for decreasing healthcare costs while maintaining high-quality patient care. This area of healthcare therefore requires more monitoring by end-users including OR management, physicians, and nursing staff. This article is based on understanding supply chain management in the OR setting. Information provided throughout the article can be applied to small or large health care centers. It defines supply chain management and contains a brief overview of supply chain processes. It reviews the benefits of following these processes. The article also includes recommendations for improving the supply chain in the OR.

  17. Sedation of infants and children outside of the operating room.

    Science.gov (United States)

    Tobias, Joseph D

    2015-08-01

    Although adults may be able to tolerate procedures without sedation, developmental and cognitive issues often mandate the use of sedation in infants and children. There has been a shift in the philosophy regarding sedation with an increasing recognition of the negative psychological and physiological aspects of inadequate sedation. The expansion of our technology continues to result in an increasing number of techniques, which require sedation outside of the operating room environment. These factors have contributed to an ever growing number of pediatric patients presenting themselves for procedural sedation. This chapter will discuss issues regarding the provision of anesthesia outside of the operating room for pediatric patients including current guidelines for patient assessment prior to procedural, monitoring during sedation, and a discussion of some of the more commonly utilized sedative and analgesic agents within the pediatric population.

  18. A Web-Based Operating Room Management Educational Tool.

    Science.gov (United States)

    Tsai, Mitchell H; Haddad, Daniel J; Friend, Alexander F; Bender, S Patrick; Davidson, Melissa L

    2016-08-01

    In 2010, our department instituted a nonclinical, administrative rotation in operating room management for anesthesiology residents. Subsequently, we mandated the rotation for all senior anesthesiology residents in 2013. In 2014, under the auspices of the American Society of Anesthesiologists, we developed a web-based module covering the basics of finance, accounting, and operating room management. A multiple-choice test was given to residents at the beginning and end of the rotation, and we compared the mean scores between residents who took the traditional course and residents who took the web-based module. We found no significant difference between the groups of residents, suggesting that the web-based module is as effective as traditional didactics.

  19. [Design, equipment, and management for air conditioning in operating room].

    Science.gov (United States)

    Fuji, Kumiko; Mizuno, Ju

    2011-11-01

    In order to maintain air cleanliness in the operating room (OR) permanently, air exchange rate in the OR should be more than 15 times x hr(-1), the laminar air flow should be kept, and the numbers of the persons in the OR and the numbers of opening and closing OR door should be limited. High efficiency particulate air (HEPA) filter is effective in collection and removal of airborne microbes, and is used in the biological clean room. We need to design, equip, and manage the OR environment according to Guideline for Design and Operation of Hospital HVAC Systems HEAS-02-2004 established by Healthcare Engineering Association of Japan and Guideline for Prevention of Surgical Site Infection (SSI) established by the Center for Disease Control and Prevention (CDC) in the USA.

  20. The utilization of magnetic resonance imaging in the operating room.

    Science.gov (United States)

    Ménard, C; Pambrun, J-F; Kadoury, S

    Online image guidance in the operating room using ultrasound imaging led to the resurgence of prostate brachytherapy in the 1980s. Here we describe the evolution of integrating MRI technology in the brachytherapy suite or operating room. Given the complexity, cost, and inherent safety issues associated with MRI system integration, first steps focused on the computational integration of images rather than systems. This approach has broad appeal given minimal infrastructure costs and efficiencies comparable with standard care workflows. However, many concerns remain regarding accuracy of registration through the course of a brachytherapy procedure. In selected academic institutions, MRI systems have been integrated in or near the brachytherapy suite in varied configurations to improve the precision and quality of treatments. Navigation toolsets specifically adapted to prostate brachytherapy are in development and are reviewed. Copyright © 2017 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

  1. Response Times of Operators in a Control Room

    DEFF Research Database (Denmark)

    Platz, O.; Rasmussen, J.; Skanborg, Preben Zacho

    A statistical analysis was made of operator response times recorded in the control room of a research reactor during the years 1972-1974. A homogeneity test revealed that the data consist of a mixture of populations. A small but statistically significant difference is found between day and night ...... response times. Lognormal distributions are found to provide the best fit of the day and the night response times....

  2. Advanced Technologies in Safe and Efficient Operating Rooms

    Science.gov (United States)

    2006-02-01

    area of Informatics, a Meta analysis of commercially available positioning technolgies has been completed. A sampling of these technologies was...intense care provided for many patients. The operating room forms the nucleus of mobile military hospitals. Whether found in civilian or military...encompasses systems consisting of mobile transmitters and fixed or semi-fixed receivers used wirelessly and without human intervention to identify the

  3. Surgical site infection prevention: the operating room environment.

    Science.gov (United States)

    Clyburn, Terry A; Evans, Richard P; Moucha, Calin S; Prokuski, Laura

    2011-01-01

    Surgical site infections can complicate orthopaedic procedures and contribute to morbidity, mortality, and health care costs. Extensive literature has been published on this topic; however, the quality of data using standards of evidence-based medicine is variable with a lack of well-controlled studies. A review of the literature concerning measures to prevent surgical site infections in the operating room environment may be helpful in preventing such infections.

  4. Complementing Operating Room Teaching With Video-Based Coaching.

    Science.gov (United States)

    Hu, Yue-Yung; Mazer, Laura M; Yule, Steven J; Arriaga, Alexander F; Greenberg, Caprice C; Lipsitz, Stuart R; Gawande, Atul A; Smink, Douglas S

    2017-04-01

    Surgical expertise demands technical and nontechnical skills. Traditionally, surgical trainees acquired these skills in the operating room; however, operative time for residents has decreased with duty hour restrictions. As in other professions, video analysis may help maximize the learning experience. To develop and evaluate a postoperative video-based coaching intervention for residents. In this mixed methods analysis, 10 senior (postgraduate year 4 and 5) residents were videorecorded operating with an attending surgeon at an academic tertiary care hospital. Each video formed the basis of a 1-hour one-on-one coaching session conducted by the operative attending; although a coaching framework was provided, participants determined the specific content collaboratively. Teaching points were identified in the operating room and the video-based coaching sessions; iterative inductive coding, followed by thematic analysis, was performed. Teaching points made in the operating room were compared with those in the video-based coaching sessions with respect to initiator, content, and teaching technique, adjusting for time. Among 10 cases, surgeons made more teaching points per unit time (63.0 vs 102.7 per hour) while coaching. Teaching in the video-based coaching sessions was more resident centered; attendings were more inquisitive about residents' learning needs (3.30 vs 0.28, P = .04), and residents took more initiative to direct their education (27% [198 of 729 teaching points] vs 17% [331 of 1977 teaching points], P Video-based coaching is a novel and feasible modality for supplementing intraoperative learning. Objective evaluation demonstrates that video-based coaching may be particularly useful for teaching higher-level concepts, such as decision making, and for individualizing instruction and feedback to each resident.

  5. Radiation hazards to vascular surgeon and scrub nurse in mobile fluoroscopy equipped hybrid vascular room

    Science.gov (United States)

    Kim, Jong Bin; Lee, Jaehoon

    2017-01-01

    Purpose The aim of the present study was to identify the radiation hazards to vascular surgeons and scrub nurses working in mobile fluoroscopy equipped hybrid vascular operation rooms; additionally, to estimate cumulative cancer risk due to certain exposure dosages. Methods The study was conducted prospectively in 71 patients (53 men and 18 women) who had undergone vascular intervention at our hybrid vascular theater for 6 months. OEC 9900 fluoroscopy was used as mobile C-arm. Exposure dose (ED) was measured by attaching optically stimulated luminescence at in and outside of the radiation protectors. To measure X-ray scatter with the anthropomorphic phantom model, the dose was measured at 3 distances (20, 50, 100 cm) and 3 angles (horizontal, upward 45°, downward 45°) using a personal gamma radiation dosimeter, Ecotest CARD DKG-21, for 1, 3, 5, 10 minutes. Results Lifetime attributable risk of cancer was estimated using the approach of the Biological Effects of Ionizing Radiation report VII. The 6-month ED of vascular surgeons and scrub nurses were 3.85, 1.31 mSv, respectively. The attenuation rate of lead apron, neck protector and goggle were 74.6%, 60.6%, and 70.1%, respectively. All cancer incidences among surgeons and scrub nurses correspond to 2,355 and 795 per 100,000 persons. The 10-minute dose at 100-cm distance was 0.004 mSv at horizontal, 0.009 mSv at downward 45°, 0.003 mSv at upward 45°. Conclusion Although yearly radiation hazards for vascular surgeons and scrub nurses are still within safety guidelines, protection principles can never be too stringent when aiming to minimize the cumulative harmful effects. PMID:28289670

  6. Operational Strategy of CBPs for load balancing of Operators in Advanced Main Control Room

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seunghwan; Kim, Yochan; Jung, Wondea [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-05-15

    With the using of a computer-based control room in an APR1400 (Advanced Pressurized Reactor-1400), the operators' behaviors in the main control room had changed. However, though the working environment of operators has been changed a great deal, digitalized interfaces can also change the cognitive tasks or activities of operators. First, a shift supervisor (SS) can confirm/check the conduction of the procedures and the execution of actions of board operators (BOs) while confirming directly the operation variables without relying on the BOs. Second, all operators added to their work the use of a new CBP and Soft Controls, increasing their procedural workload. New operational control strategies of CBPs are necessary for load balancing of operator's task load in APR1400. In this paper, we compared the workloads of operators in an APR1400 who work with two different usages of the CBP. They are SS oriented usage and SS-BO collaborative usage. In this research, we evaluated the workloads of operators in an advanced main control room by the COCOA method. Two types of CBP usages were defined and the effects of these usages on the workloads were investigated. The obtained results showed that the workloads between operators in a control room can be balanced according to the CBP usages by assigning control authority to the operators.

  7. Development of a self-assessment tool for measuring competences of obstetric nurses in rooming-in wards in China

    OpenAIRE

    Zhang, Ju; Ye, Wenqin; Fan, Fan

    2015-01-01

    Introduction: To provide high-quality nursing care, a reliable and feasible competency assessment tool is critical. Although several questionnaire-based competency assessment tools have been reported, a tool specific for obstetric nurses in rooming-in wards is lacking. Therefore, the purpose of this research is to develop a competency assessment tool for obstetric rooming-in ward nurses. Methods: A literature review was conducted to create an individual intensive interview with 14 nurse manag...

  8. Virtual reality in the operating room of the future.

    Science.gov (United States)

    Müller, W; Grosskopf, S; Hildebrand, A; Malkewitz, R; Ziegler, R

    1997-01-01

    In cooperation with the Max-Delbrück-Centrum/Robert-Rössle-Klinik (MDC/RRK) in Berlin, the Fraunhofer Institute for Computer Graphics is currently designing and developing a scenario for the operating room of the future. The goal of this project is to integrate new analysis, visualization and interaction tools in order to optimize and refine tumor diagnostics and therapy in combination with laser technology and remote stereoscopic video transfer. Hence, a human 3-D reference model is reconstructed using CT, MR, and anatomical cryosection images from the National Library of Medicine's Visible Human Project. Applying segmentation algorithms and surface-polygonization methods a 3-D representation is obtained. In addition, a "fly-through" the virtual patient is realized using 3-D input devices (data glove, tracking system, 6-DOF mouse). In this way, the surgeon can experience really new perspectives of the human anatomy. Moreover, using a virtual cutting plane any cut of the CT volume can be interactively placed and visualized in realtime. In conclusion, this project delivers visions for the application of effective visualization and VR systems. Commonly known as Virtual Prototyping and applied by the automotive industry long ago, this project shows, that the use of VR techniques can also prototype an operating room. After evaluating design and functionality of the virtual operating room, MDC plans to build real ORs in the near future. The use of VR techniques provides a more natural interface for the surgeon in the OR (e.g., controlling interactions by voice input). Besides preoperative planning future work will focus on supporting the surgeon in performing surgical interventions. An optimal synthesis of real and synthetic data, and the inclusion of visual, aural, and tactile senses in virtual environments can meet these requirements. This Augmented Reality could represent the environment for the surgeons of tomorrow.

  9. Diagnostic hysteroscopy in a procedure room setting compared to diagnostic hysteroscopy in the operating room

    Directory of Open Access Journals (Sweden)

    Ayman Oraif

    2016-12-01

    Conclusions: Diagnostic hysteroscopy is currently considered a valuable investigational tool for endometrial abnormalities and abnormal uterine bleeding. Most of these procedures can be performed in a procedure room setting without I.V. sedation or pre-operative narcotics. In our experience, a utero-sacral block using lidocaine is quite effective in controlling discomfort while passing various instruments through the internal cervical os. These techniques result in good visualization of the endometrial cavity, adequate and appropriate endometrial sampling with tolerable discomfort. The patients spend less time in the hospital, experience a much faster recovery and have less pre-operative restrictions. [Int J Reprod Contracept Obstet Gynecol 2016; 5(12.000: 4164-4173

  10. Study on the process management in operation room and perioperative nursing of autologous stem cells in the treatment of femoral head necrosis%自体干细胞治疗股骨头坏死的手术室流程管理及围手术期的护理研究

    Institute of Scientific and Technical Information of China (English)

    汤晋

    2016-01-01

    Objective:To investigate the process management in operation room and perioperative nursing methods of autologous stem cells in the treatment of femoral head necrosis.Methods:The clinical data of 20 cases of patients with femoral head necrosis treated with autologous stem cells were analyzed retrospectively.Results:All patients had the completed operation and the average operation time was 3 h.The preoperative Harris score was 48.9 points;the postoperative Harris score was 87.8 points;the postoper-ative Harris score was improved significantly.19 cases was effective and 1 case was ineffective.No serious complications occurred during the follow-up period.Conclusion:The process management in operation room and perioperative nursing of autologous stem cells in the treatment of femoral head necrosis eliminated the adverse psychological factors of patients effectively and prevent the occurrence of complications,which helped to the success of stem cell transplantation.%目的:探讨自体干细胞治疗股骨头坏死的手术室流程管理及围手术期护理方法。方法:回顾性分析自体干细胞治疗股骨头坏死患者20例的临床资料。结果:所有患者均完成手术,平均手术时间3 h。术前 Harris 评分48.9分,术后Harris评分87.8分,术后Harris评分明显提高。治疗有效19例,无效1例。患者随访期间未出现严重并发症。结论:干细胞治疗股骨头坏死的手术室管理流程及围手术期护理有效地消除患者不良心理因素,防止并发症的发生,有助于干细胞移植手术顺利进行。

  11. Fire in the Operating Room During Hypospadias Repair.

    Science.gov (United States)

    Boscarelli, Alessandro; Frediani, Simone; Ceccanti, Silvia; Cervellone, Alice; Pesce, Maria Vittoria; Cozzi, Denis A

    2017-11-01

    Fire in the operating room (OR) is a very distressful and shocking occurrence with potential dramatic consequences. Despite safety rules and rigorous recommendations, such unintentional events do occur every so often. Notably, the vast majority of cases have been reported in the adult population, with very few pediatric cases described to date. Herein, we report on a 16-month-old boy undergoing reconstructive surgery for penoscrotal hypospadias, who experienced an OR fire most likely related to the use of alcohol-based solution ignited by monopolar electrocautery.

  12. Investigation on feasibility analysis of the training for specialist nurse in operating room under direction of the third-degree subject%按三级学科方向培养手术室专科护士可行性的调查

    Institute of Scientific and Technical Information of China (English)

    陆云; 龚荣花; 王艳; 刘霞

    2015-01-01

    Objective To identify the needs of different degree hospitals for specialist nurse in operating room, and to explore the specialist nurse training programs which can meet their actual requirements . Methods We used the self-designed questionnaire to carry out a survey in students which were graduated from the training courses for specialist nurses in operating room in Jiangsu province .Four points of the contents were as below:the general information , the refinement situation of the third-degree subject and subspecialty of one′s own hospital , how their jobs were going after the traing , and the feasibility and plan of the training for specialist nurses in operating room under the direction of third-degree subject .Results 100%of participants thought that it was necessary to hold a training for specialist nurses in operating room , 80.00%of them thought that the current mode belonged to the general nursing , 72.22% of whom from the second-class hospital thought that both the theoretical knowledge and skill learned from the clinical practice could meet their working requirements , and they would continue to take the current training mode .74.19%of whom from the tertiary hospital thought that although it could meet the requirements , it was not strong enough and was short in details for their own direction , they thought specialist nurses should be trained according to the third-degree subject .Conclusions The training mode is combined with centralization and decentralization , and it includes unified entrance , synchronous training , hierarchical culture .It is established based on the actual needs getting from the hospitals in different grades , so it is better to adapt for different needs of different hospitals .%目的:了解不同等级医院对手术室专科护士的需求,探索能满足不同等级医院手术室护理工作实际需求的专科护士培训方案。方法自行设计调查表,选择在江苏省手术室专

  13. Are the urology operating room personnel aware about the ionizing radiation?

    Directory of Open Access Journals (Sweden)

    Adem Tok

    2015-10-01

    Full Text Available ABSTRACT Purpose: We assessed and evaluated attitudes and knowledge regarding ionizing radiation of urology surgery room staff. Materials and Methods: A questionnaire was sent by e-mail to urology surgery room personnel in Turkey, between June and August 2013. The questionnaire included demographic questions and questions regarding radiation exposure and protection. Results: In total, 127 questionnaires were answered. Of them, 62 (48.8% were nurses, 51 (40.2% were other personnel, and 14 (11% were radiological technicians. In total, 113 (89% participants had some knowledge of radiation, but only 56 (44.1% had received specific education or training regarding the harmful effects of radiation. In total, 92 (72.4% participants indicated that they used a lead apron and a thyroid shield. In the subgroup that had received education about the harmful effects of radiation, the use ratio for all protective procedures was 21.4% (n=12; this ratio was only 2.8% (n=2 for those with no specific training; the difference was statistically significant (p=0.004. Regarding dosimeters, the use rates were 100% for radiology technicians, 46.8% for nurses, and 31.4% for other hospital personnel; these differences were statistically significant (p<0.001. No significant relationship between working period in the surgery room, number of daily fluoroscopy procedures, education, task, and use of radiation protection measures was found. Conclusions: It is clear that operating room-allied health personnel exposed to radiation do not have sufficient knowledge of ionizing radiation and they do not take sufficient protective measures.

  14. Psychological and Physical Stress in Surgeons Operating in a Standard or Modern Operating Room

    DEFF Research Database (Denmark)

    Klein, M.; Andersen, L.P.H.; Gögenür, Ismayil

    2010-01-01

    Purpose: There have been no studies examining the effect of optimized ergonomic and technical environment on the psychological and physiological stress of the surgeon. The aim of this study was to examine whether optimized ergonomics and technical aids within a modern operating room (OR) affect...... psychological and physiological stress in experienced laparoscopic surgeons. Methods: This was a prospective case-controlled study including 10 experienced surgeons. Surgery was performed in 2 different ORs: a standard room and a modern room (OR1-suite, Karl Storz). The surgeons filled out questionnaires...

  15. Effects of Intervention and Team Culture on Operating Room Traffic.

    Science.gov (United States)

    Pulido, Ricardo W; Kester, Benjamin; Schwarzkopf, Ran

    How changes in the surgical team's culture can potentially reduce operating room (OR) traffic. Excessive OR traffic during surgical procedures can present a risk to the patient's safety and recovery. Data suggest that limiting the number of OR personnel during the intraoperative period can reduce excessive OR traffic. However, it is unclear whether the surgeon's verbal intervention can also successfully reduce intraoperative OR traffic. This study compares traffic rates in hip and knee arthroplasty cases against traffic rates during nonarthroplasty cases to examine the effects of verbal interventions implemented by the surgeon to reduce intraoperative traffic. The study consisted of 16 orthopedic surgeons in a noninterventional group and 1 orthopedic surgeon in the interventional group. The surgeon in the interventional group implemented verbal protocols to OR staff to limit excessive intraoperative traffic. Operating room traffic was monitored for 3 consecutive months (January-March 2015) with the use of infrared automated door counters that tracked door openings when someone entered or left the OR. A total of 50 hip and knee arthroplasties cases and 157 nonarthroplasty cases were tracked during the study period. A total of 134 hours and 4482 movements were collected for the hip and knee arthroplasty cases. A total of 498 hours and 22 902 movements were collected for the nonarthroplasty cases. Comparing the 2 groups, the interventional group averaged 33 movements per hour while the noninterventional group averaged 46 movements per hour (P traffic can be reduced through simple verbal protocols established by the surgical team.

  16. [Patient safety recommendations for out of operating room procedure sedation].

    Science.gov (United States)

    Arnal Velasco, D; Romero García, E; Martínez Palli, G; Muñoz Corsini, L; Rey Martínez, M; Postigo Morales, S

    There is an increasing and more complex demand for sedation for procedures out of the operating room. For different reasons, nowadays the administration of sedation varies considerably. We believe that a patient safety approach rather an approach out of corporate or economic interests is desirable. We created a working group of experts within the Spanish Anaesthesia and Reanimation Incident Reporting System (SENSAR) to prepare a series of recommendations through a non-systematic review. These recommendations were validated by an expert panel of 31 anaesthesiologists through two rounds of an adaptation of the Delphi Method where more than 70% agreement was required. The resulting recommendations include previous evaluation, material and staffing needs for sedation for procedures, post-sedation recommendations and activity and quality control advice. We present patient centred recommendations for the safe use of sedation for out of the operating room procedures from the point of view of the professionals with the most experience in its administration. We believe that these can be used as a guide to reduce variability and increase patient safety in the organisation of healthcare. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Patient safety recommendations for out of operating room procedure sedation.

    Science.gov (United States)

    Arnal Velasco, D; Romero García, E; Martínez Palli, G; Muñoz Corsini, L; Rey Martínez, M; Postigo Morales, S

    2016-12-01

    There is an increasing and more complex demand for sedation for procedures out of the operating room. For different reasons, nowadays the administration of sedation varies considerably. We believe that a patient safety approach rather an approach out of corporate or economic interests is desirable. We created a working group of experts within the Spanish Anaesthesia and Reanimation Incident Reporting System (SENSAR) to prepare a series of recommendations through a non-systematic review. These recommendations were validated by an expert panel of 31 anaesthesiologists through two rounds of an adaptation of the Delphi Method where more than 70% agreement was required. The resulting recommendations include previous evaluation, material and staffing needs for sedation for procedures, post-sedation recommendations and activity and quality control advice. We present patient centred recommendations for the safe use of sedation for out of the operating room procedures from the point of view of the professionals with the most experience in its administration. We believe that these can be used as a guide to reduce variability and increase patient safety in the organisation of healthcare. Copyright © 2016 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Effective management strategy for establishing an operating room satellite pharmacy.

    Science.gov (United States)

    Brakebill, J I; Schoeneman, P F; Buchanan, B

    1988-11-01

    The steps involved in justifying and implementing an operating room (OR) pharmacy satellite are described. A hospital administrator's viewpoint on the project is included. Objectives of the satellite were to reduce inventory costs, improve control of distribution, reduce loss of revenue and improve patient charging, improve IV compounding and labeling, and significantly improve narcotic control and accountability. The satellite provides comprehensive services 12 hours a day, five days a week. Effective after-hours procedures have been developed to provide efficient drug distribution when the pharmacy is closed. Achieved benefits of the satellite include decreased drug inventory, improved patient charging, accurate labeling, improved IV compounding, and improved pharmacy/surgery relations. The OR pharmacy satellite is a successful cost-effective operation.

  19. [Nurses' social representations of work-related stress in an emergency room].

    Science.gov (United States)

    Oliveira, Joana D'Arc de Souza; Achieri, João Carlos; Pessoa Júnior, João Mário; de Miranda, Francisco Arnoldo Nunes; Almeida, Maria das Graças

    2013-08-01

    The aim of this study was to understand the social representations of nurses in the emergency room and their relationship to stress. This descriptive, exploratory study was performed using a qualitative approach, with Social Representations Theory being the prime focus. Research was conducted at a benchmark public hospital for emergency services in the municipality of Natal/RN. The sample consisted of 10 nurses. A content analysis approach was used for data analysis. The results indicate that the relationship between nurses' social representations of work and stress is a complex and multi-faceted phenomenon that contributes to the development of physical, emotional and mental illnesses, and exhaustion.

  20. How do strategic decisions and operative practices affect operating room productivity?

    Science.gov (United States)

    Peltokorpi, Antti

    2011-12-01

    Surgical operating rooms are cost-intensive parts of health service production. Managing operating units efficiently is essential when hospitals and healthcare systems aim to maximize health outcomes with limited resources. Previous research about operating room management has focused on studying the effect of management practices and decisions on efficiency by utilizing mainly modeling approach or before-after analysis in single hospital case. The purpose of this research is to analyze the synergic effect of strategic decisions and operative management practices on operating room productivity and to use a multiple case study method enabling statistical hypothesis testing with empirical data. 11 hypotheses that propose connections between the use of strategic and operative practices and productivity were tested in a multi-hospital study that included 26 units. The results indicate that operative practices, such as personnel management, case scheduling and performance measurement, affect productivity more remarkably than do strategic decisions that relate to, e.g., units' size, scope or academic status. Units with different strategic positions should apply different operative practices: Focused hospital units benefit most from sophisticated case scheduling and parallel processing whereas central and ambulatory units should apply flexible working hours, incentives and multi-skilled personnel. Operating units should be more active in applying management practices which are adequate for their strategic orientation.

  1. Enfermagem em centro cirúrgico: trinta anos após criação do Sistema de Assistência de Enfermagem Perioperatória Enfermería en centro quirúrgico: treinta años después de la creación del Sistema de Asistencia de Enfermería Perioperatoria Operation room nursing in Brazil: thirty years after the Institution of Perioperative Nursing Process

    Directory of Open Access Journals (Sweden)

    Rosa Maria Pelegrini Fonseca

    2009-01-01

    mejor calidad posible. Se confirmó la importancia de la asistencia humanizada e individualizada. CONCLUSIÓN: Las investigaciones analizadas contribuyen a la construcción del conocimiento e influyen positivamente en el enfermero para el buen desempeño en la asistencia al paciente quirúrgico y familia.OBJECTIVE: To identify, review, and describe publications of Brazilian operation room nurses. METHODS: An integrated review approach was used to summarize main aspects of research articles on operation room nursing published in Brazilian journals indexed in LILACS, DEDALUS, and SciELO from 1978 through 2006. Fifty six research articles were retrieved and classified on the following six themes: preoperative visit, intraoperative care; postoperative recovery room care; postoperative visit; instrument development and validation, and perceptions of the patient. RESULTS: The research articles addressed issues that facilitated or impeded quality transoperative nursing care. Humanized and individualized transoperative care was found to be important. CONCLUSION: Findings from this review contribute to knowledge development and may influence quality transoperative nursing care to the patient and his or her family.

  2. Utilization of operating room time in a cancer hospital

    Directory of Open Access Journals (Sweden)

    P Ranganathan

    2013-01-01

    Full Text Available Background: Appropriate usage of operating room (OR time can improve efficiency of utilization of resources and help to decrease surgical waiting lists. Aims: This study was conducted to evaluate the pattern of usage of OR time in a tertiary referral cancer hospital. Setting and Design: This was a prospective audit carried out over 2 months in 11 major ORs in a cancer hospital. Materials and Methods: OR anesthesiologists filled a standard form for all patients undergoing elective surgery and documented the following times: entry into OR, start of anesthesia, handover to surgeon, incision, start of reversal, end of anesthesia, and shifting out of patient. Statistical Analysis: Median time utilized for various OR processes was calculated. Results: An average of two surgeries were performed per OR session (828 surgeries in 407 OR sessions. Anesthesia and surgery-related processes contributed to 17% and 79%, respectively, of total OR time, with turnover time between cases accounting for the remaining 4%. Fifteen percent (60 out of 407 OR sessions started more than 10 min later than the planned start time, and 17% (70 of 407 of OR sessions ended more than 2 h after the scheduled finish time. An anesthesia procedure room was utilized in only 15% of cases where it could potentially have been used. Conclusion: This audit identified patterns of OR usage in a cancer hospital and helped to detect areas of inefficient utilization. Anesthesia-related processes contributed to 17% of the total OR time.

  3. Improving operating room turnover time: a systems based approach.

    Science.gov (United States)

    Bhatt, Ankeet S; Carlson, Grant W; Deckers, Peter J

    2014-12-01

    Operating room (OR) turnover time (TT) has a broad and significant impact on hospital administrators, providers, staff and patients. Our objective was to identify current problems in TT management and implement a consistent, reproducible process to reduce average TT and process variability. Initial observations of TT were made to document the existing process at a 511 bed, 24 OR, academic medical center. Three control groups, including one consisting of Orthopedic and Vascular Surgery, were used to limit potential confounders such as case acuity/duration and equipment needs. A redesigned process based on observed issues, focusing on a horizontally structured, systems-based approach has three major interventions: developing consistent criteria for OR readiness, utilizing parallel processing for patient and room readiness, and enhancing perioperative communication. Process redesign was implemented in Orthopedics and Vascular Surgery. Comparisons of mean and standard deviation of TT were made using an independent 2-tailed t-test. Using all surgical specialties as controls (n = 237), mean TT (hh:mm:ss) was reduced by 0:20:48 min (95 % CI, 0:10:46-0:30:50), from 0:44:23 to 0:23:25, a 46.9 % reduction. Standard deviation of TT was reduced by 0:10:32 min, from 0:16:24 to 0:05:52 and frequency of TT≥30 min was reduced from 72.5to 11.7 %. P systems-based focus should drive OR TT design.

  4. Gender, patient comfort and the neurosurgical operating room.

    Science.gov (United States)

    Zener, Rebecca; Bernstein, Mark

    2011-01-01

    Neurosurgical patients may be unaware of components of their intra-operative care. The relationship between patient gender and comfort level in the neurosurgical operating room (OR) has not been previously studied. Our objective was to gain insight into patients' perspective of the OR environment, including staffing and observers, the role of medical students, catheterization, exposure, and verbiage, using a qualitative needs assessment. Face-to-face semi-structured interviews were conducted with 20 patients (14 female, six male) who had a neurosurgical operation under general anesthetic within the previous two years. The majority underwent craniotomy for benign tumours. Interviews were transcribed and subjected to modified thematic analysis. Nine themes emerged: 1) perception of the intra-operative environment varies between men and women; 2) lacking awareness about observers is anxiety-provoking for women; 3) being unaware of the hands-on involvement of students is a concern for all patients; 4) disclosure of implantation of foreign and permanent materials into patients is important; 5) catheterization is anxiety provoking for women; 6) pre-operative menstruation screening may minimize embarrassment for women; 7) patients perceive extraneous conversation as a distraction for surgeons; 8) patients trust their surgeon; 9) a relationship exists between interviewer gender and patient comfort in the interview. Although most male and female patients are unaware of OR activities, they are generally not fearful since they trust their surgeon. Women appear to have greater information needs. Patients' information needs must be met without provoking anxiety and yet preserving their personal sense of modesty in the intra-operative environment.

  5. The research progress on the correlations between occupational stress and psychological counseling of operating room nurses%手术室护士职业压力与心理咨询相关性的研究进展

    Institute of Scientific and Technical Information of China (English)

    尚娜娜; 谢虹; 谢青青; 周爱萍

    2013-01-01

    In this article,the author summarized and analyzed the performance,stress source,influencing factors of nurses' occupational stress.In order to find measures to relieve the stress.The effective intervention measure is psychological counseling.%就目前国内外关于手术室护士职业压力的表现、来源和影响因素等方面的综合性述评及心理咨询的作用、对其产生的影响等方面的总结、分析,找到一种能减轻手术室护士职业压力最好最有效的干预措施即心理咨询,以引起医院管理机构及相关研究人员对手术室护士职业压力的关注.

  6. To the point: teaching the obstetrics and gynecology medical student in the operating room.

    Science.gov (United States)

    Hampton, Brittany S; Craig, LaTasha B; Abbott, Jodi F; Buery-Joyner, Samantha D; Dalrymple, John L; Forstein, David A; Hopkins, Laura; McKenzie, Margaret L; Page-Ramsey, Sarah M; Pradhan, Archana; Wolf, Abigail; Graziano, Scott C

    2015-10-01

    This article, from the "To the Point" series that is prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee, is a review of considerations for teaching the medical student in the operating room during the obstetrics/gynecology clerkship. The importance of the medical student operating room experience and barriers to learning in the operating room are discussed. Specific considerations for the improvement of medical student learning and operating room experience, which include the development of operating room objectives and specific curricula, an increasing awareness regarding role modeling, and faculty development, are reviewed.

  7. Music in the operating room: is it a safety hazard?

    Science.gov (United States)

    Shambo, Lyda; Umadhay, Tony; Pedoto, Alessia

    2015-02-01

    Noise is a health hazard and a source of stress, and it impairs concentration and communication. Since 1960, hospital noise levels have risen around the world. Nowhere in the healthcare setting is noise more prevalent than in the operating room (OR). The genetic makeup of humans does not evolve at the rate of technology. Noise exposure, sensory overload, and the capacity to adapt without physical and psychological consequences are absent from the human condition. The World Health Organization has recognized environmental noise as harmful pollution that causesadverse effects on health. Although noise in the OR is unavoidable, music is a choice. The purpose of this literature review is to provide further insight into the ramifications of the presence of music in the OR, evaluate its appropriateness in relation to care and safety for the patient and staff, and provide information for future research.

  8. Effect research of psychological nursing intervention applied for non-general anesthesia patients in operating room%心理护理干预应用于手术室非全身麻醉患者的效果研究

    Institute of Scientific and Technical Information of China (English)

    张云凤; 李飞芳; 宋思贤; 蔡云亮

    2015-01-01

    目的:探索分析针对手术室非全身麻醉患者进行心理护理干预的临床效果。方法190例非全身麻醉患者随机分为对照组和研究组,各95例。对照组予以常规护理,研究组予以心理护理干预。将两组患者手术前后的相关指标变化情况进行对比。结果两组患者治疗前血压以及心率比较,差异无统计学意义(P>0.05);治疗后均显著优于治疗前,且研究组显著优于对照组,差异有统计学意义(P0.05). The indicators were all improved after treatment, and the research group had better improvement than the control group, and their difference had statistical significance (P<0.05). The research group had much lower visual analogue scale (VAS) and self-rating anxiety scale (SAS) scores than the control group, and their difference had statistical significance (P<0.05). The research group had obviously higher nursing satisfaction degree as 95.79% than 78.95% of the control group (P<0.05).Conclusion Implement of psychological nursing intervention applied for non-general anesthesia patients in operating room can effectively improve heart rate and blood pressure, and relieve postoperative anxiety and pain. This method is benefit for prognosis, and it contains huge value for promotion and application.

  9. A Review of the Ergonomic Issues in the Laparoscopic Operating Room

    Directory of Open Access Journals (Sweden)

    Sang D. Choi

    2012-01-01

    Full Text Available This review paper discusses the ergonomic challenges associated with laparoscopy in the operating room (OR and summarizes the practical ergonomic solutions. The literature search was conducted in the fields of laparoscopy and applied ergonomics. Findings indicated that laparoscopic OR staff (surgeons, perioperative nurses and technicians commonly experienced physical and mental ergonomic risks while working in prolonged static and awkward body positions. This study highlighted the need for more ergonomic interventions in OR environment in order to improve the efficiency of laparoscopy. Ergonomic solutions included utilizing adjustable equipment, placing computer peripherals in optimal locations, providing ergonomic instruments, and improving communication. Understanding the job- or task-related ergonomic risks and hazards could help identify intervention requirements to meet the challenges associated with increased dependency on advanced high technology in the OR.

  10. Designing User Interfaces for Smart-Applications for Operating Rooms and Intensive Care Units

    Science.gov (United States)

    Kindsmüller, Martin Christof; Haar, Maral; Schulz, Hannes; Herczeg, Michael

    Today’s physicians and nurses working in operating rooms and intensive care units have to deal with an ever increasing amount of data. More and more medical devices are delivering information, which has to be perceived and interpreted in regard to patient status and the necessity to adjust therapy. The combination of high information load and insufficient usability creates a severe challenge for the health personnel with respect to proper monitoring of these devices respective to acknowledging alarms and timely reaction to critical incidents. Smart Applications are a new kind of decision support systems that incorporate medical expertise in order to help health personnel in regard to diagnosis and therapy. By means of a User Centered Design process of two Smart Applications (anaesthesia monitor display, diagnosis display), we illustrate which approach should be followed and which processes and methods have been successfully applied in fostering the design of usable medical devices.

  11. Impact of computerized information systems on workload in operating room and intensive care unit.

    Science.gov (United States)

    Bosman, R J

    2009-03-01

    The number of operating rooms and intensive care departments equipped with a clinical information system (CIS) is rapidly expanding. Amongst the putative advantages of such an installation, reduction in workload for the clinician is one of the most appealing. The scarce studies looking at workload variations associated with the implementation of a CIS, only focus on direct workload discarding indirect changes in workload. Descriptions of the various methods to quantify workload are provided. The hypothesis that a third generation CIS can reduce documentation time for ICU nurses and increase time they spend on patient care, is supported by recent literature. Though it seems obvious to extrapolate these advantages of a CIS to the anesthesiology department or physicians in the intensive care, studies examining this assumption are scarce.

  12. Indoor environmental quality in Hellenic hospital operating rooms

    Energy Technology Data Exchange (ETDEWEB)

    Dascalaki, Elena G.; Gaglia, Athina G.; Balaras, Constantinos A. [Group Energy Conservation, Institute for Environmental Research and Sustainable Development, National Observatory of Athens, I. Metaxa and Vas. Pavlou, GR 152 36 P. Penteli (Greece); Lagoudi, Argyro [Terra Nova Ltd., Environmental Engineering Consultancy, Athens, Kaisareias 39, GR 115 27 Athens (Greece)

    2009-05-15

    Indoor environmental quality (IEQ) in hospital operating rooms (ORs) constitutes a major challenge for the proper design and operation of an energy efficient hospital. A subjective assessment of the indoor environment along with a short monitoring campaign was performed during the audits of 18 ORs at nine major Hellenic hospitals. A total of 557 medical personnel participated in an occupational survey, providing data for a subjective assessment of IEQ in the audited ORs. The OR personnel reported work related health symptoms and an assessment of indoor conditions (thermal, visual and acoustical comfort, and air quality). Overall, personnel reported an average of 2.24 work-related symptoms each, and 67.2% of respondents reported at least one. Women suffer more health symptoms than men. Special dispositions, such as smoking and allergies, increase the number of reported symptoms for male and female personnel. Personnel that perceive satisfactory indoor comfort conditions (temperature, humidity, ventilation, light, and noise) average 1.18 symptoms per person, while for satisfactory indoor air quality the average complaints are 0.99. The perception of satisfactory IEQ (satisfactory comfort conditions and air quality) reduces the average number of health complaints to 0.64 symptoms per person and improves working conditions, even in a demanding OR environment. (author)

  13. Mission Operations Control Room Activities during STS-2 mission

    Science.gov (United States)

    1981-01-01

    Mission Operations Control Room (MOCR) activities during STS-2 mission. Overall view of the MOCR in the Johnson Space Center's Mission Control Center. At far right is Eugene F. Kranz, Deputy Director of Flight Operations. At the flight director console in front of Kranz's FOD console are Flight Directors M.P. Frank, Neil B. Hutchinson and Donald R. Puddy as well as others (39506); Wide-angle view of flight controllers in the MOCR. Clifford E. Charlesworth, JSC Deputy Director, huddles with several flight directors for STS-2 at the flight director console. Kranz, is at far right of frame (39507); Dr. Christopher C. Kraft, Jr., JSC Director, center, celebrates successful flight and landing of STS-2 with a cigar in the MOCR. He is flanked by Dr. Maxime A Faget, left, Director of Engineering and Development, and Thomas L. Moser, of the Structures and Mechanics Division (39508); Flight Director Donald R. Puddy, near right, holds replica of the STS-2 insignia. Insignias on the opposite wall

  14. Preoperative planning and designing of a fluorocompatible endourology operating room.

    Science.gov (United States)

    Sabnis, Ravindra B; Mishra, Shashikant; Sharma, Rajan; Desai, Mahesh R

    2009-10-01

    A dedicated fluoroscopic-compatible operating room (OR) for endourologic procedures, such as percutaneous nephrolithotomy and ureteroscopy, is structurally and functionally different from the general OR. Publications with practical details are scarce, imposing a challenge in construction of such an OR. We outline a practical approach for the design and construction of a modern flourocompatible endourology OR. There were no publications related to a dedicated endourology OR in Medline. A search was then performed for English language articles on OR designing, fluoroscopy in the OR, data archiving, and data relay. We also surveyed the existing endourology OR in different hospitals and analyzed the available technology for audiovisual capture and relay in surgery. This article was then prepared, covering the relevant areas on designing a dedicated flourocompatible endourology OR. Close cooperation and interaction between an architect and expert construction manager for designing, development, and construction of an OR are necessary. Strategic equipment placement with booms is essential to increase the efficiency and safety within the surgical space. Distinct features of an endourology OR are thickness of the walls for radiation protection, wide OR gate, central floor water exit drain, flourocompatible rotatable OR table, C-arm unit, minimum three hanging thin-film transistor (TFT) screen monitors, and endoscopic equipment supported on a boom. The anesthetic boom should be retractable and movable from one end of the OR table to other. The OR should have an electronic workstation strategically located at one corner for data capture, archiving, and telementoring. Data relay of the OR procedure is facilitated by a control room located in the vicinity of the OR. Designing the layout of the OR is extremely important, necessitating thoughtful planning to provide hassle-free movement, comfort to the surgeon, and efficient data archiving and transmission during a surgical

  15. 手术室护理干预对颅脑损伤患者术后医院感染的控制作用研究%Effect of nursing interventions of operating rooms on control of postoperative nosocomial infections in craniocerebral injury patients

    Institute of Scientific and Technical Information of China (English)

    卜玲; 陈顺芳; 李志红

    2015-01-01

    OBJECTIVE To observe the effect of nursing interventions of operating rooms on the control of postop‐erative nosocomial infections in the patients with craniocerebral injury so as to provide guidance for clinical treat‐ment .METHODS A total of 74 patients with craniocerebral injury who received surgical procedures from Jun 2011 to Jan 2014 were recruited as the study objects and randomly divided into the control group and the observation group ,with 37 cases in each .The control group was treated with conventional surgical nursing ,while the observa‐tion group was given the intensified nursing interventions in the operating rooms ,namely to enhance the frequency and quantitative of the nursing interventions .The incidence of infections ,postoperative length of hospital stay , and acquisition of knowledge about infections were observed and compared between the two groups of patients , and the statistical analysis of data was performed with the use of SPSS 15 .0 software .RESULTS The incidence of infections of the observation group was lower than that of the control group ;the incidence of respiratory tract in‐fections was 2 .70% in the observation group ,8 .11% in the control group;the incidence of urinary tract infections was 0 in the observation group ,10 .81% in the control group ;the incidence of wound infections was 0 in the ob‐servation group ,8 .11% in the control group ,and the difference was significant (P<0 .05) .The postoperative length of hospital stay of the observation group was shorter than that of the control group .The excellent and good rate of acquisition of knowledge about infections was 67 .57% in the observation group ,higher than 45 .95% in the control group ,and the difference was significant (P<0 .05) .CONCLUSION It is an effective way to intensify the frequency and quantitative of the nursing interventions in the operating room so as to facilitate the rehabilitation of the patients and reduce the incidence of nosocomial infections

  16. Association Between Surgeon Scorecard Use and Operating Room Costs.

    Science.gov (United States)

    Zygourakis, Corinna C; Valencia, Victoria; Moriates, Christopher; Boscardin, Christy K; Catschegn, Sereina; Rajkomar, Alvin; Bozic, Kevin J; Soo Hoo, Kent; Goldberg, Andrew N; Pitts, Lawrence; Lawton, Michael T; Dudley, R Adams; Gonzales, Ralph

    2017-03-01

    Despite the significant contribution of surgical spending to health care costs, most surgeons are unaware of their operating room costs. To examine the association between providing surgeons with individualized cost feedback and surgical supply costs in the operating room. The OR Surgical Cost Reduction (OR SCORE) project was a single-health system, multihospital, multidepartmental prospective controlled study in an urban academic setting. Intervention participants were attending surgeons in orthopedic surgery, otolaryngology-head and neck surgery, and neurological surgery (n = 63). Control participants were attending surgeons in cardiothoracic surgery, general surgery, vascular surgery, pediatric surgery, obstetrics/gynecology, ophthalmology, and urology (n = 186). From January 1 to December 31, 2015, each surgeon in the intervention group received standardized monthly scorecards showing the median surgical supply direct cost for each procedure type performed in the prior month compared with the surgeon's baseline (July 1, 2012, to November 30, 2014) and compared with all surgeons at the institution performing the same procedure at baseline. All surgical departments were eligible for a financial incentive if they met a 5% cost reduction goal. The primary outcome was each group's median surgical supply cost per case. Secondary outcome measures included total departmental surgical supply costs, case mix index-adjusted median surgical supply costs, patient outcomes (30-day readmission, 30-day mortality, and discharge status), and surgeon responses to a postintervention study-specific health care value survey. The median surgical supply direct costs per case decreased 6.54% in the intervention group, from $1398 (interquartile range [IQR], $316-$5181) (10 637 cases) in 2014 to $1307 (IQR, $319-$5037) (11 820 cases) in 2015. In contrast, the median surgical supply direct cost increased 7.42% in the control group, from $712 (IQR, $202-$1602) (16 441 cases

  17. Experience of Interview Before and After Operation in Operating Room%手术室术前术后访视体会

    Institute of Scientific and Technical Information of China (English)

    陈保清

    2015-01-01

    Objective: To explore the effect of interview before and after operation on nursing works in operating room. Methods: Full-time interviewing nurses were appointed to the operating room to read the medical records of patients who were going to receive operation on the next day. Preoperative directions were given to the patients according to their conditions. The psychological characteristics of the patients were analyzed and right psychological counselings were given to the patients. Results: The interview before and after operation can improve the nursing quality in operating room and the preoperative psychological condition of the patients. It is good for the performance of the operation and increase the comfort of the patients in hospital.%目的:探讨术前、术后访视在手术室护理工作中的护理体会。方法:手术室指定专职的访视护士,在手术前1 d查阅第2 d需要手术的患者病历,根据情况对患者进行术前指导,了解患者心理特点,及时给患者提供正确的心理疏导。结果:通过术前、术后访视提高了手术室护理质量,有利于患者术前心理状态的改善,有助于手术的顺利进行,提高了患者在医院的舒适度。

  18. [A project to improve the validity rate for nursing staff operating single door autoclave sterilizers].

    Science.gov (United States)

    Chen, Chun-Hung; Li, Cheng-Chang; Chou, Chuan-Yu; Chen, Shu-Hwa

    2009-08-01

    This project was designed to improve the low validity rate for nurses responsible to operate single door autoclave sterilizers in the operating room. By investigating the current status, we found that the nursing staff validity rate of cognition on the autoclave sterilizer was 85%, and the practice operating check validity rate was only 80%. Such was due to a lack of in-service education. Problems with operation included: 1. Unsafe behaviors - not following standard procedure, lacking relevant operating knowledge and absence of a check form; 2. Unsafe environment - the conveying steam piping was typically not covered and lacked operation marks. Recommended improvement measures included: 1. holding in-service education; 2. generating an operation procedure flow chart; 3. implementing obstacle eliminating procedures; 4. covering piping to prevent fire and burns; 5. performing regular checks to ensure all procedures are followed. Following intervention, nursing staff cognition rose from 85% to 100%, while the operation validity rate rose from 80% to 100%. These changes ensure a safer operating room environment, and helps facilities move toward a zero accident rate in the healthcare environment.

  19. Addressing the Elephant in the Room: Nurse Manager Recognition of and Response to Nurse-to-Nurse Bullying.

    Science.gov (United States)

    Gilbert, Rebecca T; Hudson, John S; Strider, David

    2016-01-01

    Health care bullying is a pervasive, underestimated, and underreported problem that results in poor outcomes for staff, patients, and health care organizations. The most common form of health care bullying occurs between nurses. Nurse managers hold an important role in the prevention and elimination of frontline nurse-to-nurse bullying. An anonymous Web-based survey was conducted to uncover what behaviors nurse managers perceive as bullying and how they respond to bullying acts. Respondents who had witnessed or been victimized by bullying were more apt to identify bullying and those who had been victimized or supervised nurses for more than 20 years were more prone to act upon bullying behaviors. There was only a moderate correlation between the identification of and response to bullying behaviors. Finally, overt bullying elicited a stronger response for intervention than covert bullying. Although nurse managers are well positioned to prevent and eliminate nurse-to-nurse bullying, they may not recognize it and often lack the skills and support necessary to address it. Decreases in nurse-to-nurse bullying reduce health care costs, improve nurse and patient satisfaction, and enhance patient outcomes. Therefore, nurse managers at all levels need education and support to ensure proper identification of bullying and, furthermore, to prevent and eliminate the behaviors.

  20. The Elephant in the Room: Nursing and Nursing Power on an Interprofessional Team.

    Science.gov (United States)

    Hart, Corinne

    2015-08-01

    Notions of competency development frequently underlie discussions of interprofessional education and practice. Yet, by focusing primarily on the development of competencies, the discourse remains at a surface level, thus obscuring the root of many of the tensions that commonly occur in interprofessional collaborative teamwork. This qualitative study explored how perceptions of status influenced participation on an interprofessional team. Findings indicate that underlying tensions exist, despite an overarching commitment in both interprofessional practice and client-centered care. In particular, notions of perceived power, voice, and status intersected to create a narrative about the role and status of nursing in an interprofessional team. Both nurses and non-nurses recognized the influence of this narrative on team dynamics and function. This narrative was enacted through verbal and nonverbal behaviors, with passive and active resistance often appearing as a strategy used by nurses to address perceived power imbalances. This study has implications for interprofessional education and practice as it relates to nursing.

  1. A Miracle That Accelerates Operating Room Functionality: Sugammadex

    Directory of Open Access Journals (Sweden)

    Erdal Dogan

    2014-01-01

    Full Text Available Background. Sugammadex offers a good alternative to the conventional decurarisation process currently performed with cholinesterase inhibitors. Sugammadex, which was developed specifically for the aminosteroid-structured rocuronium and vecuronium neuromuscular blockers, is a modified cyclodextrin made up of 8 glucose monomers arranged in a cylindrical shape. Methods. In this study, the goal was to investigate the efficacy of sugammadex. Sugammadex was used when there was insufficient decurarisation following neostigmine. This study was performed on 14 patients who experienced insufficient decurarisation (TOF <0.9 with neostigmine after general anaesthesia in the operating rooms of a university and a state hospital between June, 2012, and January, 2014. A dose of 2 mg/kg of sugammadex was administered. Results. Time elapsed until sugammadex administration following neostigmine 37 ± 6 min, following sugammadex it took 2.1 ± 0.9 min to reach TOF ≥ 0.9, and the extubation time was 3.2 ± 1.4 min. No statistically significant differences were detected in the hemodynamic parameters before and after sugammadex application. From the time of administration of sugammadex to the second postoperative hour, no side effects or complications occurred. None of the patients experienced acute respiratory failure or residual block during this time period. Conclusion. Sugammadex was successfully used to reverse rocuronium-induced neuromuscular block in patients where neostigmine was insufficient.

  2. Decision support system for the operating room rescheduling problem.

    Science.gov (United States)

    van Essen, J Theresia; Hurink, Johann L; Hartholt, Woutske; van den Akker, Bernd J

    2012-12-01

    Due to surgery duration variability and arrivals of emergency surgeries, the planned Operating Room (OR) schedule is disrupted throughout the day which may lead to a change in the start time of the elective surgeries. These changes may result in undesirable situations for patients, wards or other involved departments, and therefore, the OR schedule has to be adjusted. In this paper, we develop a decision support system (DSS) which assists the OR manager in this decision by providing the three best adjusted OR schedules. The system considers the preferences of all involved stakeholders and only evaluates the OR schedules that satisfy the imposed resource constraints. The decision rules used for this system are based on a thorough analysis of the OR rescheduling problem. We model this problem as an Integer Linear Program (ILP) which objective is to minimize the deviation from the preferences of the considered stakeholders. By applying this ILP to instances from practice, we determined that the given preferences mainly lead to (i) shifting a surgery and (ii) scheduling a break between two surgeries. By using these changes in the DSS, the performed simulation study shows that less surgeries are canceled and patients and wards are more satisfied, but also that the perceived workload of several departments increases to compensate this. The system can also be used to judge the acceptability of a proposed initial OR schedule.

  3. Technologies and solutions for data display in the operating room.

    Science.gov (United States)

    Bitterman, Noemi

    2006-06-01

    Recent advances in technology have led to the introduction of a variety of innovative devices, each with their own platform for data display, into the operating room (OR). While these innovative applications are expanding the traditional boundaries of the surgical space and enhancing treatment capabilities, the introduction of additional screens and displays is placing an ever-increasing load on the OR team. This review describes the main data display platforms currently available in ORs: computer monitors with CRT (cathode ray tube) or LCD (liquid crystal display) screens, suspended imaging displays, wearable computers (WC), auditory displays and tactile (haptic) displays. The different display platforms are evaluated according to their compatibility with the characteristics of the working environment (OR), the monitoring task, and the users (the surgical team). No single display configuration provides an ultimate solution for presenting patient data in the OR. A multi-sensory data display including visual, acoustic and haptic manipulation is suggested as a promising configuration for data display in the OR.

  4. Surgical teams: role perspectives and role dynamics in the operating room.

    Science.gov (United States)

    Leach, Linda Searle; Myrtle, Robert C; Weaver, Fred A

    2011-05-01

    Observations of surgical teams in the operating room (OR) and interviews with surgeons, circulating registered nurses (RNs), anaesthesiologists and surgical technicians reveal the importance of leadership, team member competencies and an enacted environment that encourages feelings of competence and cooperation. Surgical teams are more loosely coupled than intact and bounded. Team members tend to rely on expected role behaviours to bridge lack of familiarity. While members of the surgical team identified technical competence and preparation as critical factors affecting team performance, they had differing views over the role behaviours of other members of the surgical team that lead to surgical team performance. Observations revealed that the work climate in the OR can shape interpersonal relations and begins to be established when the room is being set up for the surgical case, and evolves as the surgical procedure progresses. The leadership and supervisory competencies of the circulating RNs establish the initial work environment. Both influenced the degree of cooperation and support that was observed, which had an effect on the interactions and relationships between other members of the surgical team. As the surgery unfolds, the surgeon's behaviours and interpersonal relations modify this environment and ultimately influence the degree of team work, team satisfaction and team performance.

  5. [Nursing diagnoses related to breastfeeding in a rooming-in unit].

    Science.gov (United States)

    da Silva, Evilene Pinto; Alves, Albertisa Rodrigues; Macedo, Ana Ruth Monteiro; Bezerra, Regina Maria de Sá Barreto; de Almeida, Paulo César; Chaves, Edna Maria Camelo

    2013-01-01

    The study aimed to identify, in a Rooming-in unit, diagnoses related to the phenomenon of breastfeeding according to the NANDA-I Taxonomy II. It was conducted a descriptive exploratory study involving 83 mothers and their babies in the period of February to April 2011. Data were collected by means of an instrument based on the Theory of Basic Human Needs and, after statistical analysis, presented in tables. The results showed that the most frequent nursing diagnosis was Effective breastfeeding, identified in 65 (78.3%) cases. It is estimated that the nursing diagnoses related to breastfeeding can contribute to nursing care so that it can be more targeted, in order to promote a more qualified, effective and human care.

  6. OR.NET: multi-perspective qualitative evaluation of an integrated operating room based on IEEE 11073 SDC.

    Science.gov (United States)

    Rockstroh, M; Franke, S; Hofer, M; Will, A; Kasparick, M; Andersen, B; Neumuth, T

    2017-08-01

    Clinical working environments have become very complex imposing many different tasks in diagnosis, medical treatment, and care procedures. During the German flagship project OR.NET, more than 50 partners developed technologies for an open integration of medical devices and IT systems in the operating room. The aim of the present work was to evaluate a large set of the proposed concepts from the perspectives of various stakeholders. The demonstration OR is focused on interventions from the head and neck surgery and was developed in close cooperation with surgeons and numerous colleagues of the project partners. The demonstration OR was qualitatively evaluated including technical as well as clinical aspects. In the evaluation, a questionnaire was used to obtain feedback from hospital operators. The clinical implications were covered by structured interviews with surgeons, anesthesiologists and OR staff. In the present work, we qualitatively evaluate a subset of the proposed concepts from the perspectives of various stakeholders. The feedback of the clinicians indicates that there is a need for a flexible data and control integration. The hospital operators stress the need for tools to simplify risk management in openly integrated operating rooms. The implementation of openly integrated operating rooms will positively affect the surgeons, the anesthesiologists, the surgical nursing staff, as well as the technical personnel and the hospital operators. The evaluation demonstrated the need for OR integration technologies and identified the missing tools to support risk management and approval as the main barriers for future installments.

  7. [Conflict matrix : Risk management tool in the operating room].

    Science.gov (United States)

    Andel, D; Markstaller, K; Andel, H

    2017-05-01

    In business conflicts have long been known to have a negative effect on costs and team performance. In medicine this aspect has been widely neglected, especially when optimizing processes for operating room (OR) management. In the multidisciplinary setting of OR management, shortcomings in rules for decision making and lack of communication result in members perceiving themselves as competitors in the patient's environment rather than acting as art of a multiprofessional team. This inevitably leads to the emergence and escalation of conflicts. We developed a conflict matrix to provide an inexpensive and objective way for evaluating the level of escalation of conflicts in a multiprofessional working environment, such as an OR. The senior members of all involved disciplines were asked to estimate the level of conflict escalation between the individual professional groups on a scale of 0-9. By aggregating the response data, an overview of the conflict matrix within this OR section was created. No feedback was received from 1 of the 11 contacted occupational groups. By color coding the median, minimum and maximum values of the retrieved data, an intuitive overview of the escalation levels of conflict could be provided. The value range of all feedbacks was between 0 and 6. Estimation of the escalation levels differed widely within one category, showing a range of up to 6 (out of 6) levels. The presented assessment using a conflict matrix is a simple and cost-effective method to assess the conflict landscape, especially in multidisciplinary environments, such as OR management. The chance of conflict prevention or the early recognition of existing conflicts represents an enormous potential for cost and risk saving and might have positive long-term effects by building a culture of conflict prevention at the workplace and a positive influence on interdisciplinary cooperation in this working environment.

  8. Operating room waste reduction in plastic and hand surgery

    Science.gov (United States)

    Albert, Mark G; Rothkopf, Douglas M

    2015-01-01

    BACKGROUND: Operating rooms (ORs), combined with labour and delivery suites, account for approximately 70% of hospital waste. Previous studies have reported that recycling can have a considerable financial impact on a hospital-wide basis; however, its importance in the OR has not been demonstrated. OBJECTIVE: To propose a method of decreasing cost through judicious selection of instruments and supplies, and initiation of recycling in plastic and hand surgery. METHODS: The authors identified disposable supplies and instruments that are routinely opened and wasted in common plastic and hand surgery procedures, and calculated the savings that can result from eliminating extraneous items. A cost analysis was performed, which compared the expense of OR waste versus single-stream recycling and the benefit of recycling HIPAA documents and blue wrap. RESULTS: Fifteen total items were removed from disposable plastic packs and seven total items from hand packs. A total of US$17,381.05 could be saved per year from these changes alone. Since initiating single-stream recycling, the authors’ institution has saved, on average, US$3,487 per month at the three campuses. After extrapolating at the current savings rate, one would expect to save a minimum of US$41,844 per year. DISCUSSION: OR waste reduction is an effective method of decreasing cost in the surgical setting. By revising the contents of current disposable packs and instrument sets designated for plastic and hand surgery, hospitals can reduce the amount of opened and unused material. CONCLUSIONS: Significant financial savings and environmental benefit can result from this judicious supply and instrument selection, as well as implementation of recycling. PMID:26665137

  9. Operating room nurses' positioning of anesthetized surgical patients

    DEFF Research Database (Denmark)

    Sørensen, Erik Elgaard; Kusk, Kathrine Hoffmann; Grønkjaer, Mette

    2016-01-01

    AIMS AND OBJECTIVES: To describe the incidence of problems associated with the positioning of anaesthetised surgical patients. BACKGROUND: The positioning of the anaesthetised surgical patient is a complex task. The interdisciplinary nature with several professional groups in a surgical team may ...... of positioning equipment allowing individual consideration of the patient. Further research is required on positioning equipment, optimisation of continuity and the establishment of permanent surgical teams....

  10. Operator's Manual, Boiler Room Operations and Maintenance. Supplement A, Air Pollution Training Institute Self-Instructional Course SI-466.

    Science.gov (United States)

    Environmental Protection Agency, Research Triangle Park, NC. Air Pollution Training Inst.

    This Operator's Manual is a supplement to a self-instructional course prepared for the United States Environmental Protection Agency. This publication is the Boiler Room Handbook for operating and maintaining the boiler and the boiler room. As the student completes this handbook, he is putting together a manual for running his own boiler. The…

  11. The Association Between Operating Room Personnel and Turnover With Surgical Site Infection in More Than 12 000 Neurosurgical Cases.

    Science.gov (United States)

    Wathen, Connor; Kshettry, Varun R; Krishnaney, Ajit; Gordon, Steven M; Fraser, Thomas; Benzel, Edward C; Modic, Michael T; Butler, Sam; Machado, Andre G

    2016-12-01

    Surgical site infection (SSI) contributes significantly to postoperative morbidity and mortality and greatly increases the cost of care. To identify the impact of workflow and personnel-related risk factors contributing to the incidence of SSIs in a large sample of neurological surgeries. Data were obtained using an enterprisewide electronic health record system, operating room, and anesthesia records for neurological procedures conducted between January 1, 2009, and November 30, 2012. SSI data were obtained from prospective surveillance by infection preventionists using Centers for Disease Control and Prevention definitions. A multivariate model was constructed and refined using backward elimination logistic regression methods. The analysis included 12 528 procedures. Most cases were elective (94.5%), and the average procedure length was 4.8 hours. The average number of people present in the operating room at any time during the procedure was 10.0. The overall infection rate was 2.3%. Patient body mass index (odds ratio, 1.03; 95% confidence interval [CI], 1.01-1.04) and sex (odds ratio, 1.36; 95% CI, 1.07-1.72) as well as procedure length (odds ratio, 1.19 per additional hour; 95% CI, 1.15-1.23) and nursing staff turnovers (odds ratio, 1.095 per additional turnover; 95% CI, 1.02-1.21) were significantly correlated with the risk of SSI. This study found that patient body mass index and male sex were associated with an increased risk of SSI. Operating room personnel turnover, a modifiable, work flow-related factor, was an independent variable positively correlated with SSI. This study suggests that efforts to reduce operating room turnover may be effective in preventing SSI. OR, operating roomSSI, surgical site infection.

  12. CdZnTe room-temperature semiconductor operation in liquid scintillator

    CERN Document Server

    Stewart, D Y

    2008-01-01

    We demonstrate the first operation of CdZnTe room-temperature detectors in a liquid scintillator environment. This work follows conceptually the Heusser-type detector method of operating HPGe detectors in liquid nitrogen and liquid argon but instead for a far more practical room-temperature ensemble with the aim of achieving ultra-low background levels for radiation detection.

  13. A model for generating master surgical schedules to allow cyclic scheduling in operating room departments

    NARCIS (Netherlands)

    Oostrum, van J.M.; Houdenhoven, van M.; Hurink, J.L.; Hans, E.W.; Wullink, G.; Kazemier, G.

    2005-01-01

    This paper addresses the problem of operating room scheduling at the tactical level of hospital planning and control. Hospitals repetitively construct operating room schedules, which is a time consuming tedious and complex task. The stochasticity of the durations of surgical procedures complicates t

  14. Operating room team members' views of workload, case difficulty, and nonroutine events.

    Science.gov (United States)

    Minnick, Ann F; Donaghey, Beth; Slagle, Jason; Weinger, Matthew B

    2012-01-01

    Interventions such as mandatory "time-outs" have contributed to intraoperative safety but improvements are still necessary. We present data provided by 3 professions always present in the intraoperative setting that suggest next steps in the quest for improvements. We describe the differences and similarities in operating room (OR) nurses', anesthesia providers', and surgeons' beliefs about team function, case difficulty, nonroutine event (NRE), and error causation using a qualitative design at 3 Veterans' Administration hospitals. Intraoperative errors are costly in lives, suffering, and dollars. A quality improvement tenet states that workers are a rich information source regarding the context within which quality can be improved. Identifying and describing OR providers' beliefs are necessary steps in devising novel approaches to quality improvement. Intraoperative NRE and error prevention opportunities exist within and outside of the OR. There may be "cascade" and "perfect storm conditions" before and during operative procedures that increase the likelihood of NREs. Confirmation of these phenomena could improve prediction and prevention of NREs. Exploration of differences in team definition and team performance ratings by provider type may also identify avenues for improvement.

  15. Resident Physicians Improve Nontechnical Skills When on Operating Room Management and Leadership Rotation.

    Science.gov (United States)

    Cole, Devon C; Giordano, Christopher R; Vasilopoulos, Terrie; Fahy, Brenda G

    2017-01-01

    Anesthesiology residency primarily emphasizes the development of medical knowledge and technical skills. Yet, nontechnical skills (NTS) are also vital to successful clinical practice. Elements of NTS are communication, teamwork, situational awareness, and decision making. The first 10 consecutive senior residents who chose to participate in this 2-week elective rotation of operating room (OR) management and leadership training were enrolled in this study, which spanned from March 2013 to March 2015. Each resident served as the anesthesiology officer of the day (AOD) and was tasked with coordinating OR assignments, managing care for 2 to 4 ORs, and being on call for the trauma OR; all residents were supervised by an attending AOD. Leadership and NTS techniques were taught via a standardized curriculum consisting of leadership and team training articles, crisis management text, and daily debriefings. Resident self-ratings and attending AOD and charge nurse raters used the Anaesthetists' Non-Technical Skills (ANTS) scoring system, which involved task management, situational awareness, teamwork, and decision making. For each of the 10 residents in their third year of clinical anesthesiology training (CA-3) who participated in this elective rotation, there were 14 items that required feedback from resident self-assessment and OR raters, including the daily attending AOD and charge nurse. Results for each of the items on the questionnaire were compared between the beginning and the end of the rotation with the Wilcoxon signed-rank test for matched samples. Comparisons were run separately for attending AOD and charge nurse assessments and resident self-assessments. Scaled rankings were analyzed for the Kendall coefficient of concordance (ω) for rater agreement with associated χ and P value. Common themes identified by the residents during debriefings were recurrence of challenging situations and the skills residents needed to instruct and manage clinical teams. For

  16. Correlations Between Clinical Judgement and Learning Style Preferences of Nursing Students in the Simulation Room.

    Science.gov (United States)

    Hallin, Karin; Haggstrom, Marie; Backstrom, Britt; Kristiansen, Lisbeth Porskrog

    2015-09-28

    Health care educators account for variables affecting patient safety and are responsible for developing the highly complex process of education planning. Clinical judgement is a multidimensional process, which may be affected by learning styles. The aim was to explore three specific hypotheses to test correlations between nursing students' team achievements in clinical judgement and emotional, sociological and physiological learning style preferences. A descriptive cross-sectional study was conducted with Swedish university nursing students in 2012-2013. Convenience sampling was used with 60 teams with 173 nursing students in the final semester of a three-year Bachelor of Science in nursing programme. Data collection included questionnaires of personal characteristics, learning style preferences, determined by the Dunn and Dunn Productivity Environmental Preference Survey, and videotaped complex nursing simulation scenarios. Comparison with Lasater Clinical Judgement Rubric and Non-parametric analyses were performed. Three significant correlations were found between the team achievements and the students' learning style preferences: significant negative correlation with 'Structure' and 'Kinesthetic' at the individual level, and positive correlation with the 'Tactile' variable. No significant correlations with students' 'Motivation', 'Persistence', 'Wish to learn alone' and 'Wish for an authoritative person present' were seen. There were multiple complex interactions between the tested learning style preferences and the team achievements of clinical judgement in the simulation room, which provides important information for the becoming nurses. Several factors may have influenced the results that should be acknowledged when designing further research. We suggest conducting mixed methods to determine further relationships between team achievements, learning style preferences, cognitive learning outcomes and group processes.

  17. Ge-on-Si laser operating at room temperature.

    Science.gov (United States)

    Liu, Jifeng; Sun, Xiaochen; Camacho-Aguilera, Rodolfo; Kimerling, Lionel C; Michel, Jurgen

    2010-03-01

    Monolithic lasers on Si are ideal for high-volume and large-scale electronic-photonic integration. Ge is an interesting candidate owing to its pseudodirect gap properties and compatibility with Si complementary metal oxide semiconductor technology. Recently we have demonstrated room-temperature photoluminescence, electroluminescence, and optical gain from the direct gap transition of band-engineered Ge-on-Si using tensile strain and n-type doping. Here we report what we believe to be the first experimental observation of lasing from the direct gap transition of Ge-on-Si at room temperature using an edge-emitting waveguide device. The emission exhibited a gain spectrum of 1590-1610 nm, line narrowing and polarization evolution from a mixed TE/TM to predominantly TE with increasing gain, and a clear threshold behavior.

  18. Semiconductor terahertz technology devices and systems at room temperature operation

    CERN Document Server

    Carpintero, G; Hartnagel, H; Preu, S; Raisanen, A

    2015-01-01

    Key advances in Semiconductor Terahertz (THz) Technology now promises important new applications enabling scientists and engineers to overcome the challenges of accessing the so-called "terahertz gap".  This pioneering reference explains the fundamental methods and surveys innovative techniques in the generation, detection and processing of THz waves with solid-state devices, as well as illustrating their potential applications in security and telecommunications, among other fields. With contributions from leading experts, Semiconductor Terahertz Technology: Devices and Systems at Room Tempe

  19. Assessment of a short hypnosis in a paediatric operating room in reducing postoperative pain and anxiety: A randomised study.

    Science.gov (United States)

    Duparc-Alegria, Nathalie; Tiberghien, Karine; Abdoul, Hendy; Dahmani, Souhayl; Alberti, Corinne; Thiollier, Anne-Francoise

    2017-04-12

    To assess the impact of a short hypnotic session on postoperative anxiety and pain in major orthopaedic surgery. Despite specific information given before a scheduled paediatric surgery, perioperative anxiety can become important. Randomised Clinical Study. The study is an open single-centre randomised clinical study comparing a "control" group versus a "hypnosis" group receiving a short hypnosis pre-induction session as additional experimental analgesic procedure. The primary endpoint was the postoperative anxiety, blindly assessed using a visual analogue scale. The study involved 120 children (age 10-18 years). The results showed no difference between control group versus hypnosis group. Twenty-four hours after surgery (Day+1), the patient's anxiety score was not different between control and hypnosis groups (median [Q1-Q3]: 1 [0; 3] vs. 0 [0; 3], respectively, p = .17). Each group experienced a significant decrease in anxiety level between the day before surgery (Day-1) and the day after surgery (Day+1) (median ([Q1-Q3]) difference of the anxiety score: 2 [4; 0] and 2 [4; 0], respectively, p < .0001 in each group). The postoperative pain scores were low and not different between groups (median [Q1-Q3]: 2 [0; 3] in control group vs. 3 [1; 3] in hypnosis group, p = .57). This randomised study on a short hypnosis session performed in the operating room prior to a major surgery showed no difference in postoperative anxiety and pain levels. The decrease in anxiety and pain levels may be due to the addition of nurse pre-operative interviews and optimisation in communication in the operating room. As postoperative anxiety level was low in both control and hypnosis groups, nurse pre-operative interviews and nurse training in hypnosis may contribute to the optimisation of global management and decrease the postoperative anxiety level. © 2017 John Wiley & Sons Ltd.

  20. Optimization of recirculating laminar air flow in operating room air conditioning systems

    Directory of Open Access Journals (Sweden)

    Enver Yalcin

    2016-04-01

    Full Text Available The laminar flow air-conditioning system with 100% fresh air is used in almost all operating rooms without discrimination in Turkey. The laminar flow device which is working with 100% fresh air should be absolutely used in Type 1A operating rooms. However, there is not mandatory to use of 100% fresh air for Type 1B defined as places performed simpler operation. Compared with recirculating laminar flow, energy needs of the laminar flow with 100 % fresh air has been emerged about 40% more than re-circulated air flow. Therefore, when a recirculating laminar flow device is operated instead of laminar flow system with 100% fresh air in the Type 1B operating room, annual energy consumption will be reduced. In this study, in an operating room with recirculating laminar flow, optimal conditions have been investigated in order to obtain laminar flow form by analyzing velocity distributions at various supply velocities by using computational fluid dynamics method (CFD.

  1. The effects of surgeons and anesthesiologists on operating room efficiency

    Directory of Open Access Journals (Sweden)

    Nessa Timoney

    2016-09-01

    Conclusion: In some procedures types a significant part of the variability in operative time is due to the interaction between the surgeon and anesthesiologist. Reviewing operative records should allow identification of efficient/inefficient combinations.

  2. Nursing staff's experiences of working in an evidence-based designed ICU patient room-An interview study.

    Science.gov (United States)

    Sundberg, Fredrika; Olausson, Sepideh; Fridh, Isabell; Lindahl, Berit

    2017-06-05

    It has been known for centuries that environment in healthcare has an impact, but despite this, environment has been overshadowed by technological and medical progress, especially in intensive care. Evidence-based design is a concept concerning integrating knowledge from various research disciplines and its application to healing environments. The aim was to explore the experiences of nursing staff of working in an evidence-based designed ICU patient room. Interviews were carried out with eight critical care nurses and five assistant nurses and then subjected to qualitative content analysis. The experience of working in an evidence-based designed intensive care unit patient room was that the room stimulates alertness and promotes wellbeing in the nursing staff, fostering their caring activities but also that the interior design of the medical and technical equipment challenges nursing actions. The room explored in this study had been rebuilt in order to create and evaluate a healing environment. This study showed that the new environment had a great impact on the caring staffs' wellbeing and their caring behaviour. At a time when turnover in nurses is high and sick leave is increasing, these findings show the importance of interior design ofintensive care units. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Workflow in the operating room: review of Arrowhead 2004 seminar on imaging and informatics (Invited Paper)

    Science.gov (United States)

    Lemke, Heinz U.; Ratib, Osman M.; Horii, Steven C.

    2005-04-01

    This review paper is based on the 2004 UCLA Seminar on Imaging and Informatics (http://www.radnet.ucla.edu/Arrowhead2004/) which is a joint endeavour between the UCLA and the CARS organization, focussing on workflow analysis tools and the digital operating room. Eleven specific presentations of the Arrowhead Seminar have been summarized in this review referring to redesigning perioperative care for a high velocity OR, intraoperative ultrasound process and model, surgical workflow and surgical PACS, an integrated view , interactions in the surgical OR, workflow automation strategies and target applications, visualisation solutions for the operating room, navigating the fifth dimension, and design of digital operating rooms and interventional suites

  4. The Effect of Instructional Supervision by an Operating Room Assistant on First-Case Starts.

    Science.gov (United States)

    Pan, Xiaohua; Zhang, Jun; Dai, Chen; Si, Yibing

    2017-02-01

    Delays in starting first cases of the day are a common topic associated with high economic costs. This study aimed to determine if an operating room (OR) assistant using an instructional supervision program could reduce the tardiness of first-case starts. A prospective study was conducted. Data from four ORs were used to compare the effectiveness of an instructional intervention to reduce delays in starting first cases of the day. The first cases in two ORs received instructional supervision by an OR. The primary endpoint was the percentage of first cases that started on time. Other endpoints were the percentage of the team work score of OR staff and the percentage of patient satisfaction score. Over 48 weeks, the effect of instructional supervision was evaluated in 960 first-case starts. In the instructional supervision group (n = 480), the percentage of first cases that started on time increased significantly (92.1% vs 71.7%; P < .001), and there was a higher percentage of the team work score (84.4% vs 76.7%; P < .01) and patient satisfaction score (88.3% vs 79.4%; P < .001). Instructional supervision by an OR assistant can make a potential improvement in our on-time first-case starts per day. Copyright © 2016 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  5. Impact of an electronic health record operating room management system in ophthalmology on documentation time, surgical volume, and staffing.

    Science.gov (United States)

    Sanders, David S; Read-Brown, Sarah; Tu, Daniel C; Lambert, William E; Choi, Dongseok; Almario, Bella M; Yackel, Thomas R; Brown, Anna S; Chiang, Michael F

    2014-05-01

    Although electronic health record (EHR) systems have potential benefits, such as improved safety and quality of care, most ophthalmology practices in the United States have not adopted these systems. Concerns persist regarding potential negative impacts on clinical workflow. In particular, the impact of EHR operating room (OR) management systems on clinical efficiency in the ophthalmic surgery setting is unknown. To determine the impact of an EHR OR management system on intraoperative nursing documentation time, surgical volume, and staffing requirements. For documentation time and circulating nurses per procedure, a prospective cohort design was used between January 10, 2012, and January 10, 2013. For surgical volume and overall staffing requirements, a case series design was used between January 29, 2011, and January 28, 2013. This study involved ophthalmic OR nurses (n = 13) and surgeons (n = 25) at an academic medical center. Electronic health record OR management system implementation. (1) Documentation time (percentage of operating time documenting [POTD], absolute documentation time in minutes), (2) surgical volume (procedures/time), and (3) staffing requirements (full-time equivalents, circulating nurses/procedure). Outcomes were measured during a baseline period when paper documentation was used and during the early (first 3 months) and late (4-12 months) periods after EHR implementation. There was a worsening in total POTD in the early EHR period (83%) vs paper baseline (41%) (P system implementation was associated with worsening of intraoperative nursing documentation time especially in shorter procedures. However, it is possible to implement an EHR OR management system without serious negative impacts on surgical volume and staffing requirements.

  6. Psychological and Physical Stress in Surgeons Operating in a Standard or Modern Operating Room

    DEFF Research Database (Denmark)

    Klein, M.; Andersen, L.P.H.; Alamili, M.

    2010-01-01

    concerning physical and psychological wellbeing before and after surgery and had their heart rate variability registered during surgery. Results: Preoperative to postoperative physical strain and pain measurements revealed a systematical difference with 14 of 15 parameters favoring the modern OR. Two...... of these parameters reached statistical significance. We did not find any significant differences in the subjective parameters of surgeon satisfaction or the measured heart rate variability parameters. Conclusions: Physical strain on the surgeon was reduced when performing laparoscopic cholecystectomy in a modern......Purpose: There have been no studies examining the effect of optimized ergonomic and technical environment on the psychological and physiological stress of the surgeon. The aim of this study was to examine whether optimized ergonomics and technical aids within a modern operating room (OR) affect...

  7. Allocation of surgeries to operating rooms by goal programing.

    Science.gov (United States)

    Ozkarahan, I

    2000-12-01

    High usage rate in a surgical suite is extremely important in meeting the increasing demand for health care services and reducing costs to improve quality of care. In this paper a goal programming model which can produce schedules that best serve the needs of the hospital, i.e., by minimizing idle time and overtime, and increasing satisfaction of surgeons, patients, and staff, is described. The approach involves sorting the requests for a particular day on the basis of block restrictions, room utilization, surgeon preferences and intensive care capabilities. The model is tested using the data obtained during field studies at Dokuz Eylul University Hospital. The model is also tested for alternative achievement functions to examine the model's ability to satisfy abstract goals.

  8. Operating room metrics score card-creating a prototype for individualized feedback.

    Science.gov (United States)

    Gabriel, Rodney A; Gimlich, Robert; Ehrenfeld, Jesse M; Urman, Richard D

    2014-11-01

    The balance between reducing costs and inefficiencies with that of patient safety is a challenging problem faced in the operating room suite. An ongoing challenge is the creation of effective strategies that reduce these inefficiencies and provide real-time personalized metrics and electronic feedback to anesthesia practitioners. We created a sample report card structure, utilizing existing informatics systems. This system allows to gather and analyze operating room metrics for each anesthesia provider and offer personalized feedback. To accomplish this task, we identified key metrics that represented time and quality parameters. We collected these data for individual anesthesiologists and compared performance to the overall group average. Data were presented as an electronic score card and made available to individual clinicians on a real-time basis in an effort to provide effective feedback. These metrics included number of cancelled cases, average turnover time, average time to operating room ready and patient in room, number of delayed first case starts, average induction time, average extubation time, average time to recovery room arrival to discharge, performance feedback from other providers, compliance to various protocols, and total anesthetic costs. The concept we propose can easily be generalized to a variety of operating room settings, types of facilities and OR health care professionals. Such a scorecard can be created using content that is important for operating room efficiency, research, and practice improvement for anesthesia providers.

  9. Mean sound level in operation rooms in a referral hospital: a brief report

    Directory of Open Access Journals (Sweden)

    Ahmad Joneidi Jafari

    2014-02-01

    Conclusion: Overall total noise dose during all types of surgeries was measured as twice of permitted dose and also orthopedic and general operation rooms experience brief periods of noise exposure in excess.

  10. Science Support Room Operations During Desert RATS 2009

    Science.gov (United States)

    Lofgren, G. E.; Horz, F.; Bell, M. S.; Cohen, B. A.; Eppler,D. B.; Evans, C. a.; Hodges, K. V.; Hynek, B. M.; Gruener, J. E.; Kring, D. A.; hide

    2010-01-01

    NASA's Desert Research and Technology Studies (D-RATS) field test is a demonstration that combines operations development, technology advances and science in analog planetary surface conditions. The focus is testing preliminary operational concepts for extravehicular activity (EVA) systems by providing hands-on experience with simulated surface operations and EVA hardware and procedures. The DRATS activities also develop technical skills and experience for the engineers, scientists, technicians, and astronauts responsible for realizing the goals of the Lunar Surface Systems Program. The 2009 test is the twelfth for the D-RATS team.

  11. [Interface interconnection and data integration in implementing of digital operating room].

    Science.gov (United States)

    Feng, Jingyi; Chen, Hua; Liu, Jiquan

    2011-10-01

    The digital operating-room, with highly integrated clinical information, is very important for rescuing lives of patients and improving quality of operations. Since equipments in domestic operating-rooms have diversified interface and nonstandard communication protocols, designing and implementing an integrated data sharing program for different kinds of diagnosing, monitoring, and treatment equipments become a key point in construction of digital operating room. This paper addresses interface interconnection and data integration for commonly used clinical equipments from aspects of hardware interface, interface connection and communication protocol, and offers a solution for interconnection and integration of clinical equipments in heterogeneous environment. Based on the solution, a case of an optimal digital operating-room is presented in this paper. Comparing with the international solution for digital operating-room, the solution proposed in this paper is more economical and effective. And finally, this paper provides a proposal for the platform construction of digital perating-room as well as a viewpoint for standardization of domestic clinical equipments.

  12. Rule-based medical device adaptation for the digital operating room.

    Science.gov (United States)

    Franke, Stefan; Neumuth, Thomas

    2015-08-01

    A workflow-driven cooperative operating room needs to be established in order to successfully unburden the surgeon and the operating room staff very time-consuming information-seeking and configuration tasks. We propose an approach towards the integration of intraoperative surgical workflow management and integration technologies. The concept of rule-based behavior is adapted to situation-aware medical devices. A prototype was implemented and experiments with sixty recorded brain tumor removal procedures were conducted to test the proposed approach. An analysis of the recordings indicated numerous applications, such as automatic display configuration, room light adaptation and pre-configuration of medical devices and systems.

  13. Operational experience with room temperature continuous wave accelerator structures

    Science.gov (United States)

    Alimov, A. S.; Ishkhanov, B. S.; Piskarev, I. M.; Shvedunov, V. I.; Tiunov, A. V.

    1993-05-01

    The paper reports the results of the computer simulation of parameters of the on-axis coupled accelerator structure for the continuous wave racetrack microtron. The operational experience with the accelerating sections on the basis of the on-axis coupled structure is described.

  14. [The army nurse, from hospital to overseas operations].

    Science.gov (United States)

    Guérot, Françoise; Saliou, Henri; Lefort, Hugues; De Rudnickl, Stéphane

    2014-09-01

    Assigned to French army teaching hospitals, the army nurse can be deployed on overseas operations in support of the armed forces. Experience in the treatment of casualties in life-threatening emergencies is essential, as is the ability to adapt and react. Designated on a voluntary basis, after some two years of working in an army teaching hospital, the hospital nurse receives training in the specificities of the theatre of deployment.

  15. Cost-benefit analysis of different air change rates in an operating room environment.

    Science.gov (United States)

    Gormley, Thomas; Markel, Troy A; Jones, Howard; Greeley, Damon; Ostojic, John; Clarke, James H; Abkowitz, Mark; Wagner, Jennifer

    2017-09-08

    Hospitals face growing pressure to meet the dual but often competing goals of providing a safe environment while controlling operating costs. Evidence-based data are needed to provide insight for facility management practices to support these goals. The quality of the air in 3 operating rooms was measured at different ventilation rates. The energy cost to provide the heating, ventilation, and air conditioning to the rooms was estimated to provide a cost-benefit comparison of the effectiveness of different ventilation rates currently used in the health care industry. Simply increasing air change rates in the operating rooms tested did not necessarily provide an overall cleaner environment, but did substantially increase energy consumption and costs. Additionally, and unexpectedly, significant differences in microbial load and air velocity were detected between the sterile fields and back instrument tables. Increasing the ventilation rates in operating rooms in an effort to improve clinical outcomes and potentially reduce surgical site infections does not necessarily provide cleaner air, but does typically increase operating costs. Efficient distribution or management of the air can improve quality indicators and potentially reduce the number of air changes required. Measurable environmental quality indicators could be used in lieu of or in addition to air change rate requirements to optimize cost and quality for an operating room and other critical environments. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  16. Conflicts in operating room: Focus on causes and resolution

    Directory of Open Access Journals (Sweden)

    Joginder Pal Attri

    2015-01-01

    Full Text Available The operation theater (OT environment is the most complex and volatile workplace where two coequal physicians share responsibility of one patient. Difference in information, opinion, values, experience and interests between a surgeon and anesthesiologist may arise while working in high-pressure environments like OT, which may trigger conflict. Quality of patient care depends on effective teamwork for which multidisciplinary communication is an essential part. Troubled relationships leads to conflicts and conflicts leads to stressful work environment which hinders the safe discharge of patient care. Unresolved conflicts can harm the relationship but when handled in a positive way it provides an opportunity for growth and ultimately strengthening the bond between two people. By learning the skills to resolve conflict, we can keep our professional relationship healthy and strong which is an important component of good patient care.

  17. Operating room use of hypertonic solutions: a clinical review

    Directory of Open Access Journals (Sweden)

    Gustavo Azoubel

    2008-01-01

    Full Text Available Hyperosmotic-hyperoncotic solutions have been widely used during prehospital care of trauma patients and have shown positive hemodynamic effects. Recently, there has been a growing interest in intra-operative use of hypertonic solutions. We reviewed 30 clinical studies on the use of hypertonic saline solutions during surgeries, with the majority being cardiac surgeries. Reduced positive fluid balance, increased cardiac index, and decreased systemic vascular resistance were the main beneficial effects of using hypertonic solutions in this population. Well-designed clinical trials are highly needed, particularly in aortic aneurysm repair surgeries, where hypertonic solutions have shown many beneficial effects. Examining the immunomodulatory effects of hypertonic solutions should also be a priority in future studies.

  18. Reducing tardiness from scheduled start times by making adjustments to the operating room schedule.

    Science.gov (United States)

    Wachtel, Ruth E; Dexter, Franklin

    2009-06-01

    Tardiness from scheduled start times is a common source of frustration for both operating room (OR) personnel and patients. Factors that influence tardiness were quantified in a companion paper and have been used to develop interventions that have the potential for reducing tardiness. Data from two surgical suites were used to compare the effectiveness of several interventions to reduce tardiness, including i) moving cases to different ORs on the afternoon of surgery, ii) recalculating the OR schedule when it is published to correct for average lateness in first cases of the day, iii) recalculating the OR schedule when it is published to correct for average service-specific case duration bias, and iv) scheduling a gap (time buffer) before the cases of a "to follow" surgeon if the day is expected to end early. These last three interventions involve creation of a modified schedule with revised start times that are more accurate for both patient and "to follow" surgeon. The surgeon performing the first case of the day would not be affected. Moving cases to different ORs when a room was running late produced a 50%-70% reduction in the tardiness for those cases that were moved. However, overall tardiness in each suite was reduced by only 6%-9%, because few cases were moved. Scheduling a gap between surgeons if the day was expected to end early reduced tardiness by more than 50% for those cases that were preceded by gaps. However, overall tardiness in each suite was reduced by only 4%-8%, because few gaps could be scheduled. In contrast, correcting for the combination of lateness in first cases of the day and service-specific case duration bias reduced overall tardiness in each suite by 30%-35%. Interventions which involve small numbers of cases have little potential to reduce overall tardiness. Generating a modified or auxiliary OR schedule that compensates for known causes of tardiness can significantly reduce patient and "to follow" surgeon waiting times. Modifying

  19. In-office vs. operating room procedures for recurrent respiratory papillomatosis.

    Science.gov (United States)

    Miller, Anya J; Gardner, Glendon M

    2017-01-01

    We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients-1 man and 16 women, aged 30 to 86 years (mean: 62). The mean number of in-office laser procedures per patient was 4.2, and the mean interval between procedures was 5.4 months (although 10 patients underwent only 1 office procedure); the mean number of operating room procedures was 13.5, and the mean interval between procedures was 14.3 months. An equal number of patients reported complications or adverse events with the two types of procedures-5 each. The difference in cost between the office procedure (mean: $3,413.00) and the operating room procedure (mean: $12,382.59) was almost $9,000, but these savings were offset by the fact that the office procedures needed to be performed three times as often. Patients reported slightly more anxiety and discomfort during the office procedures and, overall, they appeared to prefer the operating room procedure. We conclude that office procedures are significantly more cost-effective than operating room procedures, but their use may be limited by patient tolerance and the increased frequency of the procedure.

  20. Hand washing in operating room: a procedural comparison

    Directory of Open Access Journals (Sweden)

    Alessia Stilo

    2016-09-01

    Full Text Available BACKGROUND Hand washing has been considered a measure of personal hygiene for centuries and it is known that an improper hand hygiene by healthcare workers is responsible for about 40% of nosocomial infections. Therefore, surgical hand preparation is a critical element for healthcare safety in order to reduce microbial contamination of  surgical wound in case of non detected break of the gloves. The aim of our study is to evaluate the efficacy three antiseptics: Povi-iodine scrub; EPG (Ethanol, Hydrogen Peroxide, Glycerol, recommended by WHO, and common marseille soap type in a liquid formulation. METHODS It was designed a randomized, double-blind, single-center study conducted in the University Hospital of Messina, from January to June 2013. We asked operators to put the fingertips of their right hand (if not left-handed for one minute on the PCA medium, before washing with the three types of antiseptics, and after washing and drying. Drying was made using sterile gauzes or disposable wipes. Then, we measured the number of colony forming units per mL (CFU/mL and calculated the percentage of microbial load reduction. RESULTS 211 samples have been considered for statistical analysis: in 42 samples, in fact, initial microbial load was lower than after washing. Washing with EPG reduced CFU/ml from  a mean of 38,9 to 4,1 (86,5% reduction, washing with povi-iodine scrub from 59,55 to 12,9 (75,9% reduction and washing with Marseille soap from 47,26 to 12,7 (64,3% reduction. CONCLUSIONS Our study shows that washing with EPG has superior efficacy in CFU reduction. Antiseptic hand washing, however, cannot be considered the only measure to reduce infections: the anomaly of some results (initial microbial load lower than after washing  demonstrates that drying is an essential phase in the presurgical preparation. Therefore, hand hygiene must be part of a more complex strategy of surveillance and control of nosocomial infections

  1. Ergonomic design in the operating room: information technologies

    Science.gov (United States)

    Morita, Mark M.; Ratib, Osman

    2005-04-01

    The ergonomic design in the Surgical OR of information technology systems has been and continues to be a large problem. Numerous disparate information systems with unique hardware and display configurations create an environment similar to the chaotic environments of air traffic control. Patient information systems tend to show all available statistics making it difficult to isolate the key, relevant vitals for the patient. Interactions in this sterile environment are still being done with the traditional keyboard and mouse designed for cubicle office workflows. This presentation will address the shortcomings of the current design paradigm in the Surgical OR that relate to Information Technology systems. It will offer a perspective that addresses the ergonomic deficiencies and predicts how future technological innovations will integrate into this vision. Part of this vision includes a Surgical OR PACS prototype, developed by GE Healthcare Technologies, that addresses ergonomic challenges of PACS in the OR that include lack of portability, sterile field integrity, and UI targeted for diagnostic radiologists. GWindows (gesture control) developed by Microsoft Research and Voice command will allow for the surgeons to navigate and review diagnostic imagery without using the conventional keyboard and mouse that disrupt the integrity of the sterile field. This prototype also demonstrates how a wireless, battery powered, self contained mobile PACS workstation can be optimally positioned for a surgeon to reference images during an intervention as opposed to the current pre-operative review. Lessons learned from the creation of the Surgical OR PACS Prototype have demonstrated that PACS alone is not the end all solution in the OR. Integration of other disparate information systems and presentation of this information in simple, easy to navigate information packets will enable smoother interactions for the surgeons and other healthcare professionals in the OR. More intuitive

  2. Psychological factors of professional success of nuclear power plant main control room operators

    Directory of Open Access Journals (Sweden)

    Kosenkov A.A.

    2014-12-01

    Full Text Available Aim: to conduct a comparative analysis of the psychological characteristics of the most and least successful main control room operators. Material and Methods. Two NPP staff groups: the most and least successful main control room operators, who worked in routine operating conditions, were surveyed. Expert evaluation method has been applied to identify the groups. The subjects were administered the Minnesota Multiphasic Personality Inventory (MMPI, Cattell's Sixteen Personality Factor Questionnaire (16PF form A and Raven's Progressive Matrices test. Results. Numerous significant psychological differences between the groups of most and least successful control room operators were obtained: the best operators were significantly more introverted and correctly solved more logical tasks with smaller percentage of mistakes under time pressure than worst ones. Conclusions: 1. The psychodiagnostic methods used in the study were adequate to meet research objective 2. Tendency to introversion, as well as developed the ability to solve logic problems undertime pressure, apparently, are important professional qualities for control room operators. These indicators should be considered in the process of psychological selection and professional guidance of nuclear power plant operators.

  3. Review article: review of behavioral operations experimental studies of newsvendor problems for operating room management.

    Science.gov (United States)

    Wachtel, Ruth E; Dexter, Franklin

    2010-06-01

    Operating room (OR) managers must plan staffing in the face of uncertain demand for OR time. Planning too much staffing results in underutilized OR time. Planning too little staffing causes overutilized time, which is approximately twice as expensive as underutilized time. Deciding how much staffing to plan for an OR is analogous to the classic newsvendor problem in operations research. A newsvendor must decide how much product to order based on its cost c and sales price p, plus estimates of the uncertain future demand for the product. The newsvendor problem has a simple mathematical solution. The correct amount of product to order is the (p - c)/p quantile of the demand for the product. This optimal order quantity is analogous mathematically to the number of hours of OR time for which staffing should be planned. We performed a systematic review of the behavioral operations experimental literature on newsvendor problems relevant to OR management. Student volunteers participating in experimental studies have great difficulty knowing how much product to order, given c, p, and the demand distribution. Decision making is only modestly improved by more frequent feedback. Even scores of rounds of ordering are insufficient for much learning to occur. Suboptimal decisions result from innate psychological biases. Students anchor on mean demand, make insufficient adjustments, and rely disproportionately on the most recent demand values. The behavior of OR managers who plan staffing for the OR is analogous to that of students participating in a newsvendor experiment. Month after month, an OR manager will plan too little staffing for the surgeon who consistently ends the day late and too much staffing for the surgeon who consistently does not fill an OR. Experimental studies of the newsvendor problem provide mechanistic insights into the reasons that OR managers make poor decisions when planning OR staffing. The students face no organizational factors or personality issues

  4. Changes in safety climate and teamwork in the operating room after implementation of a revised WHO checklist: a prospective interventional study.

    Science.gov (United States)

    Erestam, Sofia; Haglind, Eva; Bock, David; Andersson, Annette Erichsen; Angenete, Eva

    2017-01-01

    Inter-professional teamwork in the operating room is important for patient safety. The World Health Organization (WHO) checklist was introduced to improve intraoperative teamwork. The aim of this study was to evaluate the safety climate in a Swedish operating room setting before and after an intervention, using a revised version of the WHO checklist to improve teamwork. This study is a single center prospective interventional study. Participants were personnel working in operating room teams including surgeons, anesthesiologists, scrub nurses, nurse anaesthetists and nurse assistants. The study started with pre-interventional observations of the WHO checklist use followed by education on safety climate, the WHO checklist, and non-technical skills in the operating room. Thereafter a revised version of the WHO checklist was introduced. Post-interventional observations regarding the performance of the WHO checklist were carried out. The Safety Attitude Questionnaire was used to assess safety climate at baseline and post-intervention. At baseline we discovered a need for improved teamwork and communication. The participants considered teamwork to be important for patient safety, but had different perceptions of good teamwork between professions. The intervention, a revised version of the WHO checklist, did not affect teamwork climate. Adherence to the revision of the checklist was insufficient, dominated by a lack of structure. There was no significant change in teamwork climate by use of the revised WHO checklist, which may be due to insufficient implementation, as a lack of adherence to the WHO checklist was detected. We found deficiencies in teamwork and communication. Further studies exploring how to improve safety climate are needed. NCT02329691.

  5. [Design and Implementation of a Mobile Operating Room Information Management System Based on Electronic Medical Record].

    Science.gov (United States)

    Liu, Baozhen; Liu, Zhiguo; Wang, Xianwen

    2015-06-01

    A mobile operating room information management system with electronic medical record (EMR) is designed to improve work efficiency and to enhance the patient information sharing. In the operating room, this system acquires the information from various medical devices through the Client/Server (C/S) pattern, and automatically generates XML-based EMR. Outside the operating room, this system provides information access service by using the Browser/Server (B/S) pattern. Software test shows that this system can correctly collect medical information from equipment and clearly display the real-time waveform. By achieving surgery records with higher quality and sharing the information among mobile medical units, this system can effectively reduce doctors' workload and promote the information construction of the field hospital.

  6. An Investigation on the Current Status of the Operation Recovery Rooms in Yazd Hospitals in 2010-2011

    Directory of Open Access Journals (Sweden)

    MR Khajeh Aminian

    2012-08-01

    Full Text Available Introduction: The recovery ward is a vital unit to care patients awaking from anesthesia and is a standard requirement for the operating room. Recovery ward is located adjacent to the operation room and is easily accessible to trained and skilled individuals. The unit must have adequate equipment for surveillance and monitoring of patients and required medication should also be provided. Methods: This study is a cross-sectional conducted in one phase through referring to hospital facilities and equipment. Physical space, personnel and their skill levels and other factors that are involved in the care of patients in the recovery have been investigated. The instruments used in this study were a check list and observe sheet which were completed by the researchers. Data analysis was conducted by SPSS software. Results: The results showed that the standards of buildings and physical space in the researched areas were mostly nonstandard. Equipment standards were to some extent in line with the criteria set by American Association of Anesthesia. Besides, some equipment was blow standard levels. Personnel standards regarding the number of nurses toward the number of recovery beds did not meet the standard criteria in most of the cases. Conclusion: The research shows that building standards in most cases are not in line with mentioned references. Undertaking equipment standards in the hospital recovery wards needs reviewing and providing controlling equipment for preventing the complications of recovery phase of anesthesia in recovery wards.

  7. Patient safety in the operating room: an intervention study on latent risk factors

    Directory of Open Access Journals (Sweden)

    van Beuzekom Martie

    2012-06-01

    Full Text Available Abstract Background Patient safety is one of the greatest challenges in healthcare. In the operating room errors are frequent and often consequential. This article describes an approach to a successful implementation of a patient safety program in the operating room, focussing on latent risk factors that influence patient safety. We performed an intervention to improve these latent risk factors (LRFs and increase awareness of patient safety issues amongst OR staff. Methods Latent risk factors were studied using a validated questionnaire applied to the OR staff before and after an intervention. A pre-test/post-test control group design with repeated measures was used to evaluate the effects of the interventions. The staff from one operating room of an university hospital acted as the intervention group. Controls consisted of the staff of the operating room in another university hospital. The outcomes were the changes in LRF scores, perceived incident rate, and changes in incident reports between pre- and post-intervention. Results Based on pre-test scores and participants’ key concerns about organizational factors affecting patient safety in their department the intervention focused on the following LRFs: Material Resources, Training and Staffing Recourses. After the intervention, the intervention operating room - compared to the control operating room - reported significantly fewer problems on Material Resources and Staffing Resources and a significantly lower score on perceived incident rate. The contribution of technical factors to incident causation decreased significantly in the intervention group after the intervention. Conclusion The change of state of latent risk factors can be measured using a patient safety questionnaire aimed at these factors. The change of the relevant risk factors (Material and Staffing resources concurred with a decrease in perceived and reported incident rates in the relevant categories. We conclude that

  8. Closed-loop approach for situation awareness of medical devices and operating room infrastructure

    Directory of Open Access Journals (Sweden)

    Rockstroh Max

    2015-09-01

    Full Text Available In recent years, approaches for information and control integration in the digital operating room have emerged. A major step towards an intelligent operating room and a cooperative technical environment would be autonomous adaptation of medical devices and systems to the surgical workflow. The OR staff should be freed from information seeking and maintenance tasks. We propose a closed-loop concept integrating workflow monitoring, processing and (semi-automatic interaction to bridge the gap between OR integration of medical devices and workflow-related information management.

  9. 手术室等候间的创建与管理%On Establishment and Management of Waiting Space for Operation Room

    Institute of Scientific and Technical Information of China (English)

    曾爱民; 姚明

    2013-01-01

      手术室等候间的建立降低了手术患者等候期间的安全隐患,缩短了手术台衔接时间,提高了手术间的利用率,同时减轻了患者的紧张恐惧心理,增进了护患关系,提升了服务质量。本文主要探讨了手术室等候间的创建与管理。%The establishment of waiting space for operation room can not only reduce security risks while waiting for the operation and improve the utilization of operation rooms, but also reduce the tension and fear of patients, enhance the nurse-patient rela-tionship, and enhance the quality of service.

  10. Operating theatre nurses' perceptions of competence: a focus group study.

    Science.gov (United States)

    Gillespie, Brigid M; Chaboyer, Wendy; Wallis, Marianne; Chang, Hsiao-Yun Annie; Werder, Helen

    2009-05-01

    This paper is a report of a study exploring nurses' perceptions of the components of competence in the operating theatre. Competency Standards for operating theatre practice are used in some countries to guide clinical and professional behaviours. The need for competence assessment has been enshrined, but the conceptualization and agreement about what signifies competence in Operating Theatre has been lacking. Three focus groups were conducted with 27 operating theatre nurses in three major metropolitan hospitals in Queensland, Australia. Interviews were audio taped and field notes were taken. Data were collected during 2008. Thematic analysis was performed. From the analysis of the textual data, three themes were identified: 'coalescence of theoretical, practical, situational and aesthetic knowledge within a technocratic environment'; 'the importance of highly developed communication skills among teams of divergent personalities and situations'; and 'managing and coordinating the flow of the list'. These findings have identified that competence in respect to components of knowledge, teamwork and communication, and the ability to coordinate and manage are important and should be incorporated in operating theatre Competency Standards. Additionally, findings may assist in the development of an instrument to measure operating nurses' perceived competence.

  11. 导管室护士的素质要求及护理体会%Quality Requirements and Nursing Experience of Catheter Room Nurses

    Institute of Scientific and Technical Information of China (English)

    张丽珈

    2015-01-01

    随着21世纪老龄化社会的到来,心血管病已成为威胁人类生命的头号杀手,以心导管为基础的介入性诊疗技术逐渐成为临床诊治心血管疾病的有效方法。心血管介入诊疗工作离不开相应的护理技术的发展,而心导管室护理则是从心血管病护理中演变出来的一门全新的技术。本文从医疗角度阐明导管室护士的素质要求与护理配合。%With aging society coming in 21st century, cardiovascular disease had been the leading murder of human life threat, at present, interventional diagnosis and treatment technology, based on the cardiac catheterization, was getting the most effective methods of clinical diagnosis and treatment of cardiovascular diseases. Cardiovascular interventional diagnosis and treatment work was closely related to the corresponding nursing technology development, and, conduit room nursing was a kind of whole new cardiovascular nursing plan. For that, in this paper, it will be discussed that conduit room nursing workers’ quality requirement and nursing experience.

  12. Shielding considerations for an operating room based intraoperative electron radiotherapy unit.

    Science.gov (United States)

    Mills, M D; Almond, P R; Boyer, A L; Ochran, T G; Madigan, W; Rich, T A; Dally, E B

    1990-05-01

    The leakage radiation characteristics of a dedicated intraoperative radiotherapy linear accelerator have been measured on a machine designed to minimize the shielding required to allow it to be placed in an operating room suite. The scattering foil design was optimized to produce a flat beam for the field sizes employed while generating minimal bremsstrahlung contamination over the available energy range. More lead shielding was used in the treatment head than is used in conventional accelerators. A small amount of borated polyethylene shielding was also employed since neutron production was present at measurable levels. The room shielding installed in the operating room was demonstrated to be adequate to treat at least 20 patients each month to an average dose of 20 Gy. The worst case exposure was found to be 73% maximum permissible exposure. Administrative control was required for adjoining areas when calibrations and maintenance were performed.

  13. From the Hospital Room to the Classroom: Recruiting and Supporting New Nursing Faculty

    Science.gov (United States)

    Kersey, Pamela

    2012-01-01

    The health and safety of the public relies heavily on an adequate supply of nurses. The majority of California nurses receive their training in community colleges where the nursing faculty shortage is expected to worsen in the next ten years. The experience of new nursing faculty in community colleges has not been studied or reported in academic…

  14. A norm utilisation for scarce hospital resources: Evidence from operating rooms in a Dutch university hospital

    NARCIS (Netherlands)

    van Houdenhoven, Mark; Hans, Elias W.; Klein, Jan; Wullink, Gerhard; Kazemier, Geert

    2007-01-01

    Background: Utilisation of operating rooms is high on the agenda of hospital managers and researchers. Many efforts in the area of maximising the utilisation have been focussed on finding the holy grail of 100% utilisation. The utilisation that can be realised, however, depends on the patient mix an

  15. Improving operating room efficiency by applying bin-packing and portfolio techniques to surgical case scheduling

    NARCIS (Netherlands)

    Houdenhoven, van M.; Oostrum, van J.M.; Hans, E.W.; Wullink, G.; Kazemier, G.

    2013-01-01

    BACKGROUND: An operating room (OR) department has adopted an efficient business model and subsequently investigated how efficiency could be further improved. The aim of this study is to show the efficiency improvement of lowering organizational barriers and applying advanced mathematical techniques.

  16. Activity-based costing in the operating room at Valley View Hospital.

    Science.gov (United States)

    Baker, J J; Boyd, G F

    1997-01-01

    This article presents an example of how one hospital reports the results of activity-based costing (ABC). It examines the composition and supporting assumptions of an ABC report for a particular procedure in the operating room (OR). It describes management uses of the information generated. It comments upon how the continuous quality improvement (CQI) is synchronized with the ABC reporting.

  17. Room Temperature Operation of a Buried Heterostructure Photonic Crystal Quantum Cascade Laser

    CERN Document Server

    Peretti, R; Wolf, J M; Bonzon, C; Süess, M J; Lourdudoss, S; Metaferia, W; Beck, M; Faist, J

    2015-01-01

    We demonstrated room temperature operation of deep etched photonic crystal quantum cascade laser emitting around 8.5 micron. We fabricated buried heterostructure photonic crystals, resulting in single mode laser emission on a high order slow Bloch modes of the photonic crystal, between high symmetry points of the Brillouin.

  18. Feasibility Assessment of Performing Surgery in a Deployable Medical System Operating Room

    Science.gov (United States)

    2002-05-01

    Nosocomial infections are easily prevented if the hospital and its staff follow well-recognized sanitation and hygiene protocols. The Guidelines for...instance, frequent hand washing has been shown to significantly lessen the incidence of nosocomial infections . In addition, improved operating room...risk management. 26 Criteria included the following: noise exposure, nosocomial infections , environmental controls, air exchanges, and electrical

  19. Improving operating room efficiency by applying bin-packing and portfolio techniques to surgical case scheduling

    NARCIS (Netherlands)

    van Houdenhoven, M.; van Oostrum, J.M.; Hans, Elias W.; Wullink, Gerhard; Kazemier, G.

    2013-01-01

    BACKGROUND: An operating room (OR) department has adopted an efficient business model and subsequently investigated how efficiency could be further improved. The aim of this study is to show the efficiency improvement of lowering organizational barriers and applying advanced mathematical techniques.

  20. Natural Rubber Latex Hypersensitivity with Skin Prick Test in Operating Room Personnel

    Directory of Open Access Journals (Sweden)

    Seyed Hessamedin Nabavizadeh

    2009-12-01

    Full Text Available Hypersensitivity reactions to natural rubber latex have increased recently, especially among people with high exposure to latex allergens. Hypersensitivity reactions to latex are related to many conditions like occupational asthma. Our study was performed to determine the prevalence of hypersensitivity to natural rubber latex and potential food cross reactions in operation room personnel in Shiraz hospitals. In this cross-sectional, descriptive study, 580 operation room personnel filled out our questionnaire which included data about their personal history, symptoms of latex hypersensitivity, and other related allergies such as food hypersensitivity. An informed consent was obtained and skin prick tests were performed for natural rubber latex and potential food cross reactions (kiwi, banana, and potato. The obtained data were analyzed by SPSS and Chi-square test.Results: 104 (17.9% of the operating room personnel showed positive latex skin tests. We revealed a significant correlation between those with positive skin tests to latex with atopia, urthicaria, and food hypersensitivity. The prevalence did not vary by sex, age, education, surgical and non-surgical gloves users, or history of contact dermatitis. Latex hypersensitivity is common among operation room personnel. Evaluation of symptoms and prediction of future diseases necessitate screening tests in individuals at risk.

  1. Nurse Scheduling by Cooperative GA with Effective Mutation Operator

    Science.gov (United States)

    Ohki, Makoto

    In this paper, we propose an effective mutation operators for Cooperative Genetic Algorithm (CGA) to be applied to a practical Nurse Scheduling Problem (NSP). The nurse scheduling is a very difficult task, because NSP is a complex combinatorial optimizing problem for which many requirements must be considered. In real hospitals, the schedule changes frequently. The changes of the shift schedule yields various problems, for example, a fall in the nursing level. We describe a technique of the reoptimization of the nurse schedule in response to a change. The conventional CGA is superior in ability for local search by means of its crossover operator, but often stagnates at the unfavorable situation because it is inferior to ability for global search. When the optimization stagnates for long generation cycle, a searching point, population in this case, would be caught in a wide local minimum area. To escape such local minimum area, small change in a population should be required. Based on such consideration, we propose a mutation operator activated depending on the optimization speed. When the optimization stagnates, in other words, when the optimization speed decreases, the mutation yields small changes in the population. Then the population is able to escape from a local minimum area by means of the mutation. However, this mutation operator requires two well-defined parameters. This means that user have to consider the value of these parameters carefully. To solve this problem, we propose a periodic mutation operator which has only one parameter to define itself. This simplified mutation operator is effective over a wide range of the parameter value.

  2. Methodology for analyzing environmental quality indicators in a dynamic operating room environment.

    Science.gov (United States)

    Gormley, Thomas; Markel, Troy A; Jones, Howard W; Wagner, Jennifer; Greeley, Damon; Clarke, James H; Abkowitz, Mark; Ostojic, John

    2017-04-01

    Sufficient quantities of quality air and controlled, unidirectional flow are important elements in providing a safe building environment for operating rooms. To make dynamic assessments of an operating room environment, a validated method of testing the multiple factors influencing the air quality in health care settings needed to be constructed. These include the following: temperature, humidity, particle load, number of microbial contaminants, pressurization, air velocity, and air distribution. The team developed the name environmental quality indicators (EQIs) to describe the overall air quality based on the actual measurements of these properties taken during the mock surgical procedures. These indicators were measured at 3 different hospitals during mock surgical procedures to simulate actual operating room conditions. EQIs included microbial assessments at the operating table and the back instrument table and real-time analysis of particle counts at 9 different defined locations in the operating suites. Air velocities were measured at the face of the supply diffusers, at the sterile field, at the back table, and at a return grille. The testing protocol provided consistent and comparable measurements of air quality indicators between institutions. At 20 air changes per hour (ACH), and an average temperature of 66.3°F, the median of the microbial contaminants for the 3 operating room sites ranged from 3-22 colony forming units (CFU)/m(3) at the sterile field and 5-27 CFU/m(3) at the back table. At 20 ACH, the median levels of the 0.5-µm particles at the 3 sites were 85,079, 85,325, and 912,232 in particles per cubic meter, with a predictable increase in particle load in the non-high-efficiency particulate air-filtered operating room site. Using a comparison with cleanroom standards, the microbial and particle counts in all 3 operating rooms were equivalent to International Organization for Standardization classifications 7 and 8 during the mock surgical

  3. Simulated versus realistic intra operative radiation therapy (I.O.R.T.) treatment in operating room: from knowledge of stray radiation to action

    Energy Technology Data Exchange (ETDEWEB)

    Andreoli, S.; Moretti, R. [USC Fisica Sanitaria - Ospedali Riuniti di Bergamo (Italy); Catalano, M.; Locatelli, F. [Degli Studi di Milano Univ., Scuola di Specializzazione in Fisica Sanitaria (Italy)

    2006-07-01

    Intra-Operative Radiation Therapy (I.O.R.T.) is carried out with electron beams produced by a Linac (Linear Accelerator) generally used for conventional radiotherapy with external beam, or by dedicated accelerators that can be employed directly into an operating room. I.O.R.T. refers to the application of radiation during a surgical intervention, after the removal of a neoplastic mass. I.O.R.T. uses on the tumour area a direct irradiation, for the possible localisation of sub-clinic illness or macroscopic residue in the case of non-radical resection. Intra-Operative Radiotherapy foresees a single session only, generally preceded or followed by radiotherapy with external beam. It allows the achievement of a selective radiation boost on the tumour volume. In some cases, it can also be used as a one-time/stand alone treatment in initial cancer of small volume, or in unresectable malignancies for palliative purpose. The technical advantages of I.O.R.T. consist in the direct visual control of the target volume, and in the possibility to protect the healthy tissues by moving them away from the path of the radiation beam. The use of electron beams allows the administration of a homogeneous dose to a selected layer of tissues surrounding the tumour. The following professional staff forms the Operative Group: radiation oncologist, surgeon, anaesthetist, medical physicist, radiation technologist, nurse.The choice of a simulation geometry very similar to the clinical situation allows to evaluate radioprotection data very close to the real situation. For a fixed layout, an anthropomorphic phantom was positioned on the operating bed and a breast I.O.R.T. treatment was simulated positioning all the accessories of the operating room in their typical positions. A detailed dose mapping was performed with a Victoreen 450P ionisation chamber and with environment film-dosimeter on the walls of the operating room during the simulation of the clinical treatment. The simulation appears

  4. Thinking in three's: Changing surgical patient safety practices in the complex modern operating room

    Institute of Scientific and Technical Information of China (English)

    Verna C Gibbs

    2012-01-01

    The three surgical patient safety events,wrong site surgery,retained surgical items (RSI) and surgical fires are rare occurrences and thus their effects on the complex modern operating room (OR) are difficult to study.The likelihood of occurrence and the magnitude of risk for each of these surgical safety events are undefined.Many providers may never have a personal experience with one of these events and training and education on these topics are sparse.These circumstances lead to faulty thinking that a provider won't ever have an event or if one does occur the provider will intuitively know what to do.Surgeons are not preoccupied with failure and tend to usually consider good outcomes,which leads them to ignore or diminish the importance of implementing and following simple safety practices.These circumstances contribute to the persistent low level occurrence of these three events and to the difficulty in generating sufficient interest to resource solutions.Individual facilities rarely have the time or talent to understand these events and develop lasting solutions.More often than not,even the most well meaning internal review results in a new line to a policy and some rigorous enforcement mandate.This approach routinely fails and is another reason why these problems are so persistent.Vigilance actions alone have been unsuccessful so hospitals now have to take a systematic approach to implementing safer processes and providing the resources for surgeons and other stakeholders to optimize the OR environment.This article discusses standardized processes of care for mitigation of injury or outright prevention of wrong site surgery,RSI and surgical fires in an action-oriented framework illustrating the strategic elements important in each event and focusing on the responsibilities for each of the three major OR agents-anesthesiologists,surgeons and nurses.A Surgical Patient Safety Checklist is discussed that incorporates the necessary elements to bring these team

  5. HYBRID ALARM SYSTEMS: COMBINING SPATIAL ALARMS AND ALARM LISTS FOR OPTIMIZED CONTROL ROOM OPERATION

    Energy Technology Data Exchange (ETDEWEB)

    Ronald L. Boring; J.J. Persensky

    2012-07-01

    The US Department of Energy (DOE) is sponsoring research, development, and deployment on Light Water Reactor Sustainability (LWRS), in which the Idaho National Laboratory (INL) is working closely with nuclear utilities to develop technologies and solutions to help ensure the safe operational life extension of current nuclear power plants. One of the main areas of focus is control room modernization. Within control room modernization, alarm system upgrades present opportunities to meet the broader goals of the LWRS project in demonstrating the use and safety of the advanced instrumentation and control (I&C) technologies and the short-term and longer term objectives of the plant. In this paper, we review approaches for and human factors issues behind upgrading alarms in the main control room of nuclear power plants.

  6. Obesity increases operating room time for lobectomy in the society of thoracic surgeons database.

    Science.gov (United States)

    St Julien, Jamii B; Aldrich, Melinda C; Sheng, Shubin; Deppen, Stephen A; Burfeind, William R; Putnam, Joe B; Lambright, Eric S; Nesbitt, Jonathan C; Grogan, Eric L

    2012-12-01

    Obesity has become a major epidemic in the United States. Although research suggests obesity does not increase major morbidity or mortality after thoracic operations, it likely results in greater use of health care resources. We examined all patients in The Society of Thoracic Surgeons General Thoracic Surgery database with primary lung cancer who underwent lobectomy from 2006 to 2010. We investigated the impact of body mass index (BMI) on total operating room time using a linear mixed-effects regression model and multiple imputations to account for missing data. Secondary outcomes included postoperative length of stay and 30-day mortality. Covariates included age, sex, race, forced expiratory volume, smoking status, Zubrod score, prior chemotherapy or radiation, steroid use, number of comorbidities, surgical approach, hospital lobectomy volume, hospital percent obesity, and the addition of mediastinoscopy or wedge resection. A total of 19,337 patients were included. The mean BMI was 27.3 kg/m2, with 4,898 patients (25.3%) having a BMI of 30 kg/m2 or greater. The mean total operating room time, length of stay, and 30-day mortality were 240 minutes, 6.7 days, and 1.8%, respectively. For every 10-unit increase in BMI, mean operating room time increased by 7.2 minutes (range, 4.8 to 8.4 minutes; pobese patients did not affect the association between BMI and operative time. Body mass index was not associated with 30-day mortality or increased length of stay. Increased BMI is associated with increased total operating room time, regardless of institutional experience with obese patients. Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  7. Nursing Leadership, Missing Questions, and the Elephant(s) in the Room: Problematizing the Discourse on Nursing Leadership.

    Science.gov (United States)

    Cutcliffe, John; Cleary, Michelle

    2015-01-01

    To expose inconsistencies and contradictions in the nurse leadership literature ("text"), this article adopts a deconstructive approach and draws upon the work of Derrida in examining the text or discourse. What is almost entirely missing in the literature are articles that ask difficult, searching questions that challenge some of the taken-for-granted truths or maxims about nursing leadership. The current examination of the literature, described in this article, shows: (a) a lack of convergence of the literature and health care/nursing organizations concerning leadership, (b) a conflation of nursing leadership with managerial or administrative positions, and

  8. [Simulation-based analysis of novel therapy principles. Effects on the efficiency of operating room processes].

    Science.gov (United States)

    Baumgart, A; Denz, C; Bender, H; Bauer, M; Hunziker, S; Schüpfer, G; Schleppers, A

    2009-02-01

    The introduction of innovative drugs in anesthesiological treatment has the potential to improve perioperative efficiency. This article examines the impact of the new muscle relaxant encapsulator Bridion on emergence from anesthesia and on the efficiency of the perioperative organization. To analyze the effects of medical innovations, computer simulation was used as an experimental frame. The simulation was based on a realistic model of an operating room setting and used historical data to study the effect of innovation on the operational performance and the economic outcomes. The use of medical innovations in anesthesiological emergence yields new potentials for a hospital under certain conditions. Due to shorter block times and anesthesia-controlled times, additional benefits for the operating room could be realized. This results in an increase of up to 2.4% additional cases during similar working hours and planning periods. The introduction of innovative medicines may reveal more efficient and economical conditions in operating rooms. The overall result depends, for example, on the rate of application of the patient's portfolio or the organization and access rules of the surgical suite. Based on the anesthesia-controlled time no general a priori statement about the economic potentials can be confirmed. Future empirical studies should investigate the impact on quality and economic benefits for the entire patient pathway.

  9. Acupuncture performed by nurses in the recovery room at a Danish biomedical hospital: how patients experience the effect of acupuncture treatment

    DEFF Research Database (Denmark)

    Larsen, Anne Bolt

    2011-01-01

    The abstract build on a master thesis submitted to Department of Anthropology, Aarhus University, Denmark. The thesis aims at investigating a new trend in Danish hospitals, where acupuncture increasingly is used in treating post-operative nausea and vomiting (PONV) and pain. It is a novelty...... that patients may receive acupuncture treatment in hospital. No scientific research has been completed to examine patients experience when treated with acupuncture at a modern hospital based on technology and natural science. This study took place in the recovery room at a regional hospital in Denmark, where...... acupuncture during the past 3-4 years has been implemented by nurses as an option for patients with PONV and post-operative pain. The purpose is to analyse the encounter between acupuncture and biomedicine, how patients experience the effect of acupuncture treatment and their view of acupuncture...

  10. Occupation hazard factors and protection measures of nurses in supply room%供应室护士职业危害因素及防护措施

    Institute of Scientific and Technical Information of China (English)

    王云

    2015-01-01

    供应室护士特殊的工作性质决定着他们常暴露于多种职业危害因素之中,在操作过程中如不注意自我防护,很容易造成职业性危害,影响其身心健康。为了保证供应室护士的健康安全,本文主要分析了职业危害因素及防护措施。%The special nature of work of nurses in supply room determines that they often expose to a variety of occupational hazard factors.If they do not pay attention to self protection in the process of operation, it is easy to cause occupational hazards and affect their physical and mental health.In order to guarantee supply room nurses' health and safety,the author mainly analyzes the occupational hazard factors and protection measures in this paper.

  11. Difficult points and countermeasures for hospital infection control in operating room%手术室医院感染控制的难点及对策

    Institute of Scientific and Technical Information of China (English)

    冯迎辉

    2011-01-01

    Objective:To solve the difficulties of controlling hospital infection in operating room and give some solutions to this problem in order to improve the quality of nursing. Methods: The problems which found in our hospital in daily work were analyzed, improved and summaried, such as the operating room environment, the management of sterile goods, hand hygiene, movement in the surgery. Results: Cut the way caused the operating room infection, make the indicators of the operating room in the normal range, could avoid the occurrence of various surgical infections and improve the quality of health care. Conclusion: The effective implementations of the operating room disinfection and isolation measures were an important way to control hospital infection.%目的:解决手术室医院感染控制的难点并探讨手术室医院感染控制对策,以提高医疗护理质量.方法:通过我院感染管理科在日常工作中发现的问题,如手术室环境、无菌物品的管理、手卫生、手术中人员流动、各项感染措施及各项制度的落实等找出原因进行分析、整改和总结.结果:切断了引起手术室医院感染的途径,使手术室的各项指标在正常范围,避免了各项手术感染的发生,提高了医院的医疗护理质量.结论:有效地落实手术室消毒隔离措施是控制医院感染的重要途径.

  12. High-density magnetoresistive random access memory operating at ultralow voltage at room temperature.

    Science.gov (United States)

    Hu, Jia-Mian; Li, Zheng; Chen, Long-Qing; Nan, Ce-Wen

    2011-11-22

    The main bottlenecks limiting the practical applications of current magnetoresistive random access memory (MRAM) technology are its low storage density and high writing energy consumption. Although a number of proposals have been reported for voltage-controlled memory device in recent years, none of them simultaneously satisfy the important device attributes: high storage capacity, low power consumption and room temperature operation. Here we present, using phase-field simulations, a simple and new pathway towards high-performance MRAMs that display significant improvements over existing MRAM technologies or proposed concepts. The proposed nanoscale MRAM device simultaneously exhibits ultrahigh storage capacity of up to 88 Gb inch(-2), ultralow power dissipation as low as 0.16 fJ per bit and room temperature high-speed operation below 10 ns.

  13. LOW ENDOPHTHALMITIS RATES AFTER INTRAVITREAL ANTI-VASCULAR ENDOTHELIAL GROWTH FACTOR INJECTIONS IN AN OPERATION ROOM

    DEFF Research Database (Denmark)

    Freiberg, Florentina J; Brynskov, Troels; Munk, Marion R

    2017-01-01

    PURPOSE: To evaluate the rate of presumed endophthalmitis (EO) after intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections in three European hospitals performed in an operation room (OR) under sterile conditions. METHODS: A retrospective multicenter study between 2003 and 2016...... at three European sites, City Hospital Triemli Zurich, Switzerland (CHT), Zealand University Hospital Roskilde, Denmark (ZUH) and University Clinic Bern, Switzerland (UCB). Intravitreal injection (IVI) database of each department was reviewed. All anti-vascular endothelial growth factor injections were.......0074% per injection (95% CI: 0.0070-0.0078%). Positive cultures were found in 4 out of 10 presumed endophthalmitis cases. CONCLUSION: The standardized sterile technique in an operation room with laminar airflow showed very low rates of endophthalmitis at three European sites....

  14. Single-use surgical clothing system for reduction of airborne bacteria in the operating room.

    Science.gov (United States)

    Tammelin, A; Ljungqvist, B; Reinmüller, B

    2013-07-01

    It is desirable to maintain a low bacterial count in the operating room air to prevent surgical site infection. This can be achieved by ventilation or by all staff in the operating room wearing clothes made from low-permeable material (i.e. clean air suits). We investigated whether there was a difference in protective efficacy between a single-use clothing system made of polypropylene and a reusable clothing system made of a mixed material (cotton/polyester) by testing both in a dispersal chamber and during surgical procedures. Counts of colony-forming units (cfu)/m(3) air were significantly lower when using the single-use clothing system in both settings. Copyright © 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  15. [Design of an anesthesia and micro-environment information management system in mobile operating room].

    Science.gov (United States)

    Wang, Xianwen; Liu, Zhiguo; Zhang, Wenchang; Wu, Qingfu; Tan, Shulin

    2013-08-01

    We have designed a mobile operating room information management system. The system is composed of a client and a server. A client, consisting of a PC, medical equipments, PLC and sensors, provides the acquisition and processing of anesthesia and micro-environment data. A server is a powerful computer that stores the data of the system. The client gathers the medical device data by using the C/S mode, and analyzes the obtained HL7 messages through the class library call. The client collects the micro-environment information with PLC, and finishes the data reading with the OPC technology. Experiment results showed that the designed system could manage the patient anesthesia and micro-environment information well, and improve the efficiency of the doctors' works and the digital level of the mobile operating room.

  16. [Surgery training of gynecologic residents: master and student in the operating room].

    Science.gov (United States)

    Rathat, G; Hoa, D; Gagnayre, R; Hoffet, M; Mares, P

    2008-02-01

    Describe the surgical training of gynecologic residents in the operating room, by collecting the opinion of French gynecologists. A questionnaire investigating this subject was put on a web site. Every French gynecologist could answer the questionnaire from a duration of six months. The data of the inquiry were studied by comparing five groups: residents (group 1), fellows (group 2), seniors of public hospital (group 3), and seniors of private hospitals (group 4), or, groups 2, 3 and 4 together, as Group A. Six hundred and fifty-seven gynecologists answered the inquiry. For the residents, lack of time and senior's weak educational motivation are the explanations most frequently retained in order to explain that residents do not operate. For group A, it is rather the residents' skills which is the most important fact to have residents operate. Residents more often practice surgery in general public hospital that in faculty hospital. For 31% of all the referees, heads of departments do not incite their teams to have residents operate. Nearly 25% of all the investigated believe that a man operates more than a woman in resident curriculum. Besides, by analyzing the answers of groups 1 and 2, we were able to correlate resident seniority at their first practice of 13 surgical operations. For 26% of the group A, residents operate less than they do during their own studies. Finally, all the investigated confirm the lack of surgical assessment in the resident curriculum. Decision to let the resident operate remains too dependent on senior personal appreciation and does not seem to join a strategy of training. Opinions of surgical training in the operating room is different between residents and seniors. Operating time increases when residents operate but there is no effect on quality of care. These results show again the necessity of a formal teaching and assessment, in a resident program with objectives, collecting every resident's surgery volume. These educational

  17. Nursing operations automation and health care technology innovations: 2025 and beyond.

    Science.gov (United States)

    Suby, ChrysMarie

    2013-01-01

    This article reviews why nursing operations automation is important, reviews the impact of computer technology on nursing from a historical perspective, and considers the future of nursing operations automation and health care technology innovations in 2025 and beyond. The increasing automation in health care organizations will benefit patient care, staffing and scheduling systems and central staffing offices, census control, and measurement of patient acuity.

  18. Implications of Surgical Training on Operating Room Throughput at Wilford Hall Medical Center

    Science.gov (United States)

    2008-06-26

    its physician specialists, 85 percent of dental specialists, and a full spectrum of other training. The medical center’s fourth mission is clinical...dedicated to training dental officers of the three services in one facility. The medical center’s support of San Antonio’s emergency medicine structure...P. (2006). Resident teaching versus the operating room schedule: An independent observer- based study of 1558 cases. Anesthesia and Analgesia , 103

  19. Continuous-wave operation of a room-temperature Tm: YAP-pumped Ho: YAG laser

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    We report a continuous-wave (CW) 2.1-μm Ho:YAG laser operating at room temperature pumped by a diode-pumped 1.94-?m Tm:YAP laser.The maximum output power of 1.5 W is obtained from Ho:YAG laser,corresponding to Tm-to-Ho slope efficiency of 17.9% and diode-to-He conversion efficiency of 5.6%.

  20. Mirror thermal noise in laser interferometer gravitational wave detectors operating at room and cryogenic temperature

    CERN Document Server

    Franc, Janyce; Flaminio, Raffaele; Nawrodt, Ronny; Martin, Iain; Cunningham, Liam; Cumming, Alan; Rowan, Sheila; Hough, James

    2009-01-01

    Mirror thermal noise is and will remain one of the main limitations to the sensitivity of gravitational wave detectors based on laser interferometers. We report about projected mirror thermal noise due to losses in the mirror coatings and substrates. The evaluation includes all kind of thermal noises presently known. Several of the envisaged substrate and coating materials are considered. The results for mirrors operated at room temperature and at cryogenic temperature are reported.

  1. Case Study: Review of Operating Room Utilization at Mayo Clinic Arizona (MCA)

    Science.gov (United States)

    2008-05-01

    offers. The premier programs of the hospital are cancer treatment and solid organ /bone marrow transplant . (Mayo Clinic, 2007) Problem Statement In...improve revenue streams (Overdyl, Harvey, Fishman , & Shippey, 1998). Organizations have seen reduced revenues from operating room care because of lower...TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) RESIDENCY SITE ADDRESS Mayo Clinic Arizona 5777 East Mayo

  2. The effects of Chamomile tea on antioxidative biomarkers in operating room staff

    Directory of Open Access Journals (Sweden)

    Sami Ghazal

    2015-07-01

    Full Text Available Introduction: Chamomile tea (CT is an herbal tea and is served as a beneficial herbal infusion all over the world. Its major polyphenols constituents and tea-catechins have been shown to have health benefits. Operating room staff are commonly exposed to damaging factors, such as radiation, waste anesthetic gases and psychological stress. One of the most important qualities of CT is its antioxidant property. The aim of this study was to evaluate the effects of CT in reducing the oxidative stress of operative room staff that are chronically exposed to damaging factors. Methods: In this study we approached to 20 operating room personnel. The subjects drank 2 cups of CT (every cup contained 1.8730 g of chamomile and 300 ml of water daily, one cup in the morning and another in the afternoon for 21 days. A questionnaire that contained personal information was filled by each subject. Oxidative stress parameters such as total antioxidant capacity (TAC, catalase (CAT and total thiol molecules (TTG were measured 2 times: first before drinking CT at the first day and the next time after the 21st day. Results: Consumption of CT by subjects caused a significant induction in TAC (6.62 ± 0.77 vs 4.81± 0.39 ųmol/ml, P < .05 of saliva. There was not any statistically significant change in saliva TTG and CAT after 21 days of drinking CT. Conclusion: In the end we came to conclusion that CT can be a useful additional food to remove the oxidative damage that happens to operating room staff.

  3. A comprehensive operating room information system using the Kinect sensors and RFID.

    Science.gov (United States)

    Nouei, Mahyar Taghizadeh; Kamyad, Ali Vahidian; Soroush, Ahmad Reza; Ghazalbash, Somayeh

    2015-04-01

    Occasionally, surgeons do need various types of information to be available rapidly, efficiently and safely during surgical procedures. Meanwhile, they need to free up hands throughout the surgery to necessarily access the mouse to control any application in the sterility mode. In addition, they are required to record audio as well as video files, and enter and save some data. This is an attempt to develop a comprehensive operating room information system called "Medinav" to tackle all mentioned issues. An integrated and comprehensive operating room information system is introduced to be compatible with Health Level 7 (HL7) and digital imaging and communications in medicine (DICOM). DICOM is a standard for handling, storing, printing, and transmitting information in medical imaging. Besides, a natural user interface (NUI) is designed specifically for operating rooms where touch-less interactions with finger and hand tracking are in use. Further, the system could both record procedural data automatically, and view acquired information from multiple perspectives graphically. A prototype system is tested in a live operating room environment at an Iranian teaching hospital. There are also contextual interviews and usability satisfaction questionnaires conducted with the "MediNav" system to investigate how useful the proposed system could be. The results reveal that integration of these systems into a complete solution is the key to not only stream up data and workflow but maximize surgical team usefulness as well. It is now possible to comprehensively collect and visualize medical information, and access a management tool with a touch-less NUI in a rather quick, practical, and harmless manner.

  4. Building a Smooth Medical Service for Operating Room Using RFID Technologies

    Directory of Open Access Journals (Sweden)

    Lun-Ping Hung

    2014-01-01

    Full Text Available Due to the information technology advancement, the feasibility for the establishment of mobile medical environments has been strengthened. Using RFID to facilitate the tracing of patients’ mobile position in hospital has attracted more attentions from researchers due to the demand on advanced features. Traditionally, the management of surgical treatment is generally manually operated and there is no consistent operating procedure for patients transferring among wards, surgery waiting rooms, operating rooms, and recovery rooms, resulting in panicky and urgent transferring work among departments and, thus, leading to delays and errors. In this paper, we propose a new framework using radio frequency identification (RFID technology for a mobilized surgical process monitoring system. Through the active tag, an application management system used before, during, and after the surgical processes has been proposed. The concept of signal level matrix, SLM, was proposed to accurately identify patients and dynamically track patients’ location. By updating patient’s information real-time, the preprocessing time needed for various tasks and incomplete transfers among departments can be reduced, the medical resources can be effectively used, unnecessary medical disputes can be reduced, and more comprehensive health care environment can be provided. The feasibility and effectiveness of our proposed system are demonstrated with a number of experimental results.

  5. 手术室护理管理中安全文化的运用%A Research on Application of Safety Culture in Nursing Management in Surgery Room

    Institute of Scientific and Technical Information of China (English)

    王会平

    2015-01-01

    目的::在手术室中实施安全文化管理,能提高医护人员的安全意识,有效减少手术室的护理风险,降低手术室的护理缺陷,保证手术安全。方法:在某院的手术室实施安全文化的护理管理,全面开展安全文化在护理管理中的应用,主要是体现在安全文化护理管理的实施前以及实施后患者、医护人员的满意度、危急患者的抢救成功率、护理差错发生率及护理纠纷发生率做统计学分析。结果:通过运用护理安全文化可使护理差错的发生率降低很大,1年来没有发生严重护理差错及纠纷事件,一般差错由2009年的150起下降到2010年的56起。在实施安全文化管理后,患者、医护人员的满意度、危急患者的抢救成功的机率都有显著的提高,护理差错发生率以及护理纠纷发生率都有大幅度的降低,相比较存在差异性,有统计学意义(P <0.05)。结论:将安全文化管理运用到手术室中,可有效的降低护理缺陷的发生,保证护理质量。%Objective:The implementation of safety culture management in operation room,can help to enhance the safety awareness of medical personnel,effectively reduce nursing risk in operating room ,reduce nursing defects in operation room,and ensure the safety of operation.Methods:Implementation nursing management on safety culture in operation room in some hospital ,comprehensively develop the application of safety culture in nursing management ,and make statistical analysis on the satisfaction of patients and medi-cal personnel,and the rescue of successful rescue of patients in danger and occurrence of nursing mistake be-fore and after the implementation of safety culture nursing management.Results:The application of nursing safety education can significantly reduce the incidence of nursing mistakes,in the 1 year,there was no seri-ous nursing errors and disputes in our hospital,the number of general error has been reduced from 150

  6. Room-temperature operation of mid-infrared surface-plasmon quantum cascade lasers

    Science.gov (United States)

    Bahriz, M.; Moreau, V.; Palomo, J.; Krysa, A. B.; Austin, D.; Cockburn, J. W.; Roberts, J. S.; Wilson, L. R.; Julien, F.; Colombelli, R.

    2007-04-01

    We report the pulsed, room-temperature operation of an InGaAs/AllnAs quantum cascade laser at an operating wavelength of ≈ 7.5 μm in which the optical mode is a surface-plasmon polariton excitation. The use of a silver-based electrical contact with reduced optical losses at the laser emission wavelength allows for a reduction of the laser threshold current by a factor of two relative to samples with a gold-based contact layer.

  7. Alcohol based surgical prep solution and the risk of fire in the operating room: a case report

    Directory of Open Access Journals (Sweden)

    Gupta Rajiv

    2008-04-01

    Full Text Available Abstract A few cases of fire in the operating room are reported in the literature. The factors that may initiate these fires are many and include alcohol based surgical prep solutions, electrosurgical equipment, flammable drapes etc. We are reporting a case of fire in the operating room while operating on a patient with burst fracture C6 vertebra with quadriplegia. The cause of the fire was due to incomplete drying of the covering drapes with an alcohol based surgical prep solution. This paper discusses potential preventive measures to minimize the incidence of fire in the operating room.

  8. [Air conditioning units and warm air blankets in the operating room].

    Science.gov (United States)

    Kerwat, Klaus; Piechowiak, Karolin; Wulf, Hinnerk

    2013-01-01

    Nowadays almost all operating rooms are equipped with air conditioning (AC units). Their main purpose is climatization, like ventilation, moisturizing, cooling and also the warming of the room in large buildings. In operating rooms they have an additional function in the prevention of infections, especially the avoidance of postoperative wound infections. This is achieved by special filtration systems and by the creation of specific air currents. Since hypothermia is known to be an unambiguous factor for the development of postoperative wound infections, patients are often actively warmed intraoperatively using warm air blankets (forced-air warming units). In such cases it is frequently discussed whether such warm air blankets affect the performance of AC units by changing the air currents or whether, in contrast, have exactly the opposite effect. However, it has been demonstrated in numerous studies that warm air blankets do not have any relevant effect on the functioning of AC units. Also there are no indications that their use increases the rate of postoperative wound infections. By preventing the patient from experiencing hypothermia, the rate of postoperative wound infections can even be decreased thereby. © Georg Thieme Verlag Stuttgart · New York.

  9. Observation Effect of Improve Entire Nursing Operationg Room Patients in Stress and Satisfaction%全程护理在改善手术室患者术中应激与满意度中的效果观察

    Institute of Scientific and Technical Information of China (English)

    肖颖

    2015-01-01

    目的 探讨全程护理在改善手术室患者术中应激反应及护理满意度中的效果.方法 选取我院2013年5月~2014年6月手术患者75例,按随机数字表法分位对照组(手术室常规护理)37例和观察组(全程护理)38例,对比两组患者术中应激反应情况及护理满意度.结果 观察组术中应激反应情况优于对照组,观察组护理满意度为94.74%高于对照组的78.38%,P<0.05,差异具有统计学意义.结论 全程护理在手术室患者中的应用效果显著.%Objective To explore the stress response and nursing care throughout satisfaction of the effect in improving the operating room patients.Methods Selected 75 cases from May 2013 to June 2014 according to number table method points randomly divided into the control group routine (the operating room nursing ) had 37 cases, and the observation group ( entire nursing ) had 38 cases, compared two groups of patients who stress reaction and nursing satisfaction.Results The observation group stress response, the observation group patient care satisfaction were 94.74%, 78.38% higher than the control group, a significant difference between the two data sets,P<0.05, had difference statistically significance.Conclusion The effect of the whole nursing patients in the operating room.

  10. Green monolithic II-VI vertical-cavity surface-emitting laser operating at room temperature

    Science.gov (United States)

    Kruse, C.; Ulrich, S. M.; Alexe, G.; Roventa, E.; Kröger, R.; Brendemühl, B.; Michler, P.; Gutowski, J.; Hommel, D.

    2004-02-01

    The realization of a monolithic all II-VI-based vertical cavity surface emitting laser (VCSEL) for the green spectral region is reported. Optically pumped lasing operation was achieved up to room temperature using a planar VCSEL structure. Taking advantage of distributed Bragg-reflectors based on MgS/Zn(Cd)Se superlattices as the low-refractive index material and ZnS0.06Se0.94 layers as the high-index material with a refractive index contrast of n = 0.6, a quality factor exceeding Q = 2000 is reached by using only 18 Bragg periods for the bottom DBR and 15 Bragg periods for the top DBR. The threshold power density is 0.32 MW/cm2 at a temperature of 10 K (emission wavelength 498.5 nm) and 1.9 MW/cm2 at room temperature (emission wavelength 502.3 nm).

  11. Tracheotomy in Pediatric Patients: In Operating Room or Intensive Care Unit?

    Directory of Open Access Journals (Sweden)

    Umut Kaygusuz

    2014-08-01

    Full Text Available Introduction: The morbidity and mortality rates of tracheotomy are higher in the pediatric population because the incision is small and the trachea is more prone to surgical trauma. Tracheotomy procedure is mostly performed in operating room in most institutions. The aim of the study is to compare the outcomes of tracheotomy procedures between intensive care unit (ICU and operating room (OR in terms of pitfalls, complications and family preferences. Materials and Methods: In between June 2012 and July 2013, at a single institution, 39 patients were prospectively analyzed for age, gender, primary pathology, tracheotomy indications, location of operation, the duration of family consent, perioperative complications and presence of decanulation. Results: Male/female ratio was 20/19. Mean age was 49.9±52.5 (4-204 months. Tracheotomy procedure was performed in OR in 19 patients (45% and in ICU in 20 (54.5% patients. There was no statistically significant difference between groups in terms of complications (OR-48.7%, ICU-51.3%. The time of informed consent was significantly shorter in ICU patients. Conclusions: There is no significant difference in terms of safety for tracheotomy procedure in ICU or OR. Parents give approval to a bedside invasive procedure faster. The words ‘Surgery’ and ‘Operating room’ can easily confuse the parents, extend the duration for endolaryngeal intubation, and increase the cost and labour loss.

  12. Dry lab practice leads to improved laparoscopic performance in the operating room.

    Science.gov (United States)

    Stelzer, Marie K; Abdel, Matthew P; Sloan, Michael P; Gould, Jon C

    2009-06-01

    Research has demonstrated that practice in surgical simulators leads to improved performance in that simulator. Our hypothesis is that skills acquired in simulators are transferable to the operating room. Twenty-three laparoscopically naïve surgical interns performed two standardized tasks in a simulator: pegboard transfer and intracorporeal knot tying. Performance was measured using a validated scoring system. On the same day as this initial assessment, subjects were videotaped performing two tasks in a live porcine model: running the small bowel and intracorporeal knot tying. Performance in the porcine model was measured using a modified version of a validated skills assessment tool by two blinded experts. Following a 6-wk proficiency-based dry lab laparoscopic training course, task performance was re-evaluated. No interval live operative laparoscopic experience occurred between the first and second assessment. After training, mean pegboard transfer scores increased from 118.7 to 181.8 (theoretical maximum = 300; P operative model. We believe that this is evidence that laparoscopic skills developed in a dry laboratory setting are transferable to the operating room.

  13. Analysis of verbal communication during teaching in the operating room and the potentials for surgical training.

    Science.gov (United States)

    Blom, E M; Verdaasdonk, E G G; Stassen, L P S; Stassen, H G; Wieringa, P A; Dankelman, J

    2007-09-01

    Verbal communication in the operating room during surgical procedures affects team performance, reflects individual skills, and is related to the complexity of the operation process. During the procedural training of surgeons (residents), feedback and guidance is given through verbal communication. A classification method based on structural analysis of the contents was developed to analyze verbal communication. This study aimed to evaluate whether a classification method for the contents of verbal communication in the operating room could provide insight into the teaching processes. Eight laparoscopic cholecystectomies were videotaped. Two entire cholecystectomies and the dissection phase of six additional procedures were analyzed by categorization of the communication in terms of type (4 categories: commanding, explaining, questioning, and miscellaneous) and content (9 categories: operation method, location, direction, instrument handling, visualization, anatomy and pathology, general, private, undefinable). The operation was divided into six phases: start, dissection, clipping, separating, control, closing. Classification of the communication during two entire procedures showed that each phase of the operation was dominated by different kinds of communication. A high percentage of explaining anatomy and pathology was found throughout the whole procedure except for the control and closing phases. In the dissection phases, 60% of verbal communication concerned explaining. These explaining communication events were divided as follows: 27% operation method, 19% anatomy and pathology, 25% location (positioning of the instrument-tissue interaction), 15% direction (direction of tissue manipulation), 11% instrument handling, and 3% other nonclassified instructions. The proposed classification method is feasible for analyzing verbal communication during surgical procedures. Communication content objectively reflects the interaction between surgeon and resident. This

  14. Factors predicting the increased risk for return to the operating room in bariatric patients: a NSQIP database study.

    Science.gov (United States)

    Nandipati, Kalyana; Lin, Edward; Husain, Farah; Perez, Sebastian; Srinivasan, Jahnavi; Sweeney, John F; Davis, S Scott

    2013-04-01

    The objective of the study was to assess the risk factors associated with return to the operating room in bariatric surgery patients. Using the American College of Surgeons-National Surgical Quality Improvement Project's participant-use file, patients who underwent laparoscopic gastric bypass (LRYGB) and adjustable gastric band (LAGB) procedures for morbid obesity were identified. Several pre-, peri-, and postoperative variables, including 30 day morbidity and mortality, were collected. The study population was divided into two groups: patients returning to the operating room (group 1), and patients not returning to the operating room (group 2). Variables analyzed included postoperative complications, overall morbidity, and mortality. Relationships between preoperative and perioperative factors leading to the return to the operating room also were analyzed. Of 28,241 (LRYGB = 18,671, LAGB = 9,570) patients included in the study, 644 (2.3 %) patients returned to the operating room. Of the study population, 30 day mortality rate was 0.13 % (37/28,241) and morbidity was 4.1 % (1,155/28,241). Patients returning to the operating room had a higher mortality [14/644 (2.2 %) vs. 23/27,597 (0.01 %); P return to the operating room. Postoperative complications (superficial wound infection, deep surgical site infection, organ space infection, pneumonia, pulmonary embolism, renal insufficiency, renal failure, septic shock, and length of stay) were significantly higher for patients who required reoperation. On multivariate logistic regression analysis, the bypass operation, bleeding disorder, patients on dialysis, preoperative hematocrit, preoperative low albumin, and length of operation were associated with increased risk of return to the operating room. In the bariatric population, return to the operating room is associated with significantly higher morbidity and mortality. Patients who are on dialysis, have a low preoperative serum albumin, and a history of bleeding disorders

  15. The function of Specialist Team Leader in the Management of Operation Room%手术室专科组长在管理中的作用

    Institute of Scientific and Technical Information of China (English)

    张佳明

    2015-01-01

    目的:探讨手术室专科组长在管理中的作用。方法采用回顾性分析法对本院实施手术室专科分组管理情况加以总结和分析,总结专科组长的职责和工作目标,对设立专科组长前后手术备物情况、专科医生对护士的满意度、各指标等加以观察对比。结果相较于设立专科组长前,设立后手术备物情况更加理想、专科医生对护士的满意度更高,护理查房、业务学习等各指标均有明显的改善,前后具有统计学差异(P<0.05)。结论通过设立专科组长协助护士长进行二级管理,可以使手术室的护理管理有很大的提高,不仅可以提高手术配合水平,也可以提高手术室护士整体素质,值得推广和应用。%Objective: to explore the role of specialist team leader of the operation room in management.Methods:a retrospective analysis was used to summarize and analyze the management of specialist in operation room in our hospital, and to sum up the responsibilities and objectives of the specialist team leader.Results: compared to not set up specialist team leader, after the establishment of specialist team leader, surgical preparation items more ideal, a specialist on nurses’ satisfaction higher, nursing rounds, business training and other indexes were significantly improved, with statistical difference (P<0.05).Conclusion: the establishment of specialist team leader to assist the head of the two level management, can make the operation room nursing management has greatly improved, not only can improve the level of operation, but also can improve the overall quality of specialist room nurses, it is worthy of promotion and application.

  16. A study on scattered dose in operation room by C-arm unit

    Energy Technology Data Exchange (ETDEWEB)

    An, Sung Min; Oh, Jung Hwan; Kim, Sung Chul [Gachon Gil College, Incheon (Korea, Republic of)

    2000-04-15

    This paper studied a C-arm's exposure condition and measured scatter rays by thickness and distance. This study reached the following conclusion. Approximately exposure dose for a patient using fluoroscopy is as follows: Mostly, an operating room was not shielding by lead and operator put on only apron without thyroid and facial part protection. 0.5 mmPb equivalent's apron shielded about 99% of scattered rays at 60 cm from x-ray tube. Scattered rays are depended on distance and thickness so operators are should be careful when using fluoroscopy by C-arm and if possible use high frequency equipment that has a large output.

  17. HFMEA模式在手术室安全管理中的应用%Application of HFMEA Model in Safety Management of Operation Room

    Institute of Scientific and Technical Information of China (English)

    马玲飞; 王美珍; 马玲平; 潘卫星

    2015-01-01

    Objective To explore the application of Healthcare Failure Mode and Effect Analysis Using (HFMEA) Model in safety management of operation room and its effect.Methods We set up a HFMEA Model team in January 2013 which aimed at assessing causes of failure in the process of operation with the application of HFMEA Model and finding out corresponding methods to resolve these problems so as to take rectification measures to prevent the occurrence of failure mode. The incidence of adverse events of nursing in operation room, RPN of failure mode and patients' satisfaction rate before and after the application of HFMEA model were compared.Results After the application of HFMEA Model, the incidence of all kinds of adverse events of nursing in operation room reduced obviously. RPN of failure mode which influenced nursing safety of operation reduced from 2014 to 474 with statistically significant (P<0.05). Patients' satisfaction rate increased from 80.20% to 92.12% with statistically significant (P<0.05). Conclusion With the application of HFMEA Model, the failure of nursing in the process of operation can be predicted, the major target for improving safety of operation room can be determined and the nursing safety of operation can be ensured with the implementation of corresponding measures.%目的探讨医疗失效模式和效果分析模式(Healthcare Failure Mode and Effect Analysis,HFMEA)在手术室护理安全管理中的应用效果。方法本院手术室2013年1月成立HFMEA管理小组,运用HFMEA模式评估手术患者手术过程中易发生失效的原因,找出亟待解决的失效环节,进而分析整改措施并实施,以预防失效模式的再次发生。比较实施前后手术室护理不良事件发生情况、失效模式RPN值及患者满意度。结果应用HFMEA模式后,手术室各种护理不良事件发生情况均有明显下降;影响手术护理安全的失效模式RPN值由2104分下降到474分,

  18. Establishment of an operating room committee and a training program to improve aseptic techniques for rodent and large animal surgery.

    Science.gov (United States)

    Héon, Hélène; Rousseau, Nathalie; Montgomery, Jane; Beauregard, Gilles; Choiniére, Manon

    2006-11-01

    Investigators of our research facility generally accept the concept of asepsis as an important component of adequate surgical care for animals. However, they experience difficulties putting it into practice, especially in the case of rodents. The reasons for this are inconvenience, cost, and lack of training. To better assist investigators in the implementation of aseptic surgical techniques in their laboratories, we have created an Operating Room (OR) Committee modeled after OR committees found in human hospitals. A reconstructive surgeon, a veterinarian, a research scientist, a nurse involved in the training of OR personnel, interns, graduate students, and an animal health technician were chosen as committee members in light of their OR and animal care expertise. The first task of the OR Committee was to establish institutional guidelines for aseptic surgery, taking into account the costs imposed on research budgets by these procedures. The OR Committee also supports a complete training program in aseptic surgery techniques, which consists of lectures, a training manual, videos, and a practical course. Furthermore, when experimental procedures require specialized equipment, the OR Committee collaborates with researchers to develop strategies to achieve asepsis. This OR Committee and the training program proved to be important tools to promote and improve the quality of animal care during surgery.

  19. A Coordinated Patient Transport System for ICU Patients Requiring Surgery: Impact on Operating Room Efficiency and ICU Workflow.

    Science.gov (United States)

    Brown, Michael J; Kor, Daryl J; Curry, Timothy B; Marmor, Yariv; Rohleder, Thomas R

    2015-01-01

    Transfer of intensive care unit (ICU) patients to the operating room (OR) is a resource-intensive, time-consuming process that often results in patient throughput inefficiencies, deficiencies in information transfer, and suboptimal nurse to patient ratios. This study evaluates the implementation of a coordinated patient transport system (CPTS) designed to address these issues. Using data from 1,557 patient transfers covering the 2006-2010 period, interrupted time series and before and after designs were used to analyze the effect of implementing a CPTS at Mayo Clinic, Rochester. Using a segmented regression for the interrupted time series, on-time OR start time deviations were found to be significantly lower after the implementation of CPTS (p < .0001). The implementation resulted in a fourfold improvement in on-time OR starts (p < .01) while significantly reducing idle OR time (p < .01). A coordinated patient transfer process for moving patient from ICUs to ORs can significantly improve OR efficiency, reduce nonvalue added time, and ensure quality of care by preserving appropriate care provider to patient ratios.

  20. [Comparison of waste anesthetic gases in operating rooms with or without an scavenging system in a Brazilian University Hospital].

    Science.gov (United States)

    Braz, Leandro Gobbo; Braz, José Reinaldo Cerqueira; Cavalcante, Guilherme Aparecido Silva; Souza, Kátina Meneghetti; Lucio, Lorena Mendes de Carvalho; Braz, Mariana Gobbo

    Occupational exposure to waste anesthetic gases in operating room (OR) without active scavenging system has been associated with adverse health effects. Thus, this study aimed to compare the trace concentrations of the inhaled anesthetics isoflurane and sevoflurane in OR with and without central scavenging system. Waste concentrations of isoflurane and sevoflurane were measured by infrared analyzer at different locations (near the respiratory area of the assistant nurse and anesthesiologist and near the anesthesia station) and at two times (30 and 120minutes after the start of surgery) in both OR types. All isoflurane and sevoflurane concentrations in unscavenged OR were higher than the US recommended limit (2 parts per million), regardless of the location and time evaluated. In scavenged OR, the average concentrations of isoflurane were within the limit of exposure, except for the measurements near the anesthesia station, regardless of the measurement times. For sevoflurane, concentrations exceeded the limit value at all measurement locations and at both times. The exposure to both anesthetics exceeded the international limit in unscavenged OR. In scavenged OR, the concentrations of sevoflurane, and to a lesser extent those of isoflurane, exceeded the recommended limit value. Thus, the OR scavenging system analyzed in the present study decreased the anesthetic concentrations, although not to the internationally recommended values. Copyright © 2017 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  1. Forced-air warming: a source of airborne contamination in the operating room?

    Directory of Open Access Journals (Sweden)

    David Leaper

    2009-12-01

    Full Text Available Forced-air-warming (FAW is an effective and widely used means for maintaining surgical normothermia, but FAW also has the potential to generate and mobilize airborne contamination in the operating room. We measured the emission of viable and non-viable forms of airborne contamination from an arbitrary selection of FAW blowers (n=25 in the operating room. A laser particle counter measured particulate concentrations of the air near the intake filter and in the distal hose airstream. Filtration efficiency was calculated as the reduction in particulate concentration in the distal hose airstream relative to that of the intake. Microbial colonization of the FAW blower’s internal hose surfaces was assessed by culturing the microorganisms recovered through swabbing (n=17 and rinsing (n=9 techniques. Particle counting revealed that 24% of FAW blowers were emitting significant levels of internally generated airborne contamination in the 0.5 to 5.0 mm size range, evidenced by a steep decrease in FAW blower filtration efficiency for particles 0.5 to 5.0 mm in size. The particle size-range-specific reduction in efficiency could not be explained by the filtration properties of the intake filter. Instead, the reduction was found to be caused by size-range-specific particle generation within the FAW blowers. Microorganisms were detected on the internal air path surfaces of 94% of FAW blowers. The design of FAW blowers was found to be questionable for preventing the build-up of internal contamination and the emission of airborne contamination into the operating room. Although we did not evaluate the link between FAW and surgical site infection rates, a significant percentage of FAW blowers with positive microbial cultures were emitting internally generated airborne contamination within the size range of free floating bacteria and fungi (<4 mm that could, conceivably, settle onto the surgical site.

  2. Teaching techniques in the operating room: the importance of perceptual motor teaching.

    Science.gov (United States)

    Skoczylas, Laura C; Littleton, Eliza B; Kanter, Steven L; Sutkin, Gary

    2012-03-01

    To identify sucessful teaching techniques in the operating room environment through examining the teaching of the midurethral sling (MUS) surgery. The authors distributed questionnaires with open-ended questions about teaching and learning MUS to 5 urogynecology attendings and 16 obstetrics-gynecology residents in spring 2010. In an effort to identify qualities of an effective sling teacher, the authors used grounded theory to determine common themes and to code participant responses for examples. Of 21 potential respondents, 14 (67%) returned questionnaires. The authors analyzed these and identified seven commonalities among effective sling teachers: they (1) emphasize anatomical landmarks (as determined by 64 total comments); (2) use perceptual-motor teaching (PMT; 38 comments); (3) encourage repetition (28); (4) promote early independence (34); (5) demonstrate confident competence (23); (6) maintain a calm demeanor in the operating room (20); and (7) exhibit a willingness to accept responsibility for mistakes and consequences (9). The second-most common attribute, using PMT, requires the teaching attending to emphasize the motor and tactile aspects of operating and involves incorporating not only what learners see but also what they feel. The authors report seven qualities or techniques fundamental to good teaching practice in a high-stress, high-technology surgical environment, and they have identified the use of PMT, which to their knowledge has not been previously described. Teachers and learners in this study characterized PMT, which is likely generalizable to surgical procedures other than the MUS, as important. Future research should focus on exploring this technique in other surgeries.

  3. Automation inflicted differences on operator performance in nuclear power plant control rooms

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, Jonas; Osvalder, A.L. [Chalmers Univ. of Technology, Dept. of Product and Producton Development (Sweden)

    2007-03-15

    Today it is possible to automate almost any function in a human-machine system. Therefore it is important to find a balance between automation level and the prerequisites for the operator to maintain safe operation. Different human factors evaluation methods can be used to find differences between automatic and manual operations that have an effect on operator performance; e.g. Predictive Human Error Analysis (PHEA), NASA Task Load Index (NASA-TLX), Halden Questionnaire, and Human Error Assessment and Reduction Technique (HEART). Results from an empirical study concerning automation levels, made at Ringhals power plant, showed that factors as time pressure and criticality of the work situation influenced the operator's performance and mental workload more than differences in level of automation. The results indicate that the operator's attention strategies differ between the manual and automatic sequences. Independently of level of automation, it is essential that the operator retains control and situational understanding. When performing a manual task, the operator is 'closer' to the process and in control with sufficient situational understanding. When the level of automation increases, the demands on information presentation increase to ensure safe plant operation. The need for control can be met by introducing 'control gates' where the operator has to accept that the automatic procedures are continuing as expected. Situational understanding can be established by clear information about process status and by continuous feedback. A conclusion of the study was that a collaborative control room environment is important. Rather than allocating functions to either the operator or the system, a complementary strategy should be used. Key parameters to consider when planning the work in the control room are time constraints and task criticality and how they affect the performance of the joint cognitive system.However, the examined working

  4. 精益医疗管理在手术室运营中的应用%Application of Refined Medical Care Management in Operation Room Process

    Institute of Scientific and Technical Information of China (English)

    关兵; 许海文; Juan Amador; Brent Dobsch; Jose Paredes

    2014-01-01

    Objective To understand the current status of operation room process , and find out the reason of the decrease of surgery operation.To propose the improving measures, and achieve continuous quality improve -ment.Method Observing the following items of certain third -level grade -A hospital operation room , including daily work processes, whole process of each operation from preparation to start to the end , all the time of each link. Rendering the value stream map, finding out the efficiency factors which influence the value flow of each link .Put forward some suggestions.Conclusion The main factors affecting the operation quantities of hospital were as fol -lows: the number of beds; the number of operation room; the number of medical personnel (including: the sur-geon, anesthesiologist, operation nurse), etc.%目的:了解手术室流程现状,找出外科手术量下降的原因,实施改进措施,持续监控改进效果。方法观察某三级甲等医院手术室每日工作流程,监测每台手术从准备、开始到结束的全部过程,并详细记录各环节所需时间,应用精益医疗的方法绘制手术室价值流图,找出影响价值流中各环节效率的问题并提出改进建议。结论影响某三甲医院手术量的主要因素为:①床位数量;②手术间数量;③医护人员数量(包括:外科医师、麻醉师、手术护士)等。

  5. Development of Alarm System link Drawing for Operation Support for APR1400 Digital Main Control Room

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ki-Hwan [KHNP CRI, Daejeon (Korea, Republic of)

    2016-10-15

    Digitalized MMI(Man-Machine Interface) including Digital Main Control Room(MCR) and digital I and C system was being applied for SKN 3 and 4 Nuclear Power Plant(NPP) and subsequent APR1400 NPP type. But, operators can not easily find instrument for alarm immediately. Therefore, Alarm system is required to easily find instrument for Alarm. For this implementation, we will plan system design considering design feature without affecting network load and CPU load. We have developed Alarm system link drawing for digital MCR. Operators of the digitalized MCR navigates from their consoles to the drawings related to the plant alarms and their instruments or the operation status. Such method gives cognitive load to the operators having to travel to different locations in finding the related information. Screen Sharing System, which is the fundamental technique for Drawing Interconnection Alarm System is close to completion, and it should be functionally tested and verified by the human factor engineering. For the actual application to the operating plants, the drawings to be interconnected to the alarms and the opinions from the operators/maintenance departments for designating alarm number should be surveyed, Also, another function that allows the access to the alarm related drawings not only from the MCR but also from the other offices.

  6. Actual Situations and Problems of Postoperative Nursing Care for the Elderly who Underwent Neurosurgical Operation

    OpenAIRE

    2014-01-01

    The objective of the study is to identify nursing care and related problems involved in extending the daily life and supporting self-care of the elderly who underwent neurosurgical operation, and to determine the direction of nursing care. Subjects were six nurses who had been working in anacute-phase department for five years or longer. Collected data was analyzed by the qualitative synthesis method (KJ method). The results clarified [nursing care to enhance the treatment effect of neurosurg...

  7. Human Factors Guidance for Control Room and Digital Human-System Interface Design and Modification, Guidelines for Planning, Specification, Design, Licensing, Implementation, Training, Operation and Maintenance

    Energy Technology Data Exchange (ETDEWEB)

    R. Fink, D. Hill, J. O' Hara

    2004-11-30

    Nuclear plant operators face a significant challenge designing and modifying control rooms. This report provides guidance on planning, designing, implementing and operating modernized control rooms and digital human-system interfaces.

  8. Air quality monitoring of the post-operative recovery room and locations surrounding operating theaters in a medical center in Taiwan.

    Science.gov (United States)

    Tang, Chin-Sheng; Wan, Gwo-Hwa

    2013-01-01

    To prevent surgical site infection (SSI), the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH), and carbon dioxide (CO2), suspended particulate matter (PM), and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18%) and traumatic surgery room (8%). The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers.

  9. Air quality monitoring of the post-operative recovery room and locations surrounding operating theaters in a medical center in Taiwan.

    Directory of Open Access Journals (Sweden)

    Chin-Sheng Tang

    Full Text Available To prevent surgical site infection (SSI, the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH, and carbon dioxide (CO2, suspended particulate matter (PM, and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18% and traumatic surgery room (8%. The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers.

  10. Air Quality Monitoring of the Post-Operative Recovery Room and Locations Surrounding Operating Theaters in a Medical Center in Taiwan

    Science.gov (United States)

    Tang, Chin-Sheng; Wan, Gwo-Hwa

    2013-01-01

    To prevent surgical site infection (SSI), the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH), and carbon dioxide (CO2), suspended particulate matter (PM), and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18%) and traumatic surgery room (8%). The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers. PMID:23573296

  11. 护生护理操作技能的培养%Nursing Operation Skills Training of Nursing Students

    Institute of Scientific and Technical Information of China (English)

    崔德花; 王所荣

    2014-01-01

    The nursing operation skills of nursing students is directly related to the safety of the patient, family and community, and is the key to nursing students performing the care work after graduation. The author strengthened the training of nursing operation skills of nursing students in practice teaching, which had achieve better results.%护生护理操作技能的优劣直接关系到患者、家庭、社会的安危,是护生毕业后走上护理工作岗位能否胜任工作的关键,笔者在实践教学中加强护生操作技能的培养,取得较好效果。

  12. A professional and cost effective digital video editing and image storage system for the operating room.

    Science.gov (United States)

    Scollato, A; Perrini, P; Benedetto, N; Di Lorenzo, N

    2007-06-01

    We propose an easy-to-construct digital video editing system ideal to produce video documentation and still images. A digital video editing system applicable to many video sources in the operating room is described in detail. The proposed system has proved easy to use and permits one to obtain videography quickly and easily. Mixing different streams of video input from all the devices in use in the operating room, the application of filters and effects produces a final, professional end-product. Recording on a DVD provides an inexpensive, portable and easy-to-use medium to store or re-edit or tape at a later time. From stored videography it is easy to extract high-quality, still images useful for teaching, presentations and publications. In conclusion digital videography and still photography can easily be recorded by the proposed system, producing high-quality video recording. The use of firewire ports provides good compatibility with next-generation hardware and software. The high standard of quality makes the proposed system one of the lowest priced products available today.

  13. Health risks associated with exposure to surgical smoke for surgeons and operation room personnel.

    Science.gov (United States)

    Okoshi, Kae; Kobayashi, Katsutoshi; Kinoshita, Koichi; Tomizawa, Yasuko; Hasegawa, Suguru; Sakai, Yoshiharu

    2015-08-01

    Although surgical smoke contains potentially hazardous substances, such as cellular material, blood fragments, microorganisms, toxic gases and vapors, many operating rooms (ORs) do not provide protection from exposure to it. This article reviews the hazards of surgical smoke and the means of protecting OR personnel. Our objectives are to promote surgeons' acceptance to adopt measures to minimize the hazards. Depending on its components, surgical smoke can increase the risk of acute and chronic pulmonary conditions, cause acute headaches; irritation and soreness of the eyes, nose and throat; dermatitis and colic. Transmission of infectious disease may occur if bacterial or viral fragments present in the smoke are inhaled. The presence of carcinogens in surgical smoke and their mutagenic effects are also of concern. This review summarizes previously published reports and data regarding the toxic components of surgical smoke, the possible adverse effects on the health of operating room personnel and measures that can be used to minimize exposure to prevent respiratory problems. To reduce the hazards, surgical smoke should be removed by an evacuation system. Surgeons should assess the potential dangers of surgical smoke and encourage the use of evacuation devices to minimize potential health hazards to both themselves and other OR personnel.

  14. Improved scores for observed teamwork in the clinical environment following a multidisciplinary operating room simulation intervention.

    Science.gov (United States)

    Weller, Jennifer M; Cumin, David; Civil, Ian D; Torrie, Jane; Garden, Alexander; MacCormick, Andrew D; Gurusinghe, Nishanthi; Boyd, Matthew J; Frampton, Christopher; Cokorilo, Martina; Tranvik, Magnus; Carlsson, Lisa; Lee, Tracey; Ng, Wai Leap; Crossan, Michael; Merry, Alan F

    2016-08-05

    We ran a Multidisciplinary Operating Room Simulation (MORSim) course for 20 complete general surgical teams from two large metropolitan hospitals. Our goal was to improve teamwork and communication in the operating room (OR). We hypothesised that scores for teamwork and communication in the OR would improve back in the workplace following MORSim. We used an extended Behavioural Marker Risk Index (BMRI) to measure teamwork and communication, because a relationship has previously been documented between BMRI scores and surgical patient outcomes. Trained observers scored general surgical teams in the OR at the two study hospitals before and after MORSim, using the BMRI. Analysis of BMRI scores for the 224 general surgical cases before and 213 cases after MORSim showed BMRI scores improved by more than 20% (0.41 v 0.32, pteamwork score would translate into a clinically important reduction in complications and mortality in surgical patients. We demonstrated an improvement in scores for teamwork and communication in general surgical ORs following our intervention. These results support the use of simulation-based multidisciplinary team training for OR staff to promote better teamwork and communication, and potentially improve outcomes for general surgical patients.

  15. Improving operating room efficiency in academic children's hospital using Lean Six Sigma methodology.

    Science.gov (United States)

    Tagge, Edward P; Thirumoorthi, Arul S; Lenart, John; Garberoglio, Carlos; Mitchell, Kenneth W

    2017-06-01

    Lean Six Sigma (LSS) is a process improvement methodology that utilizes a collaborative team effort to improve performance by systematically identifying root causes of problems. Our objective was to determine whether application of LSS could improve efficiency when applied simultaneously to all services of an academic children's hospital. In our tertiary academic medical center, a multidisciplinary committee was formed, and the entire perioperative process was mapped, using fishbone diagrams, Pareto analysis, and other process improvement tools. Results for Children's Hospital scheduled main operating room (OR) cases were analyzed, where the surgical attending followed themselves. Six hundred twelve cases were included in the seven Children's Hospital operating rooms (OR) over a 6-month period. Turnover Time (interval between patient OR departure and arrival of the subsequent patient) decreased from a median 41min in the baseline period to 32min in the intervention period (p<0.0001). Turnaround Time (interval between surgical dressing application and subsequent surgical incision) decreased from a median 81.5min in the baseline period to 71min in the intervention period (p<0.0001). These results demonstrate that a coordinated multidisciplinary process improvement redesign can significantly improve efficiency in an academic Children's Hospital without preselecting specific services, removing surgical residents, or incorporating new personnel or technology. Prospective comparative study, Level II. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Room-temperature operation of a titanium supersaturated silicon-based infrared photodetector

    Science.gov (United States)

    García-Hemme, E.; García-Hernansanz, R.; Olea, J.; Pastor, D.; del Prado, A.; Mártil, I.; González-Díaz, G.

    2014-05-01

    We report room-temperature operation of 1 × 1 cm2 infrared photoconductive photodetectors based on silicon supersaturated with titanium. We have fabricated these Si-based infrared photodetectors devices by means of ion implantation followed by a pulsed laser melting process. A high sub-band gap responsivity of 34 mV W-1 has been obtained operating at the useful telecommunication applications wavelength of 1.55 μm (0.8 eV). The sub-band gap responsivity shows a cut-off frequency as high as 1.9 kHz. These Si-based devices exhibit a non-previous reported specific detectivity of 1.7 × 104 cm Hz1/2 W-1 at 660 Hz, under a 1.55 μm wavelength light. This work shows the potential of Ti supersaturated Si as a fully CMOS-compatible material for the infrared photodetection technology.

  17. Which algorithm for scheduling add-on elective cases maximizes operating room utilization? Use of bin packing algorithms and fuzzy constraints in operating room management.

    Science.gov (United States)

    Dexter, F; Macario, A; Traub, R D

    1999-11-01

    The algorithm to schedule add-on elective cases that maximizes operating room (OR) suite utilization is unknown. The goal of this study was to use computer simulation to evaluate 10 scheduling algorithms described in the management sciences literature to determine their relative performance at scheduling as many hours of add-on elective cases as possible into open OR time. From a surgical services information system for two separate surgical suites, the authors collected these data: (1) hours of open OR time available for add-on cases in each OR each day and (2) duration of each add-on case. These empirical data were used in computer simulations of case scheduling to compare algorithms appropriate for "variable-sized bin packing with bounded space." "Variable size" refers to differing amounts of open time in each "bin," or OR. The end point of the simulations was OR utilization (time an OR was used divided by the time the OR was available). Each day there were 0.24 +/- 0.11 and 0.28 +/- 0.23 simulated cases (mean +/- SD) scheduled to each OR in each of the two surgical suites. The algorithm that maximized OR utilization, Best Fit Descending with fuzzy constraints, achieved OR utilizations 4% larger than the algorithm with poorest performance. We identified the algorithm for scheduling add-on elective cases that maximizes OR utilization for surgical suites that usually have zero or one add-on elective case in each OR. The ease of implementation of the algorithm, either manually or in an OR information system, needs to be studied.

  18. Multidisciplinary teamwork improves use of the operating room: a multicenter study.

    Science.gov (United States)

    van Veen-Berkx, Elizabeth; Bitter, Justin; Kazemier, Geert; Scheffer, Gert J; Gooszen, Hein G

    2015-06-01

    Poor inter-professional collaboration might negatively influence adequate planning of operative procedures. Interventions capable of improving inter-professional collaboration will positively impact professional practice and health care outcomes. Radboud University Medical Center (UMC) redesigned their operating room (OR) scheduling method by implementing cross-functional teams (CFTs). In this center, positive effects of CFTs were already demonstrated in a mono-center study. This study aims to confirm these effects by comparing the Radboud data with data from 6 other similar centers using a nationwide OR benchmark collaborative. The effect of CFTs was measured by the performance indicator "raw utilization." The Kruskal-Wallis one-way ANOVA was applied to compare OR performance among all 7 centers. The Wilcoxon-Mann-Whitney test was used to determine differences in OR performance between Radboud UMC and the control group. Operating room performance differed significantly among all 7 centers (p<0.0005). Radboud UMC demonstrated the highest median raw utilization of 94% vs 85% in the control group (p<0.0005). Box-and-whisker plots validated the reduced variation during the years, indicating an organizational learning effect. Therefore, not only a better performance than the control group, but also a gradual improvement of this performance during the years. This study shows that multidisciplinary collaboration in CFTs during the perioperative phase has a positive influence on OR scheduling and use of OR time. Other national databases considering mortality rates also support the idea that introducing CFTs is not only an important condition for improving OR performance, but also for improving quality of care. Copyright © 2015 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  19. Operating Room Efficiency: Benefits of an Orthopaedic Traumatologist at a Level II Trauma Center.

    Science.gov (United States)

    Althausen, Peter L; Kauk, Justin R; Shannon, Steven; Lu, Minggen; O'Mara, Timothy J; Bray, Timothy J

    2016-12-01

    Fellowship-trained orthopaedic traumatologists are presumably taught skill sets leading to "best practice" outcomes and more efficient use of hospital resources. This should result in more favorable economic opportunities when compared with general orthopaedic surgeons (GOSs) providing similar clinical services. The purpose of our study was to compare the operating room utilization and financial data of traumatologists versus GOSs at a level II trauma center. Retrospective review. Level II community-based trauma hospital. Patients who presented to the emergency room at our institution with fractures and orthopaedic conditions requiring surgical intervention from January 1, 2010, to December 31, 2011. Operative fracture fixation by members of our orthopaedic trauma panel, including fellowship and nontrauma fellowship-trained orthopaedic surgeons. Our institutional database was queried to determine operative times, surgical supply and implant costs, and surgery labor expenses. Patients were stratified according to those treated by our trauma panel's 3 traumatologists and those treated by the 15 GOSs on our trauma panel. These 2 groups were then compared using standard statistical methods. A total of 6449 orthopedic cases were identified and 2076 of these involved fracture care. One thousand one hundred ninety-nine patients were treated by traumatologists and 877 by GOSs. There was no statistical difference detected in American Society of Anesthesiologists score between trauma and nontrauma groups. Overall, the traumatologist group demonstrated significantly decreased procedure times when compared with the GOS group (55.6 vs. 75.8 minutes, P , 0.0001). In 16 of 18 most common procedure types, traumatologists were more efficient. This led to significantly decreased surgical labor costs ($381.4 vs. $484.8; P Economic Level IV. See Instructions for Authors for a complete description of levels of evidence.

  20. [Intelligent operating room suite : From passive medical devices to the self-thinking cognitive surgical assistant].

    Science.gov (United States)

    Kenngott, H G; Wagner, M; Preukschas, A A; Müller-Stich, B P

    2016-12-01

    Modern operating room (OR) suites are mostly digitally connected but until now the primary focus was on the presentation, transfer and distribution of images. Device information and processes within the operating theaters are barely considered. Cognitive assistance systems have triggered a fundamental rethinking in the automotive industry as well as in logistics. In principle, tasks in the OR, some of which are highly repetitive, also have great potential to be supported by automated cognitive assistance via a self-thinking system. This includes the coordination of the entire workflow in the perioperative process in both the operating theater and the whole hospital. With corresponding data from hospital information systems, medical devices and appropriate models of the surgical process, intelligent systems could optimize the workflow in the operating theater in the near future and support the surgeon. Preliminary results on the use of device information and automatically controlled OR suites are already available. Such systems include, for example the guidance of laparoscopic camera systems. Nevertheless, cognitive assistance systems that make use of knowledge about patients, processes and other pieces of information to improve surgical treatment are not yet available in the clinical routine but are urgently needed in order to automatically assist the surgeon in situation-related activities and thus substantially improve patient care.

  1. The Improvement Effect of Detail Management on Nursing Quality and Nursing Staff of the Supply Room%细节管理对供应室护理工作质量和护理人员的改善作用

    Institute of Scientific and Technical Information of China (English)

    刘琼

    2014-01-01

    目的:探讨细节管理对提高供应室护理管理工作满意度及护理人员风险识别意识的作用。方法:2012年1月-2013年1月在笔者所在医院供应室护理管理工作中实施细节管理,并与2011年1-12月行常规管理进行对比,分析细节管理服务模式实施前后患者对护理工作满意度、护理人员工作质量、风险事件发生率等方面的差异。结果:与实施前相比,实施后护理人员服务意识、安全识别能力、风险意识、工作责任心、解决问题能力、专科知识学习能力、专科操作能力均得到提高,差异有统计学意义(P<0.05)。与实施前相比,实施细节管理后临床科室对供应室满意率显著提高,差异有统计学意义(P<0.05)。与实施前相比,实施后物品光洁度不佳、异物、污迹、异味等风险事件发生率显著下降,而物品消毒合格率显著提高,差异有统计学意义(P<0.05)。结论:在供应室护理工作中应用细节管理可提高患者对护理工作的满意度,提高护理人员工作质量,有利于减少护患纠纷的发生,有利于良好护患关系的建立。%Objective: To investigate the effect of details management on the improvement of satisfaction of nursing management and the awareness of risk identification of the nursing staff.Method:The supply room were implementation details of the managemen from January 2012 to January 2013 and conventional management were implementation from January 2011 to December 2011.The implementation nursing job satisfaction,the quality of the nursing staff,risk event rates before and after implementation were compared.Result:The nursing service awareness,the ability to identify safety,risk awareness, sense of responsibility,problem solving skills,specialist knowledge and learning ability,specialist operational capabilities after the implementation were improved than before implementation(P<0.05).The rate of clinical departments

  2. InSb Mid-Infrared Photon Detector for Room-Temperature Operation

    Science.gov (United States)

    Ueno, Koichiro; Gomes Camargo, Edson; Katsumata, Takashi; Goto, Hiromasa; Kuze, Naohiro; Kangawa, Yoshihiro; Kakimoto, Koichi

    2013-09-01

    We developed a small InSb mid-infrared (2-7 µm wavelength range) photon detector that operates at room temperature. The photodiode was made from (hetero epitaxial) InSb layers that were grown on a semi-insulating GaAs substrate by molecular beam epitaxy. To suppress the effects of the diffusion current of the p-i-n photodiode, we used an AlInSb barrier layer that raises the resistance of the photodiode. We also optimized the device's doping concentration and the infrared incidence window structure. These optimization steps realized high photoelectric current output in a room-temperature environment. We also increased the signal-to-noise ratio of the detector by connecting multiple photodiodes in series. The size of this detector is 1.9×2.7×0.4 mm3 and the detectivity is 2.8×108 cm Hz1/2/W at 300 K. This is a practical IR detector that can be used in general signal amplification ICs.

  3. Nitrous Oxide Levels In Operating and Recovery Rooms of Iranian Hospitals

    Directory of Open Access Journals (Sweden)

    Sh Sadigh Maroufi

    2011-06-01

    Full Text Available "nBackground: Nitrous oxide (N2O is the oldest anesthetic in routine clinical use and its occupational exposure is under regulation by many countries. As studies are lacking to demonstrate the status of nitrous oxide levels in operating and recovery rooms of Iranian hospitals, we aimed to study its level in teaching hospitals of Tehran University of Medical Sciences."nMethods: During a 6-month period, we have measured the shift-long time weighted average concentration of N2O in 43 op­erating and 12 recovery rooms of teaching hospitals of Tehran University of Medical Sciences."nResults: The results show that the level of nitrous oxide in all hospitals is higher than the limits set by different countries and anesthetists are at higher risk of exposure. In addition, it was shown that installation of air ventilation could reduce not only the overall exposure level, but also the level of exposure of anesthetists in comparison with other personnel."nConclusion: The high nitrous oxide level in Iranian hospitals necessitates improvement of waste gas evacuation systems and regular monitoring to bring the concentration of this gas into the safe level.

  4. Fabrication of room temperature continuous-wave operation GaN-based ultraviolet laser diodes

    Science.gov (United States)

    Zhao, Degang; Yang, Jing; Liu, Zongshun; Chen, Ping; Zhu, Jianjun; Jiang, Desheng; Shi, Yongsheng; Wang, Hai; Duan, Lihong; Zhang, Liqun; Yang, Hui

    2017-06-01

    Two kinds of continuous-wave GaN-based ultraviolet laser diodes (LDs) operated at room temperature and with different emission wavelengths are demonstrated. The LDs epitaxial layers are grown on GaN substrate by metalorganic chemical vapor deposition, with a 10 × 600 μm2 ridge waveguide structure. The electrical and optical characteristics of the ultraviolet LDs are investigated under direct-current injection at room temperature. The stimulated emission peak wavelength of first LD is 392.9 nm, the threshold current density and voltage is 1.5 kA/cm2 and 5.0 V, respectively. The output light power is 80 mW under the 4.0 kA/cm2 injection current density. The stimulated emission peak wavelength of second LD is 381.9 nm, the threshold current density the voltage is 2.8 kA/cm2 and 5.5 V, respectively. The output light power is 14 mW under a 4.0 kA/cm2 injection current density. Projects the supported by the National Key R&D Program of China (Nos. 2016YFB0401801, 2016YFB0400803), the National Natural Science Foundation of China (Nos. 61674138, 61674139, 61604145, 61574135, 61574134, 61474142, 61474110, 61377020, 61376089), the Science Challenge Project (No. JCKY2016212A503), and the One Hundred Person Project of the Chinese Academy of Sciences.

  5. Augmented-reality visualization in iMRI operating room: system description and preclinical testing

    Science.gov (United States)

    Sauer, Frank; Khamene, Ali; Bascle, Benedicte; Vogt, Sebastian; Rubino, Gregory

    2002-05-01

    We developed an augmented reality system targeting image guidance for surgical procedures. The surgeon wears a video- see-through head mounted display that provides him with a stereo video view of the patient. The live video images are augmented with graphical representations of anatomical structures that are segmented from medical image data. The surgeon can see, e.g., a tumor in its actual location inside the patient. This in-situ visualization, where the computer maps the image information onto the patient, promises the most direct, intuitive guidance for surgical procedures. In this paper, we describe technical details of the system and its installation in UCLA's iMRI operating room. We added instrument tracking to the capabilities of our system to prepare it for minimally invasive procedures. We discuss several pre-clinical phantom experiments that support the potential clinical usefulness of augmented reality guidance.

  6. Operating Room Performance Improves after Proficiency-Based Virtual Reality Cataract Surgery Training

    DEFF Research Database (Denmark)

    Thomsen, Ann Sofia Skou; Bach-Holm, Daniella; Kjærbo, Hadi

    2017-01-01

    PURPOSE: To investigate the effect of virtual reality proficiency-based training on actual cataract surgery performance. The secondary purpose of the study was to define which surgeons benefit from virtual reality training. DESIGN: Multicenter masked clinical trial. PARTICIPANTS: Eighteen cataract...... surgeons with different levels of experience. METHODS: Cataract surgical training on a virtual reality simulator (EyeSi) until a proficiency-based test was passed. MAIN OUTCOME MEASURES: Technical performance in the operating room (OR) assessed by 3 independent, masked raters using a previously validated...... task-specific assessment tool for cataract surgery (Objective Structured Assessment of Cataract Surgical Skill). Three surgeries before and 3 surgeries after the virtual reality training were video-recorded, anonymized, and presented to the raters in random order. RESULTS: Novices (non...

  7. Risk Factors for Return to the Operating Room after Resident-Performed Cataract Surgery.

    Science.gov (United States)

    Menda, Shivali A; Driver, Todd H; Neiman, Alexandra E; Blumberg, Seth; Naseri, Ayman; Stewart, Jay M

    2016-09-29

    Investigate risk factors for unplanned return to the operating room after resident-performed cataract surgery. Retrospective case-control study. Institutional. Study population: All patients with reoperation within 90 days of resident-performed phacoemulsification were matched to four control eyes which had surgery within 30 days of the reoperation at the same institution. Billing codes were used to identify all patients who underwent resident-performed intended phacoemulsification with intraocular lens placement from January 2005 to December 2010. Investigated risk factors for reoperation included cataract characteristics and preexisting ocular co-morbidities, including diabetic retinopathy, retinal detachment history, glaucoma, corneal pathology, and uveitis. Additional preoperative risk factors studied included resident training year, history of tamsulosin use, phacodonesis, pupillary dilation, presence of pseudoexfoliation, myopia, history of trauma, visual acuity, and monocular status. Intraoperative variables were the use of iris expansion devices, use of capsular stain, attending type, incision type, use of sutures, vitreous loss, anesthesia type, and phacoemulsification technique. There were 67 returns to the operating room (i.e., cases) over five years that were assigned to 268 control eyes. In preoperative multivariate analysis, phacoemulsification done by a first- or second-year resident (OR 3.2, 95% CI: 1.7-6.0, p risk of reoperation. In postoperative multivariate analysis, only the use of the divide-and-conquer technique (OR 4.0, 95% CI:1.7-9.2, p = 0.001) was associated with an increased risk of reoperation. Phacoemulsification done by a junior resident or using the divide-and-conquer technique had the highest risk of reoperation.

  8. Wearing lead aprons in surgical operating rooms: ergonomic injuries evidenced by infrared thermography.

    Science.gov (United States)

    Alexandre, Dominique; Prieto, Marc; Beaumont, Fabien; Taiar, Redha; Polidori, Guillaume

    2017-03-01

    The purpose of this study is to quantify the impact of the weight of radiation protection lead aprons on the discomfort and the fatigue of the medical staff within an operating room of interventional gastroenterology. To quantify this fatigue, we analyzed variations of the physiological parameters, including heart rate, blood pressure, and cutaneous temperature; we compared two situations: the first within the classic endoscopy department (without apron) and the second within the operating room with apron. A follow-up study with lighter lead aprons was also conducted. We used infrared thermography as the principal method of analysis in our study. This technique permits us to obtain data, without body contact, of the spatial and temporal orientation of temperatures on subject skin. This method proves to be beneficial in the evaluation of the posture of users. The symmetry of the temperature evolution among the different body zones can contribute to the body balance analysis. Our results of the cutaneous temperatures obtained by infrared camera show significant differences in the muscular activity. All the muscular groups studied were revealed significant temperature increases. The temperature curve T2-T1 reveals the actual influence of carrying heavy apron loads. Regardless of the muscular group, this temperature increase varies on the range between 0.55°C and 0.95°C. The muscular groups most recruited are the trapezoids and pectorals. The muscles least recruited are those of the lower limbs. The study shows the impact of load bearing on the body mechanics of medical staff during work. It will be beneficial to develop this study to predict changes in skin temperature because of the various types of aprons and to determine the possible correlation between the thermal distribution and users' sense of comfort. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Anesthetic drug wastage in the operation room: A cause for concern

    Directory of Open Access Journals (Sweden)

    Kapil Chaudhary

    2012-01-01

    Full Text Available Context: The cost of anesthetic technique has three main components, i.e., disposable supplies, equipments, and anesthetic drugs. Drug budgets are an easily identifiable area for short-term savings. Aim: To assess and estimate the amount of anesthetic drug wastage in the general surgical operation room. Also, to analyze the financial implications to the hospital due to drug wastage and suggest appropriate steps to prevent or minimize this wastage. Settings and Design: A prospective observational study conducted in the general surgical operation room of a tertiary care hospital. Materials and Methods: Drug wastage was considered as the amount of drug left unutilized in the syringes/vials after completion of a case and any ampoule or vial broken while loading. An estimation of the cost of wasted drug was made. Results: Maximal wastage was associated with adrenaline and lignocaine (100% and 93.63%, respectively. The drugs which accounted for maximum wastage due to not being used after loading into a syringe were adrenaline (95.24%, succinylcholine (92.63%, lignocaine (92.51%, mephentermine (83.80%, and atropine (81.82%. The cost of wasted drugs for the study duration was 46.57% (Rs. 16,044.01 of the total cost of drugs issued/loaded (Rs. 34,449.44. Of this, the cost of wastage of propofol was maximum being 56.27% (Rs. 9028.16 of the total wastage cost, followed by rocuronium 17.80% (Rs. 2856, vecuronium 5.23% (Rs. 840, and neostigmine 4.12% (Rs. 661.50. Conclusions: Drug wastage and the ensuing financial loss can be significant during the anesthetic management of surgical cases. Propofol, rocuronium, vecuronium, and neostigmine are the drugs which contribute maximally to the total wastage cost. Judicious use of these and other drugs and appropriate prudent measures as suggested can effectively decrease this cost.

  10. Global public health impact of recovered supplies from operating rooms: a critical analysis with national implications.

    Science.gov (United States)

    Wan, Eric L; Xie, Li; Barrett, Miceile; Baltodano, Pablo A; Rivadeneira, Andres F; Noboa, Jonathan; Silver, Maya; Zhou, Richard; Cho, Suzy; Tam, Tammie; Yurter, Alp; Gentry, Carol; Palacios, Jorge; Rosson, Gedge D; Redett, Richard J

    2015-01-01

    In modern operating rooms, clean and unused medical supplies are routinely discarded and can be effectively recovered and redistributed abroad to alleviate the environmental burden of donor hospitals and to generate substantial health benefits at resource-poor recipient institutions. We established a recovery and donation program to collect clean and unused supplies for healthcare institutions in developing nations. We analyzed items donated over a 3-year period (September 2010-November 2013) by quantity and weight, and estimated the projected value of the program under potential nationwide participation. To capture the health benefits attributable to the donated supplies at recipient institutions, we partnered with two tertiary-care centers in Guayaquil, Ecuador and conducted a pilot study on the utility of the donated supplies at the recipient institutions (October 2013). We determined the disability-adjusted life years (DALY) averted for all patients undergoing procedures involving donated items and estimated the annual attributable DALY as well as the cost per DALY averted both by supply and by procedure. Approximately, 2 million lbs (907,185 kg) per year of medical supplies are recoverable from large non-rural US academic medical centers. Of these supplies, 19 common categories represent a potential for donation worth US $15 million per year, at a cost-utility of US $2.14 per DALY averted. Hospital operating rooms continue to represent a large source of recoverable surgical supplies that have demonstrable health benefits in the recipient communities. Cost-effective recovery and need-based donation programs can significantly alleviate the global burden of surgical diseases.

  11. Influence of the operating room schedule on tardiness from scheduled start times.

    Science.gov (United States)

    Wachtel, Ruth E; Dexter, Franklin

    2009-06-01

    Tardiness from scheduled start times in a surgical suite is a common source of frustration for both operating room personnel and patients. Data from two surgical suites were used to investigate the relative importance of various factors that contribute to tardiness, including average case duration, time of day, prolonged turnovers, whether a surgeon follows himself or another surgeon, the potential for starting cases early, concurrency (e.g., number of residents supervised simultaneously), expected under-utilized or over-utilized time, and case duration bias. Average tardiness per case did not depend on the individual durations of preceding cases or on the relative numbers of long and short cases. In contrast, the total duration of preceding cases was important in determining tardiness. Tardiness per case grew larger as the day progressed because the total duration of preceding cases increased, but began to decline for cases scheduled to commence 6 h after the start of the workday. Tardiness was not affected by prolonged turnovers, differences in average case duration among services, or whether a surgeon followed himself or another surgeon in the same operating room. Tardiness was affected by expected under-utilized or over-utilized time at the end of the workday and by case duration bias. Factors associated with the largest numbers of cases had the biggest influence on tardiness. Greater understanding of these factors aided in the development of several mathematical interventions to reduce tardiness in the two surgical suites. These interventions and their applicability for reducing tardiness are described in a companion article. At two surgical suites, tardiness from scheduled start times did not depend on average case duration or prolonged turnovers. Tardiness did depend on the total duration of preceding cases, expected under-utilized or over-utilized time at the end of the day, and case duration bias.

  12. Operating room fire prevention: creating an electrosurgical unit fire safety device.

    Science.gov (United States)

    Culp, William C; Kimbrough, Bradly A; Luna, Sarah; Maguddayao, Aris J

    2014-08-01

    To reduce the incidence of surgical fires. Operating room fires represent a potentially life-threatening hazard and are triggered by the electrosurgical unit (ESU) pencil. Carbon dioxide is a fire suppressant and is a routinely used medical gas. We hypothesize that a shroud of protective carbon dioxide covering the tip of the ESU pencil displaces oxygen, thereby preventing fire ignition. Using 3-dimensional modeling techniques, a polymer sleeve was created and attached to an ESU pencil. This sleeve was connected to a carbon dioxide source and directed the gas through multiple precisely angled ports, generating a cone of fire-suppressive carbon dioxide surrounding the active pencil tip. This device was evaluated in a flammability test chamber containing 21%, 50%, and 100% oxygen with sustained ESU activation. The sleeve was tested with and without carbon dioxide (control) until a fuel was ignited or 30 seconds elapsed. Time to ignition was measured by high-speed videography. Fires were ignited with each control trial (15/15 trials). The control group median ± SD ignition time in 21% oxygen was 3.0 ± 2.4 seconds, in 50% oxygen was 0.1 ± 1.8 seconds, and in 100% oxygen was 0.03 ± 0.1 seconds. No fire was observed when the fire safety device was used in all concentrations of oxygen (0/15 trials; P fire ignition was 76% to 100%. A sleeve creating a cone of protective carbon dioxide gas enshrouding the sparks from an ESU pencil effectively prevents fire in a high-flammability model. Clinical application of this device may reduce the incidence of operating room fires.

  13. Operating Room Time Savings with the Use of Splint Packs: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Tyler Gonzalez

    2016-01-01

    Full Text Available Background: The most expensive variable in the operating room (OR is time. Lean Process Management is being used in the medical field to improve efficiency in the OR. Streamlining individual processes within the OR is crucial to a comprehensive time saving and cost-cutting health care strategy. At our institution, one hour of OR time costs approximately $500, exclusive of supply and personnel costs. Commercially prepared splint packs (SP contain all components necessary for plaster-of-Paris short-leg splint application and have the potential to decrease splint application time and overall costs by making it a more lean process. We conducted a randomized controlled trial comparing OR time savings between SP use and bulk supply (BS splint application. Methods: Fifty consecutive adult operative patients on whom post-operative short-leg splint immobilization was indicated were randomized to either a control group using BS or an experimental group using SP. One orthopaedic surgeon (EMB prepared and applied all of the splints in a standardized fashion. Retrieval time, preparation time, splint application time, and total splinting time for both groups were measured and statistically analyzed. Results: The retrieval time, preparation time and total splinting time were significantly less (p

  14. Creating impact with operations research in health: making room for practice in academia.

    Science.gov (United States)

    Brandeau, Margaret L

    2016-12-01

    Operations research (OR)-based analyses have the potential to improve decision making for many important, real-world health care problems. However, junior scholars often avoid working on practical applications in health because promotion and tenure processes tend to value theoretical studies more highly than applied studies. This paper discusses the author's experiences in using OR to inform and influence decisions in health and provides a blueprint for junior researchers who wish to find success by taking a similar path. This involves selecting good problems to study, forming productive collaborations with domain experts, developing appropriate models, identifying the most salient results from an analysis, and effectively disseminating findings to decision makers. The paper then suggests how journals, funding agencies, and senior academics can encourage such work by taking a broader and more informed view of the potential role and contributions of OR to solving health care problems. Making room in academia for the application of OR in health follows in the tradition begun by the founders of operations research: to work on important real-world problems where operations research can contribute to better decision making.

  15. Augmented reality in neurovascular surgery: feasibility and first uses in the operating room.

    Science.gov (United States)

    Kersten-Oertel, Marta; Gerard, Ian; Drouin, Simon; Mok, Kelvin; Sirhan, Denis; Sinclair, David S; Collins, D Louis

    2015-11-01

    The aim of this report is to present a prototype augmented reality (AR) intra-operative brain imaging system. We present our experience of using this new neuronavigation system in neurovascular surgery and discuss the feasibility of this technology for aneurysms, arteriovenous malformations (AVMs), and arteriovenous fistulae (AVFs). We developed an augmented reality system that uses an external camera to capture the live view of the patient on the operating room table and to merge this view with pre-operative volume-rendered vessels. We have extensively tested the system in the laboratory and have used the system in four surgical cases: one aneurysm, two AVMs and one AVF case. The developed AR neuronavigation system allows for precise patient-to-image registration and calibration of the camera, resulting in a well-aligned augmented reality view. Initial results suggest that augmented reality is useful for tailoring craniotomies, localizing vessels of interest, and planning resection corridors. Augmented reality is a promising technology for neurovascular surgery. However, for more complex anomalies such as AVMs and AVFs, better visualization techniques that allow one to distinguish between arteries and veins and determine the absolute depth of a vessel of interest are needed.

  16. Real-time observations of stressful events in the operating room

    Directory of Open Access Journals (Sweden)

    AlNassar Sami

    2012-01-01

    Full Text Available Aim: To identify and quantify factors causing stress in the operating room (OR and evaluate the relationship between these factors and surgeons′ stress level. Methods: This is a prospective observational study from 32 elective surgical procedures conducted in the OR of King Khalid University Hospital, Riyadh, Saudi Arabia. Before each operation, each surgeon was asked of stressors. Two interns observed 16 surgeries each, separately. The interns watched and took notes during the entire surgical procedure. During each operation, the observer recorded anxiety-inducing activities and events that occurred in real time by means of a checklist of 8 potential stressors: technical, patient problems, teamwork problems, time and management issues, distractions and interruptions, equipment problems, personal problems, and teaching. After each operation, surgeons were asked to answer the validated State-Trait Anxiety Inventory questionnaire and self-report on their stress level from the 8 sources using a scale of 1-8 (1: stress free, 8: extremely stressful. The observer also recorded perceived stress levels experienced by the surgeons during the operation. Results: One hundred ten stressors were identified. Technical problems most frequently caused stress (16.4% and personal issues the least often (6.4%. Frequently encountered stressors (teaching and distractions/interruptions caused less stress to the surgeons. Technical factors, teamwork, and equipment problems occurred frequently and were also a major contributor to OR stress. All patients were discharged in good health and within 1 week of surgery. Conclusion: Certain stressful factors do occur among surgeons in the OR and can increase the potential for errors. Further research is required to determine the impact of stress on performance and the outcome of surgery.

  17. Real-time observations of stressful events in the operating room.

    Science.gov (United States)

    Sami, Alnassar; Waseem, Hajjar; Nourah, Alsubaie; Areej, Alhummaid; Afnan, Almarshedi; Ghadeer, Al-Shaikh; Abdulaziz, Alsaif; Arthur, Isnani

    2012-04-01

    To identify and quantify factors causing stress in the operating room (OR) and evaluate the relationship between these factors and surgeons' stress level. This is a prospective observational study from 32 elective surgical procedures conducted in the OR of King Khalid University Hospital, Riyadh, Saudi Arabia. Before each operation, each surgeon was asked of stressors. Two interns observed 16 surgeries each, separately. The interns watched and took notes during the entire surgical procedure. During each operation, the observer recorded anxiety-inducing activities and events that occurred in real time by means of a checklist of 8 potential stressors: technical, patient problems, teamwork problems, time and management issues, distractions and interruptions, equipment problems, personal problems, and teaching. After each operation, surgeons were asked to answer the validated State-Trait Anxiety Inventory questionnaire and self-report on their stress level from the 8 sources using a scale of 1-8 (1: stress free, 8: extremely stressful). The observer also recorded perceived stress levels experienced by the surgeons during the operation. One hundred ten stressors were identified. Technical problems most frequently caused stress (16.4%) and personal issues the least often (6.4%). Frequently encountered stressors (teaching and distractions/interruptions) caused less stress to the surgeons. Technical factors, teamwork, and equipment problems occurred frequently and were also a major contributor to OR stress. All patients were discharged in good health and within 1 week of surgery. Certain stressful factors do occur among surgeons in the OR and can increase the potential for errors. Further research is required to determine the impact of stress on performance and the outcome of surgery.

  18. Room-temperature continuous-wave operation of Ti:sapphire buried channel-waveguide lasers fabricated via proton implantation

    NARCIS (Netherlands)

    Grivas, C.; Shepherd, D.P.; Eason, R.W.; Laversenne, L.; Moretti, P.; Borca, C.N.; Pollnau, M.

    2006-01-01

    Fabrication and laser operation of proton-implanted Ti:sapphire buried channel waveguides is reported for the first time to our knowledge. Without any postimplantation annealing of the structures, continuous laser operation near 780 nm was demonstrated at room temperature at an absorbed pump power t

  19. Shared meanings for military nurse veterans: follow up survey of nurse veterans from WWII, Korea, Vietnam, and Operation Desert Storm.

    Science.gov (United States)

    Stanton-Bandiero, M P

    1998-01-01

    This study is an extension of a qualitative study involving military nurses in World War II, Korea, Vietnam and Operation Desert Storm. Common themes and shared meanings identified in the previous qualitative study were investigated using a broad sample of military nurses who had served at various times and different branches of the service. The present investigation used a survey to gather data, and results tended to validate results of the earlier study that the experiences of military nurses in times of war tend to transcend many factors including time and branch of service.

  20. Defining the optimal time to the operating room may salvage early trauma deaths.

    Science.gov (United States)

    Remick, Kyle N; Schwab, C William; Smith, Brian P; Monshizadeh, Amir; Kim, Patrick K; Reilly, Patrick M

    2014-05-01

    Early trauma deaths have the potential for salvage with immediate surgery. We studied time from injury to death in this group to qualify characteristics and quantify time to the operating room, yielding the greatest opportunity for salvage. The Pennsylvania Trauma Outcomes Study (PTOS) is a comprehensive registry including all Pennsylvania trauma centers. PTOS was queried for adult trauma patients from 1999 to 2010 dying within 4 hours of injury. The distribution of time to death (TD) was examined for subgroups according to mechanism of injury, hypotension (defined as systolic blood pressure ≤ 90 mm Hg), and operation required. The 5th percentile (TD5) and the 50th percentile (TD50) were calculated from the distributions and compared using the Mann-Whitney U-test. The PTOS yielded 6,547 deaths within 4 hours of injury. The overall TD5 and TD50 were 0:23 (hour:minute) and 0:59, respectively. Median penetrating injury times were significantly shorter than blunt injury times (TD5/TD50, 0:19/0:43 vs. 0:29/1:10). Median time was significantly shorter for hypotensive versus normotensive patients (TD5/TD50, 0:22/0:52 vs. 0:43/2:18). Operative subgroups had different TD5/TD50 (abdominal surgery [n = 607], 1:07/2:26; thoracic surgery [n = 756] 0:25/1:25; vascular surgery [n = 156], 0:35/2:15; and cranial surgery [n = 18], 1:20/2:42). Early trauma deaths have the potential for salvage with immediate surgery. We found TD to vary based on mechanism of injury, presence of hypotension, and type of surgery needed. With the use of TD5 and TD50 benchmarks in these subgroups, a trauma system may determine if decreased time to the operating room decreases mortality. Trauma systems can use these data to further improve prehospital and initial hospital phases of care for this subset of early death trauma patients. Epidemiologic study, level III.

  1. Evaluation of an ultraviolet room disinfection protocol to decrease nursing home microbial burden, infection and hospitalization rates.

    Science.gov (United States)

    Kovach, Christine R; Taneli, Yavuz; Neiman, Tammy; Dyer, Elaine M; Arzaga, Alvin Jason A; Kelber, Sheryl T

    2017-03-03

    The focus of nursing home infection control procedures has been on decreasing transmission between healthcare workers and residents. Less evidence is available regarding whether decontamination of high-touch environmental surfaces impacts infection rates or resident outcomes. The purpose of this study was to examine if ultraviolet disinfection is associated with changes in: 1) microbial counts and adenosine triphosphate counts on high-touch surfaces; and 2) facility wide nursing home acquired infection rates, and infection-related hospitalization. The study was conducted in one 160-bed long-term care facility. Following discharge of each resident, their room was cleaned and then disinfected using a newly acquired ultraviolet light disinfection device. Shared living spaces received weekly ultraviolet light disinfection. Thirty-six months of pretest infection and hospitalization data were compared with 12 months of posttest data. Pre and posttest cultures were taken from high-touch surfaces, and luminometer readings of adenosine triphosphate were done. Nursing home acquired infection rates were analyzed relative to hospital acquired infection rates using analysis of variance procedures. Wilcoxon signed rank tests, The Cochran's Q, and Chi Square were also used. There were statistically significant decreases in adenosine triphosphate readings on all high-touch surfaces after cleaning and disinfection. Culture results were positive for gram-positive cocci or rods on 33% (n = 30) of the 90 surfaces swabbed at baseline. After disinfectant cleaning, 6 of 90 samples (7.1%) tested positive for a gram-positive bacilli, and after ultraviolet disinfection 4 of the 90 samples (4.4%) were positive. There were significant decreases in nursing home acquired relative to hospital-acquired infection rates for the total infections (p = .004), urinary tract infection rates (p = .014), respiratory system infection rates (p = .017) and for rates of infection of the skin

  2. 主动脉弓部手术的护理体会%Nursing experience of aortic arch operation

    Institute of Scientific and Technical Information of China (English)

    杨爱娣

    2012-01-01

    Objective To summarize the nursing experience of aortic arch operation. Methods 27 patients underwent aortic arch operation from Jan 2007 to Apr 2012 were enrolled to the study. Clinical datum were collected and analyse the work points of operation. Results 5 cases dead, abandoning treatment in 1 case, 18 cases survived after operation (including 1 case underwent re-operation, 2 cases repeatedly hospitalized due to internal fistula and hemoglobinuria) , 1 case need life care. The dead cases have nothing to do with nursing. Conclusion Aortic arch operation requires deep hypothermic circulatory arrest, lasts longer, with higher mortality, so for nursing staff in operation room, it need more theoretical basis, skilled cooperation and flexibility.%目的 总结主动脉弓部手术的护理体会.方法 回顾性选取我院2007年1月~2012年4月所行的主动脉弓部手术27例,收集相关临床资料,分析术前、术中,巡回、器械护士的工作要点.结果 27例手术均成功实施.结论 主动脉弓部手术需要深低温停循环,手术时间长,病死率高,需要手术室护理人员更扎实的理论基础,更熟练的配合,更灵活的应变能力.

  3. The Effect of Humanized Nursing on Nursing Satisfaction of Patients in Outpatient Transfusion Room%人性化护理对门诊输液室患者护理满意度的影响

    Institute of Scientific and Technical Information of China (English)

    王彩平

    2016-01-01

    目的:评价人性化护理对门诊输液室患者护理满意度的影响。方法选择2015年6月医院门诊输液室接待的输液患者1978例,纳入对照组,2015年7月,接待患者2176例,纳入人性化护理组;对照组采用常规护理,人性化护理组给予人性化护理,评价患者满意率。结果人性化护理组患者对各方面护理内容评价满意率高于对照组,差异具有统计学意义(P<0.05)。结论在门诊输液室开展人性化护理,有助于提升患者满意率。%Objective To discuss the influence of humanized nursing on nursing satisfaction of patients in outpatient transfusion room. Methods 1 978 patients in outpatient infusion room in June 2015 were included in the control group, 2 176 patients in outpatient infusion room in July 2015 were included in the humanistic nursing group. Patients in the control group were given routine nursing, and the patients in humanistic nursing group were given humanistic nursing, and the satisfaction rate of the patients was evaluated.Results The satisfaction rate of the patients in humanistic nursing group was higher than that of the control group, the difference was statistically signiifcant (P<0.05).Conclusion Humanistic nursing in the outpatient transfusion room can improve patients’ satisfaction rate.

  4. 利用晨交班提高手术室护士人文素质的相关研究%Exploring Effective Way for Improving Operating Room Nurses′Humanistic Exploring Effective Way for Improving Operating Room Nurses′Humanistic Quality by Using the Morning Shift Time Quality by Using the Morning Shift Time

    Institute of Scientific and Technical Information of China (English)

    孔德玲; 王明旭; 孔德敏; 李向利; 孔淑贞; 赵丽燕; 权小利

    2015-01-01

    Objective:To explore the effective way of cultivating the operating room nurses′humanistic quality by using the morning shift and to improve operating room nurses′comprehensive quality .Methods:The operating room nurses were divided into five specialist groups according to the nurses′levels, helping each group to determine the training topic of humanistic quality training , via taking a variety of training methods to promote operating room nurses′humanistic quality by making good use of the morning shift time .Results: Through taking a variety of training methods to promote the operating room nurses′humanistic quality by making good use of the morning shift time, the operating room nurses′humanistic care ability , theoretical knowledge , professional skills were improved significantly(P<0.05),and the operating rooms doctors, surgical patients′satisfaction of operating room nurses′service were improved ( P<0 .05 ) .Conclusion:Making good use of the morning shift time to improve the nurses′humanistic quality , at the same time , the nursing service quality and patients satisfaction were also improved .%目的:通过有效利用晨交班,采取一系列提高手术室护士人文素质的相关措施,以提高手术室护士的综合素质。方法将手术室护士按不同层级搭配,分成五个专科小组,指导各组护士结合本科室手术室护士的实际工作情况选定相关的人文素质培训主题,充分利用晨交班时间,通过多种培训手段对全科护士进行培训。结果有效利用晨交班时间,采取一系列措施提高手术室护士人文素质后,手术室护士的人文关怀能力、理论知识以及专业技能考核成绩较实施前有显著提高,差异有统计学意义(P<0.05);与此同时手术医师以及患者对手术室护理的满意度也有了较大的提升(P<0.05)。结论有效利用晨交班时间,通过采取有效措施促进手术室护士人

  5. Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

    OpenAIRE

    João Francisco Possari; Raquel Rapone Gaidzinski; Antônio Fernandes Costa Lima; Fernanda Maria Togeiro Fugulin; Tracy Heather Herdman

    2015-01-01

    Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC), during the transoperative period at a surgical center specializing in oncology. Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing techn...

  6. Coaching Non-technical Skills Improves Surgical Residents' Performance in a Simulated Operating Room.

    Science.gov (United States)

    Yule, Steven; Parker, Sarah Henrickson; Wilkinson, Jill; McKinley, Aileen; MacDonald, Jamie; Neill, Adrian; McAdam, Tim

    2015-01-01

    To investigate the effect of coaching on non-technical skills and performance during laparoscopic cholecystectomy in a simulated operating room (OR). Non-technical skills (situation awareness, decision making, teamwork, and leadership) underpin technical ability and are critical to the success of operations and the safety of patients in the OR. The rate of developing assessment tools in this area has outpaced development of workable interventions to improve non-technical skills in surgical training and beyond. A randomized trial was conducted with senior surgical residents (n = 16). Participants were randomized to receive either non-technical skills coaching (intervention) or to self-reflect (control) after each of 5 simulated operations. Coaching was based on the Non-Technical Skills For Surgeons (NOTSS) behavior observation system. Surgeon-coaches trained in this method coached participants in the intervention group for 10 minutes after each simulation. Primary outcome measure was non-technical skills, assessed from video by a surgeon using the NOTSS system. Secondary outcomes were time to call for help during bleeding, operative time, and path length of laparoscopic instruments. Non-technical skills improved in the intervention group from scenario 1 to scenario 5 compared with those in the control group (p = 0.04). The intervention group was faster to call for help when faced with unstoppable bleeding in the final scenario (no. 5; p = 0.03). Coaching improved residents' non-technical skills in the simulated OR compared with those in the control group. Important next steps are to implement non-technical skills coaching in the real OR and assess effect on clinically important process measures and patient outcomes. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  7. Development of efficiency indicators of operating room management for multi-institutional comparisons.

    Science.gov (United States)

    Tanaka, Masayuki; Lee, Jason; Ikai, Hiroshi; Imanaka, Yuichi

    2013-04-01

    The efficiency of a hospital's operating room (OR) management can affect its overall profitability. However, existing indicators that assess OR management efficiency do not take into account differences in hospital size, manpower and functional characteristics, thereby rendering them unsuitable for multi-institutional comparisons. The aim of this study was to develop indicators of OR management efficiency that would take into account differences in hospital size and manpower, which may then be applied to multi-institutional comparisons. Using administrative data from 224 hospitals in Japan from 2008 to 2010, we performed four multiple linear regression analyses at the hospital level, in which the dependent variables were the number of operations per OR per month, procedural fees per OR per month, total utilization times per OR per month and total fees per OR per month for each of the models. The expected values of these four indicators were produced using multiple regression analysis results, adjusting for differences in hospital size and manpower, which are beyond the control of process owners' management. However, more than half of the variations in three of these four indicators were shown to be explained by differences in hospital size and manpower. Using the ratio of observed to expected values (OE ratio), as well as the difference between the two values (OE difference) allows hospitals to identify weaknesses in efficiency with more validity when compared to unadjusted indicators. The new indicators may support the improvement and sustainment of a high-quality health care system. © 2012 Blackwell Publishing Ltd.

  8. [Unexpected atrial fibrillation when monitoring in operating room. Case of the trimester].

    Science.gov (United States)

    2014-05-01

    A real case reported to the SENSAR database of incidents is presented. In a patient scheduled for nose fracture repair surgery an unexpected atrial fibrillation was found when monitored in the operating room. The operation was not delayed. After induction of general anaesthesia heart rate suddenly increased and hemodinamic situation was impaired. Cardioversion was required. Two electric countershocks were given but sinus rhythm was not restored. Heart rate was controlled with amiodarone infusion. Optimal defibrillation characteristics are described in these cases. Increased risk of thromboembolism (1-2%) following cardioversion is present even if atrial thrombi are ruled out. The mainstay therapies of are rhythm and rate control and prevention of thromboembolic complications. We describe recommendations on the management of these critical situations with emphasis in learning through the creation of protocols and training practice in simulation. Copyright © 2013 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

  9. Telementoring systems in the operating room: a new approach in medical training

    Directory of Open Access Journals (Sweden)

    Juan P. Wachs

    2013-12-01

    Full Text Available This paper discusses the challenges and innovations related to the use of telementoring systems in the operating room. Most of the systems presented leverage on three types of interaction channels: audio, visual and physical. The audio channel enables the mentor to verbally instruct the trainee, and allows the trainee to ask questions. The visual channel is used to deliver annotations, alerts and other messages graphically to the trainee during the surgery. These visual representations are often displayed through a telestrator. The physical channel has been used in laparoscopic procedures by partially controlling the laparoscope through force-feedback. While in face to face instruction, the mentor produces gestures to convey certain aspects of the surgical instruction, there is not equivalent of this form of physical interaction between the mentor and trainee in open surgical procedures in telementoring systems. Even that the trend is to perform more minimally invasive surgery (MIS, trauma surgeries are still necessary, where initial resuscitation and stabilization of the patient in a timely manner is crucial. This paper presents a preliminary study conducted at the Indiana University Medical School and Purdue University, where initial lexicons of surgical instructive gestures (SIGs were determined through systematic observation when mentor and trainee operate together. The paper concludes with potential ways to convey gestural information through surgical robots.

  10. Operating Room Performance Improves after Proficiency-Based Virtual Reality Cataract Surgery Training.

    Science.gov (United States)

    Thomsen, Ann Sofia Skou; Bach-Holm, Daniella; Kjærbo, Hadi; Højgaard-Olsen, Klavs; Subhi, Yousif; Saleh, George M; Park, Yoon Soo; la Cour, Morten; Konge, Lars

    2017-04-01

    To investigate the effect of virtual reality proficiency-based training on actual cataract surgery performance. The secondary purpose of the study was to define which surgeons benefit from virtual reality training. Multicenter masked clinical trial. Eighteen cataract surgeons with different levels of experience. Cataract surgical training on a virtual reality simulator (EyeSi) until a proficiency-based test was passed. Technical performance in the operating room (OR) assessed by 3 independent, masked raters using a previously validated task-specific assessment tool for cataract surgery (Objective Structured Assessment of Cataract Surgical Skill). Three surgeries before and 3 surgeries after the virtual reality training were video-recorded, anonymized, and presented to the raters in random order. Novices (non-independently operating surgeons) and surgeons having performed fewer than 75 independent cataract surgeries showed significant improvements in the OR-32% and 38%, respectively-after virtual reality training (P = 0.008 and P = 0.018). More experienced cataract surgeons did not benefit from simulator training. The reliability of the assessments was high with a generalizability coefficient of 0.92 and 0.86 before and after the virtual reality training, respectively. Clinically relevant cataract surgical skills can be improved by proficiency-based training on a virtual reality simulator. Novices as well as surgeons with an intermediate level of experience showed improvement in OR performance score. Copyright © 2017 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

  11. Telementoring systems in the operating room: a new approach in medical training.

    Science.gov (United States)

    Wachs, Juan P; Gomez, Gerardo

    2013-01-01

    This paper discusses the challenges and innovations related to the use of telementoring systems in the operating room. Most of the systems presented leverage on three types of interaction channels: audio, visual and physical. The audio channel enables the mentor to verbally instruct the trainee, and allows the trainee to ask questions. The visual channel is used to deliver annotations, alerts and other messages graphically to the trainee during the surgery. These visual representations are often displayed through a telestrator. The physical channel has been used in laparoscopic procedures by partially controlling the laparoscope through force-feedback. While in face to face instruction, the mentor produces gestures to convey certain aspects of the surgical instruction, there is not equivalent of this form of physical interaction between the mentor and trainee in open surgical procedures in telementoring systems. Even that the trend is to perform more minimally invasive surgery (MIS), trauma surgeries are still necessary, where initial resuscitation and stabilization of the patient in a timely manner is crucial. This paper presents a preliminary study conducted at the Indiana University Medical School and Purdue University, where initial lexicons of surgical instructive gestures (SIGs) were determined through systematic observation when mentor and trainee operate together. The paper concludes with potential ways to convey gestural information through surgical robots.

  12. Above room temperature continuous wave operation of a broad-area quantum-cascade laser

    Science.gov (United States)

    Semtsiv, M. P.; Masselink, W. T.

    2016-11-01

    We describe the design and implementation of a broad-area (w ≈ 30 μm) quantum-cascade laser operating in a continuous wave mode up to heat-sink temperatures beyond +100 °C. The room-temperature emission wavelength is 4.6 μm. The temperature gradient in the active region of such a wide laser stripe is essentially perpendicular to the epitaxial layers and the resulting steady-state active region temperature offset scales approximately with the square of the number of cascades. With only 10 cascades in the active region, the threshold electrical power density in the current quantum-cascade laser in the continuous-wave mode is as low as Vth × Ith = 3.8 V × 0.9 kA/cm2 = 3.4 kW/cm2 at room temperature for 2 mm-long two-side high-reflectivity coated laser stripe. A 4 mm-long one-side high-reflectivity coated laser stripe delivers in continuous-wave mode above 0.6 W at +20 °C and above 1.3 W at -27 °C (cooled with a single-stage Peltier element). A 2 mm-long two-side high-reflectivity coated laser stripe demonstrates continuous-wave lasing up to at least +102 °C (375 K). The thermal conductance, Gth, ranges between 235 W/K cm2 and 140 W/K cm2 for temperatures between -33 °C and +102 °C. This demonstration opens the route for continuous-wave power scaling of quantum-cascade lasers via broad-area laser ridges.

  13. Use of an operating microscope during spine surgery is associated with minor increases in operating room times and no increased risk of infection.

    Science.gov (United States)

    Basques, Bryce A; Golinvaux, Nicholas S; Bohl, Daniel D; Yacob, Alem; Toy, Jason O; Varthi, Arya G; Grauer, Jonathan N

    2014-10-15

    Retrospective database review. To evaluate whether microscope use during spine procedures is associated with increased operating room times or increased risk of infection. Operating microscopes are commonly used in spine procedures. It is debated whether the use of an operating microscope increases operating room time or confers increased risk of infection. The American College of Surgeons National Surgical Quality Improvement Program database, which includes data from more than 370 participating hospitals, was used to identify patients undergoing elective spinal procedures with and without the use of an operating microscope for the years 2011 and 2012. Bivariate and multivariate linear regressions were used to test the association between microscope use and operating room times. Bivariate and multivariate logistic regressions were similarly conducted to test the association between microscope use and infection occurrence within 30 days of surgery. A total of 23,670 elective spine procedures were identified, of which 2226 (9.4%) used an operating microscope. The average patient age was 55.1±14.4 years. The average operative time (incision to closure) was 125.7±82.0 minutes.Microscope use was associated with minor increases in preoperative room time (+2.9 min, P=0.013), operative time (+13.2 min, Pmicroscope and nonmicroscope groups for occurrence of any infection, superficial surgical site infection, deep surgical site infection, organ space infection, or sepsis/septic shock, regardless of surgery type. We did not find operating room times or infection risk to be significant deterrents for use of an operating microscope during spine surgery. 3.

  14. The influence of grade special training mode to reduce operating room errors intraoperative care%分级专项培训模式对降低手术室术中护理失误的影响

    Institute of Scientific and Technical Information of China (English)

    唐秀芳

    2015-01-01

    Objective:To investigate the implementation of special training mode classification affect the operating room nursing mistakes and work efficien -cy.Methods:By April 2013 in our hospital operating room operating room nurses'grade special training,the training content is divided into three operating projects,through 48 hours theory,24 practical teaching and learning online learning and exchange,recording credits,assessment by the next stage of learn-ing.Comparing the training in April 2013 -March 2014 and April 2012 -March 2013 trainees core competencies, nursing mistakes and work efficiency and pre -service training.Results:After training nurses core skills assessment of each item score and total score was significantly higher than before the training , the differences were statistically significant(P <0.05);the total number of mistakes from the previous nursing training is reduced, the difference was statis-tically significance(P <0.05);after waiting for train operation time,preoperative materials preparation time,surgery time and surgical articles take hold time were significantly shorter than the control group,a statistically significant difference(P <0.05).Conclusions:By operating room specialist training specialist nurses,operating room nurses to effectively improve the level of business,adding a special classification in the training operation training is necessary,so that nurses have complete control of special vocational skills.%目的:探讨实行手术室分级专项培训模式对护理失误及工作效率的影响。方法:通过2013年4月对我院手术室开展手术室护士分级专项培训,将培训内容分为三级操作项目,通过48学时理论、24学习实践教学及网络学习与交流,记录学分,考核通过进入下一阶段学习。比较培训后(2013年4月~2014年3月)与培训前(2012年4月~2013年3月)参训人员核心能力、护理失误及工作效率。结果:培训后护士的核心能力考

  15. [Interdisciplinary teamwork in the OR: Identification and measurement of teamwork in the operating room].

    Science.gov (United States)

    Passauer-Baierl, Stefanie; Baschnegger, Heiko; Bruns, Christiane; Weigl, Matthias

    2014-01-01

    Effective teamwork is one of the essentials in conducting successful and safe surgical procedures in the operating theatre (OT). The present paper aims to provide a selective review of various approaches describing effective interdisciplinary teamwork in the OT. Furthermore, it covers observational methods to assess OT teamwork with particular focus on Germany. Our definition of successful surgical teamwork is based on an already established classification system considering five criteria for effective and safe OT teams: coordination, communication, cooperation, leadership, and team monitoring. Well-defined and reliable measures are necessary to examine the quality of OT teamwork. Those methods should entail the special characteristics of the OT team. They should include all phases of the surgical procedure and incorporate all the professions involved (surgeons, surgical nurses, and anaesthetic staff). We conclude that research into methods for the assessment of OTs in Germany needs to be undertaken as a prerequisite to investigating the relationship between OT teamwork and its effects on patient safety and surgical quality. Copyright © 2013. Published by Elsevier GmbH.

  16. A surveillance of needle-stick injuries amongst student nurses at the ...

    African Journals Online (AJOL)

    2011-10-10

    Oct 10, 2011 ... stick injuries occur amongst student nurses in Namibia, is of particular concern for nurse educators ... negligent acts such as inadequate supervision of students in ..... the operating room, labour wards, and the medical wards.

  17. 整体论在手术室人力资源管理中的应用及效果%The application of holism concept in the human resource management in operating room

    Institute of Scientific and Technical Information of China (English)

    张晓萍; 高春燕; 羊海琴; 周琦; 陆叶

    2009-01-01

    目的 探讨整体论在手术室人力资源管理中的应用,寻求人力资源管理的最优化方案.方法 从人力资源管理的整体着手,对人力资源进行甄选、培训、分配、激励、考核,实施整体管理方案.结果 提高了手术室工作效率,以有限的人力完成了逐年递增的手术量,提高了护理质量,提升了护理队伍的整体素质.结论 运用整体论对手术室人力资源进行管理,可提高手术室护理队伍的整体水平,提升工作效率和护理质量,优化手术室人力资源管理.%Objective To apply the holism concept to human resource management in the operating room ,so as to explore the optimal methods of human resource management. Methods The holism concept was applied in the whole process of human resource management including recruitment, training, assignment,incen-tives and performance appraisal. Results This practice improved work efficiency and quality of nursing in the operating room,as well as enhanced the general quality of nursing staff. Conclusion The application of holism concept in human resource management can improve the overall level of nursing staff, work effi-ciency and quality of nursing in the operating room.

  18. Management of coronary risk factors by registered nurses versus usual care in patients with unstable angina pectoris (a chest pain evaluation in the emergency room [CHEER] substudy).

    Science.gov (United States)

    Allison, T G; Farkouh, M E; Smars, P A; Evans, R W; Squires, R W; Gabriel, S E; Kopecky, S L; Gibbons, R J; Reeder, G S

    2000-07-15

    This study examined whether nurses could manage coronary risk factors in patients with unstable angina more effectively than physicians practicing usual care. Three hundred twenty-six patients were randomized in the emergency room to a 6-month program of risk factor management by a registered nurse versus participation in usual care. The nurse intervention consisted of a 30-minute counseling visit at 6 to 10 days after the chest pain episode and a second 30-minute session 1 month later. Multiple risk factors were assessed and addressed: smoking, blood lipids, blood pressure, blood glucose, physical inactivity, weight, psychological stress, and social isolation. Compared with usual care, nurse intervention patients significantly reduced both triglycerides (-29 +/- 8 vs 5 +/- 6 mg/dl; p chest pain is feasible and more effective than usual care in terms of fostering lifestyle changes that may lower coronary risk.

  19. Photodetector development at Fraunhofer IAF: From LWIR to SWIR operating from cryogenic close to room temperature

    Science.gov (United States)

    Daumer, V.; Gramich, V.; Müller, R.; Schmidt, J.; Rutz, F.; Stadelmann, T.; Wörl, A.; Rehm, R.

    2017-02-01

    Photodetectors in the non-visible region of the electromagnetic spectrum are essential for security, defense and space science as well as industrial and scientific applications. The research activities at Fraunhofer IAF cover a broad range in the infrared (IR) regime. Whereas short-wavelength IR (SWIR, <1.7 μm) detectors are realized by InGaAs/InP structures, InAs/GaSb type-II superlattice (T2SL) infrared detectors are developed for the spectral bands from mid- (MWIR, 3-5 μm) to long-wavelength IR (LWIR, 8-12 μm). We report on the extension of the superlattice empirical pseudopotential method (SEPM) to 300 K for the design of LWIR heterostructures for operation near room temperature. Recently, we have also adapted heterostructure concepts to our well established bi-spectral T2SL MWIR detector resulting in a dark current density below 2 × 10-9 A/cm2 for a cut-off wavelength close to 5 μm. Finally, we present first results obtained with a gated viewing system based on our InGaAs/InAlAs/InP avalanche photodiode arrays.

  20. Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room.

    Science.gov (United States)

    Paige, John T; Aaron, Deborah L; Yang, Tong; Howell, D Shannon; Hilton, Charles W; Cohn, Isidore; Chauvin, Sheila W

    2008-09-01

    This study examined the effect of implementing a new preoperative briefing protocol on self- and peer-assessments of individual operating room (OR) teamwork behaviors. From July 2006 to February 2007, OR teamwork performance at a rural community hospital was evaluated before and after training and implementation of the protocol. After each case, every member on the team completed a 360-degree type teamwork behavior evaluation containing both self- and peer-assessments using a six-point Likert type scale (1 = definitely no to 6 = definitely yes). Individual behavior change was measured using the mean scale score of pre and postprotocol assessments. Statistical analysis included t test for both pre/post and self/peer differences. Data were available for one general surgeon and nine OR staff (pre = 20 cases, post = 16 cases). The preprotocol self-assessment mean score was significantly higher than peer-assessment (5.63 vs 5.29, P teamwork behaviors. No difference was observed in postassessment mean scores for self- and peer-assessments. Individuals overestimated their teamwork behaviors before protocol implementation. Using a preoperative protocol seems to improve OR staff teamwork behaviors and self-assessment accuracy. The use of a 360-degree assessment method targeting specific, observable behaviors may be useful in evaluating team-based interventions and enhancing teamwork effectiveness.

  1. Obesity increases operating room times in patients undergoing primary hip arthroplasty: a retrospective cohort analysis.

    Science.gov (United States)

    Kadry, Bassam; Press, Christopher D; Alosh, Hassan; Opper, Isaac M; Orsini, Joe; Popov, Igor A; Brodsky, Jay B; Macario, Alex

    2014-01-01

    Background. Obesity impacts utilization of healthcare resources. The goal of this study was to measure the relationship between increasing body mass index (BMI) in patients undergoing total hip arthroplasty (THA) with different components of operating room (OR) time. Methods. The Stanford Translational Research Integrated Database Environment (STRIDE) was utilized to identify all ASA PS 2 or 3 patients who underwent primary THA at Stanford Medical Center from February 1, 2008 through January 1, 2013. Patients were divided into five groups based on the BMI weight classification. Regression analysis was used to quantify relationships between BMI and the different components of total OR time. Results. 1,332 patients were included in the study. There were no statistically significant differences in age, gender, height, and ASA PS classification between the BMI groups. Normal-weight patients had a total OR time of 138.9 min compared 167.9 min (P 35 kg/m(2) each incremental BMI unit increase was associated with greater incremental total OR time increases. Conclusion. Morbidly obese patients required significantly more total OR time than normal-weight patients undergoing a THA procedure. This increase in time is relevant when scheduling obese patients for surgery and has an important impact on health resource utilization.

  2. Obesity increases operating room times in patients undergoing primary hip arthroplasty: a retrospective cohort analysis

    Directory of Open Access Journals (Sweden)

    Bassam Kadry

    2014-08-01

    Full Text Available Background. Obesity impacts utilization of healthcare resources. The goal of this study was to measure the relationship between increasing body mass index (BMI in patients undergoing total hip arthroplasty (THA with different components of operating room (OR time. Methods. The Stanford Translational Research Integrated Database Environment (STRIDE was utilized to identify all ASA PS 2 or 3 patients who underwent primary THA at Stanford Medical Center from February 1, 2008 through January 1, 2013. Patients were divided into five groups based on the BMI weight classification. Regression analysis was used to quantify relationships between BMI and the different components of total OR time. Results. 1,332 patients were included in the study. There were no statistically significant differences in age, gender, height, and ASA PS classification between the BMI groups. Normal-weight patients had a total OR time of 138.9 min compared 167.9 min (P 35 kg/m2 each incremental BMI unit increase was associated with greater incremental total OR time increases. Conclusion. Morbidly obese patients required significantly more total OR time than normal-weight patients undergoing a THA procedure. This increase in time is relevant when scheduling obese patients for surgery and has an important impact on health resource utilization.

  3. [Evaluation of Radiation Dose during Stent-graft Treatment Using a Hybrid Operating Room System].

    Science.gov (United States)

    Haga, Yoshihiro; Chida, Kouichi; Kaga, Yuji; Saitou, Kazuhisa; Arai, Takeshi; Suzuki, Shinichi; Iwaya, Yoshimi; Kumasaka, Eriko; Kataoka, Nozomi; Satou, Naoto; Abe, Mitsuya

    2015-12-01

    In recent years, aortic aneurysm treatment with stent graft grafting in the X-ray fluoroscopy is increasing. This is an endovascular therapy, because it is a treatment which includes the risk of radiation damage, having to deal with radiation damage, to know in advance is important. In this study, in order to grasp the trend of exposure stent graft implantation in a hybrid operating room (OR) system, focusing on clinical data (entrance skin dose and fluoroscopy time), was to count the total. In TEVAR and EVAR, fluoroscopy time became 13.40 ± 7.27 minutes, 23.67 ± 11.76 minutes, ESD became 0.87 ± 0.41 mGy, 1.11 ± 0.57 mGy. (fluoroscopy time of EVAR was 2.0 times than TEVAR. DAP of EVAR was 1.2 times than TEVAR.) When using the device, adapted lesions and usage are different. This means that care changes in exposure-related factors. In this study, exposure trends of the stent graft implantation was able to grasp. It can be a helpful way to reduce/optimize the radiation dose in a hybrid OR system.

  4. The effects of general anesthesia legislation on operating room visits by preschool children undergoing dental treatment.

    Science.gov (United States)

    White, Halley R; Lee, Jessica Y; Rozier, R Gary

    2008-01-01

    The purpose of this study was to examine the impact of state-level general anesthesia (GA) legislation on operating room visits for the treatment of dental caries on preschool-aged children. The North Carolina Ambulatory Surgery Discharge Database was used to observe GA visits for fiscal years (FY) 1997 to 2001. A pretest/post-test design with concurrent comparison groups was used for 2 analyses: (1) all children treated for dental caries were compared to those treated for otitis media; and (2) those whose treatment for dental caries was reimbursed by Medicaid were compared to those whose treatment for dental caries was not reimbursed by Medicaid. In the prelegislation period (FY 1997 and 1998), there were 3,857 GA visits for dental core and 21,038 for otitis media. Postlegislation (FY 2000 and 2001) dental visits increased to 5,511(43%), and otitis media visits increased to 22,279 (6%)-a statistically significant difference (Pdental visits and 2,487 Medicaid dental visits. Non-Medicaid and Medicaid dental visits postlegislation increased to 2,195 (60%) and 3,316 (33%), respectively. This difference was significant (Panesthesia legislation resulted in an increase in access to care for children needing dental care in North Carolina.

  5. Learning from Aviation to Improve Safety in the Operating Room - a Systematic Literature Review

    Directory of Open Access Journals (Sweden)

    Linda S. G. L. Wauben

    2012-01-01

    Full Text Available Lessons learned from other high-risk industries could improve patient safety in the operating room (OR. This review describes similarities and differences between high-risk industries and describes current methods and solutions within a system approach to reduce errors in the OR. PubMed and Scopus databases were systematically searched for relevant articles written in the English language published between 2000 and 2011. In total, 25 articles were included, all within the medical domain focusing on the comparison between surgery and aviation. In order to improve safety in the OR, multiple interventions have to be implemented. Additionally, the healthcare organization has to become a ‘learning organization’ and the OR team has to become a team with shared responsibilities and flat hierarchies. Interpersonal and technical skills can be trained by means of simulation and can be supported by implementing team briefings, debriefings and cross-checks. However, further development and research is needed to prove if these solutions are useful, practical, and actually increase safety.

  6. [Who is suited as operation room manager? Evaluation process for hospitals and candidates].

    Science.gov (United States)

    Schüpfer, G; Bauer, M

    2011-03-01

    Operation room (OR) management is not an end in itself. The challenge is more to organize the complex, inhomogeneous and interference-prone machinery of intraoperative service provision according to business objectives. Although business objectives may differ in some details the ultimate consequence is always to assure the quality of medical care along with adhering to the general economic conditions. The narrower the economic framework the smaller the company's tolerance to unprofessional OR management. Consequently, it can be noticed that OR management has become of age. An internal socialization as frontline leader is no longer sufficient for taking over a job profile which, regarding the risks of revenues and costs belongs to the top management of a company. Prior to looking for a future OR manager it is mandatory to develop a profile of qualifications tailored to the company. In the following selection process the important thing is to identify the candidate who fits best to the developed profile. This paper sees itself as an assistance in the development of such a company-specific qualification profile for an OR manager. On the basis of knowledge, skills and characteristics, different manager typologies are developed, facilitating the successful evaluation in a selection process for both the company and the candidate.

  7. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance.

    Science.gov (United States)

    Singer, Sara J; Molina, George; Li, Zhonghe; Jiang, Wei; Nurudeen, Suliat; Kite, Julia G; Edmondson, Lizabeth; Foster, Richard; Haynes, Alex B; Berry, William R

    2016-10-01

    Studies show that using surgical safety checklists (SSCs) reduces complications. Many believe SSCs accomplish this by enhancing teamwork, but evidence is limited. Our study sought to relate teamwork to checklist performance, understand how they relate, and determine conditions that affect this relationship. Using 2 validated tools for observing and coaching operating room teams, we evaluated the association between checklist performance with surgeon buy-in and 4 domains of surgical teamwork: clinical leadership, communication, coordination, and respect. Hospital staff in 10 South Carolina hospitals observed 207 procedures between April 2011 and January 2013. We calculated levels of checklist performance, buy-in, and measures of teamwork, and evaluated their relationship, controlling for patient and case characteristics. Few teams completed most or all SSC items. Teams more often completed items considered procedural "checks" than conversation "prompts." Surgeon buy-in, clinical leadership, communication, a summary measure of teamwork overall, and observers' teamwork ratings positively related to overall checklist completion (multivariable model estimates from 0.04, p teamwork and surgeon buy-in related positively to completing more conversation prompts; none related significantly to procedural checks (estimates from 0.10, p teamwork characterized by shared clinical leadership, open communication, active coordination, and mutual respect were critical in prompting case-related conversations, but not in completing procedural checks. Findings highlight the importance of surgeon engagement and high-quality, consistent teamwork for promoting checklist use and ensuring a safe surgical environment. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  8. Improving operating room efficiency by applying bin-packing and portfolio techniques to surgical case scheduling.

    Science.gov (United States)

    Van Houdenhoven, Mark; van Oostrum, Jeroen M; Hans, Erwin W; Wullink, Gerhard; Kazemier, Geert

    2007-09-01

    An operating room (OR) department has adopted an efficient business model and subsequently investigated how efficiency could be further improved. The aim of this study is to show the efficiency improvement of lowering organizational barriers and applying advanced mathematical techniques. We applied advanced mathematical algorithms in combination with scenarios that model relaxation of various organizational barriers using prospectively collected data. The setting is the main inpatient OR department of a university hospital, which sets its surgical case schedules 2 wk in advance using a block planning method. The main outcome measures are the number of freed OR blocks and OR utilization. Lowering organizational barriers and applying mathematical algorithms can yield a 4.5% point increase in OR utilization (95% confidence interval 4.0%-5.0%). This is obtained by reducing the total required OR time. Efficient OR departments can further improve their efficiency. The paper shows that a radical cultural change that comprises the use of mathematical algorithms and lowering organizational barriers improves OR utilization.

  9. Operating Room Efficiency before and after Entrance in a Benchmarking Program for Surgical Process Data.

    Science.gov (United States)

    Pedron, Sara; Winter, Vera; Oppel, Eva-Maria; Bialas, Enno

    2017-08-23

    Operating room (OR) efficiency continues to be a high priority for hospitals. In this context the concept of benchmarking has gained increasing importance as a means to improve OR performance. The aim of this study was to investigate whether and how participation in a benchmarking and reporting program for surgical process data was associated with a change in OR efficiency, measured through raw utilization, turnover times, and first-case tardiness. The main analysis is based on panel data from 202 surgical departments in German hospitals, which were derived from the largest database for surgical process data in Germany. Panel regression modelling was applied. Results revealed no clear and univocal trend of participation in a benchmarking and reporting program for surgical process data. The largest trend was observed for first-case tardiness. In contrast to expectations, turnover times showed a generally increasing trend during participation. For raw utilization no clear and statistically significant trend could be evidenced. Subgroup analyses revealed differences in effects across different hospital types and department specialties. Participation in a benchmarking and reporting program and thus the availability of reliable, timely and detailed analysis tools to support the OR management seemed to be correlated especially with an increase in the timeliness of staff members regarding first-case starts. The increasing trend in turnover time revealed the absence of effective strategies to improve this aspect of OR efficiency in German hospitals and could have meaningful consequences for the medium- and long-run capacity planning in the OR.

  10. Music and ambient operating room noise in patients undergoing spinal anesthesia.

    Science.gov (United States)

    Ayoub, Chakib M; Rizk, Laudi B; Yaacoub, Chadi I; Gaal, Dorothy; Kain, Zeev N

    2005-05-01

    Previous studies have indicated that music decreases intraoperative sedative requirements in patients undergoing surgical procedures under regional anesthesia. In this study we sought to determine whether this decrease in sedative requirements results from music or from eliminating operating room (OR) noise. A secondary aim of the study was to examine the relationship of response to intraoperative music and participants' culture (i.e., American versus Lebanese). Eighty adults (36 American and 54 Lebanese) undergoing urological procedures with spinal anesthesia and patient-controlled IV propofol sedation were randomly assigned to intraoperative music, white noise, or OR noise. We found that, controlling for ambient OR noise, intraoperative music decreases propofol requirements (0.004 +/- 0.002 mg . kg(-1) . min(-1) versus 0.014 +/- 0.004 mg . kg(-1) . min(-1) versus 0.012 +/- 0.002 mg . kg(-1) . min(-1); P = 0.026). We also found that, regardless of group assignment, Lebanese patients used less propofol as compared with American patients (0.005 +/- 0.001 mg . kg(-1) . min(-1) versus 0.017 +/- 0.003 mg . kg(-1) . min(-1); P = 0.001) and that, in both sites, patients in the music group required less propofol (P noise, intraoperative music decreases propofol requirements of both Lebanese and American patients who undergo urological surgery under spinal anesthesia.

  11. Surgical clothing systems in laminar airflow operating room: a numerical assessment.

    Science.gov (United States)

    Sadrizadeh, Sasan; Holmberg, Sture

    2014-01-01

    This study compared two different laminar airflow distribution strategies - horizontal and vertical - and investigated the effectiveness of both ventilation systems in terms of reducing the sedimentation and distribution of bacteria-carrying particles. Three different staff clothing systems, which resulted in source strengths of 1.5, 4 and 5 CFU/s per person, were considered. The exploration was conducted numerically using a computational fluid dynamics technique. Active and passive air sampling methods were simulated in addition to recovery tests, and the results were compared. Model validation was performed through comparisons with measurement data from the published literature. The recovery test yielded a value of 8.1 min for the horizontal ventilation scenario and 11.9 min for the vertical ventilation system. Fewer particles were captured by the slit sampler and in sedimentation areas with the horizontal ventilation system. The simulated results revealed that under identical conditions in the examined operating room, the horizontal laminar ventilation system performed better than the vertical option. The internal constellation of lamps, the surgical team and objects could have a serious effect on the movement of infectious particles and therefore on postoperative surgical site infections.

  12. Advertised sustainability practices among suppliers to a university hospital operating room.

    Science.gov (United States)

    Schieble, Thomas M

    2008-01-01

    The present study aimed to identify firms supplying products to our university operating room (OR) that promote sustainable manufacturing methods. Results show that 72% of our suppliers, or 152 of 211 companies, do not promote sustainability practices in a salient manner. Multi-national firms document sustainability methods significantly more than U.S. divisions of multi-nationals or U.S. firms with chi-square = 157.93 (p sustainability promotion is an important marketing tool through which purchasers may begin the process of due diligence for product selection. Lack of sustainability information among suppliers in this study suggests that hospital procurement departments likely focus solely on issues like price or quality when making purchase decisions. These results also suggest an opportunity for healthcare administrators to evaluate more fully the products involved in the healthcare supply chain; the intrinsic, intangible value added to hospital products through sustainable manufacturing is consistent with responsible patient care and has the potential to create marketing and public relations value.

  13. Light Water Reactor Sustainability Program Operator Performance Metrics for Control Room Modernization: A Practical Guide for Early Design Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Ronald Boring; Roger Lew; Thomas Ulrich; Jeffrey Joe

    2014-03-01

    As control rooms are modernized with new digital systems at nuclear power plants, it is necessary to evaluate the operator performance using these systems as part of a verification and validation process. There are no standard, predefined metrics available for assessing what is satisfactory operator interaction with new systems, especially during the early design stages of a new system. This report identifies the process and metrics for evaluating human system interfaces as part of control room modernization. The report includes background information on design and evaluation, a thorough discussion of human performance measures, and a practical example of how the process and metrics have been used as part of a turbine control system upgrade during the formative stages of design. The process and metrics are geared toward generalizability to other applications and serve as a template for utilities undertaking their own control room modernization activities.

  14. Hemodialysis Room Nursing Management to Control Hospital Infection%血透室的护理管理对控制医院感染的研究

    Institute of Scientific and Technical Information of China (English)

    张春梅

    2015-01-01

    Objective Study the hemodialysis room after the nursing management in the clinical effect of controlling hospi-tal infection. Methods Hemodialysis in our hospital room to implement a full range of nursing management, develop com-prehensive nursing management measures, implementation of responsibility system, implement to every aspect, to strengthen the work responsibility, strict enforcement of rules and regulations establishment; Observation of hospital infection rates be-fore and after the nursing management, nursing quality and security department score, the indicators qualified rate, and so on and so forth. Results Hemodialysis room implement nursing management of nursing quality and nursing safety score sig-nificantly better than that of nursing management, nursing management after hemodialysis room of the hospital infection rate was significantly lower than 1.8% 12.5% before nursing management, nursing management after hemodialysis room in air quality, disinfectant, hand hygiene and qualified before the instrument is superior to use nursing management, the results with statistical difference (P<0.05). Conclusion Hemodialysis chamber adopts nursing management,effectively reduce the hospital infection rate,improve the effect of the clinical care,to ensure the safety of the patient's health is significant,worthy of clinical application and promotion.%目的 研究血透室实施护理管理后在控制医院感染方面的临床效果. 方法 对该院血透室实施全方位的护理管理,制定全面的护理管理措施,实施责任制,落实到各个方面,强化工作责任,严格执行建全的规章制度;观察护理管理实施前后医院的感染发生率、科室护理质量和安全评分、各项指标合格率等情况. 结果 血透室实施护理管理后的护理质量、护理安全评分显著优于护理管理前,护理管理后血透室的医院感染率1.8%显著低于护理管理前的12.5%,护理管理后血透室在空气质量、消

  15. Development of an evaluation methodology for operator`s moving distance workload for the assessment of the layout and arrangement of nuclear power plant control rooms

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jeong Un; Seo, Sang Moon; Lee, Yong Hee; Cheon, Se Woo [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1995-07-01

    In this report, link analysis is discussed for the assessment of control room layout and arrangement, among the workload assessment methodologies using SACOM. A methodology developed for estimating operator`s moving distances based on modified link analysis is described, including its detail algorithm. This methodology was developed with the type and content of SACOM input information in consideration of not only software aspects but also easiness when the designer use this for control room layout and arrangement. 1 tab., 7 figs., 8 refs. (Author) .new.

  16. 手术室舒适护理对非全身麻醉患者的心理状态及舒适度的影响%Effects of Comfortable Nursing in Operation Rooms on the Degree of Comfort and Mental State in Patients Under Local Anesthesia

    Institute of Scientific and Technical Information of China (English)

    周艳; 林红

    2015-01-01

    目的:探讨舒适护理对非全身麻醉手术患者心理状态及手术过程中舒适度的影响. 方法:选择符合标准的患者81例,随机分为观察组40例和对照组41例,两组患者均给予常规手术室护理,观察组加用舒适护理,比较两组患者的护理效果. 结果:术前1d,两组患者SAS及SDS评分比较,差异均无统计学意义( P>0.05);术后1d,两组患者SAS及SDS评分较术前1d均下降,但观察组下降幅度更大,差异有统计学意义( P0.05);at 1d after the surgeries, the patients of both groups had decreased SAS and SDS scores, but the pa-tients of the observation group had greater decreasing extents, and the differences were statistically significant ( P<0.05) .During the surgeries, the patients of the observation group had higher scores of physiological, mental, psychic, environmental, social, and cultural dimensions than those of the control group, and the differences were statistically significant ( P<0.05) .Conclusion:Comfortable nursing can effectively decrease the anxiety and depression, elevate the degrees of physiologic and mental comforts during the surgeries, and is beneficial to the smooth process of the surgeries and postoperative rehabilitation in patients under local an-esthesia.

  17. Practice Brief: Accommodating Deaf and Hard of Hearing Students in Operating Room Environments--A Case Study

    Science.gov (United States)

    Meeks, Lisa M.; Laird-Metke, Elisa; Rollins, Mark; Gandhi, Seema; Stechert, Martin; Jain, Neera R.

    2015-01-01

    Increasing numbers of deaf students in the health professions require accommodations in the clinical setting to ensure effective learning and accurate communication. Although classroom learning barriers have long been identified and addressed, barriers to clinical education have been far less analyzed. Operating room clerkships, which include many…

  18. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool

    NARCIS (Netherlands)

    Buzink, S.N.; Van Lier, L.; De Hingh, I.H.J.T.; Jakimowicz, J.J.

    2010-01-01

    Background - Awareness of the relative high rate of adverse events in laparoscopic surgery created a need to safeguard quality and safety of performance better. Technological innovations, such as integrated operating room (OR) systems and checklists, have the potential to improve patient safety, OR

  19. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool

    NARCIS (Netherlands)

    Buzink, S.N.; Van Lier, L.; De Hingh, I.H.J.T.; Jakimowicz, J.J.

    2010-01-01

    Background - Awareness of the relative high rate of adverse events in laparoscopic surgery created a need to safeguard quality and safety of performance better. Technological innovations, such as integrated operating room (OR) systems and checklists, have the potential to improve patient safety, OR

  20. 基于手术台次成本核算模式的思考%Reflection on the Cost Accounting Mode based on the Single Surgery in Operating Room

    Institute of Scientific and Technical Information of China (English)

    陈海聪; 厉胜群

    2016-01-01

    Operating room is a large and complicated platform offering servicesincluding place, instruments, materials and nurses. The cost accounting system of operating room and the establishment of evaluation system based on cost accounting aim at decreasing cost on the premise of normal running of operating room. However, the cost accounting mode at current stage can just reflect the surgery situation of operating room, and no data can reveal the profits and the breakeven point of every single surgery.%医院手术室是一个庞大且复杂的平台,提供了外科手术中所需的场所、仪器、材料、护士等等辅助服务,而手术室的成本核算及在此基础上的评价体系的建立,最终目的就是在保证手术室有序运行的条件下,尽可能减少运行中的成本。但是,现阶段的成本核算模式只能保证反映科室的手术情况,对于精确到每一个手术台次是否有利润,盈亏平衡点是多少却无从得知。

  1. [Implementation of a rational standard of hygiene for preparation of operating rooms].

    Science.gov (United States)

    Bauer, M; Scheithauer, S; Moerer, O; Pütz, H; Sliwa, B; Schmidt, C E; Russo, S G; Waeschle, R M

    2015-10-01

    The assurance of high standards of care is a major requirement in German hospitals while cost reduction and efficient use of resources are mandatory. These requirements are particularly evident in the high-risk and cost-intensive operating theatre field with multiple process steps. The cleaning of operating rooms (OR) between surgical procedures is of major relevance for patient safety and requires time and human resources. The hygiene procedure plan for OR cleaning between operations at the university hospital in Göttingen was revised and optimized according to the plan-do-check-act principle due to not clearly defined specifications of responsibilities, use of resources, prolonged process times and increased staff engagement. The current status was evaluated in 2012 as part of the first step "plan". The subsequent step "do" included an expert symposium with external consultants, interdisciplinary consensus conferences with an actualization of the former hygiene procedure plan and the implementation process. All staff members involved were integrated into this management change process. The penetration rate of the training and information measures as well as the acceptance and compliance with the new hygiene procedure plan were reviewed within step "check". The rates of positive swabs and air sampling as well as of postoperative wound infections were analyzed for quality control and no evidence for a reduced effectiveness of the new hygiene plan was found. After the successful implementation of these measures the next improvement cycle ("act") was performed in 2014 which led to a simplification of the hygiene plan by reduction of the number of defined cleaning and disinfection programs for preparation of the OR. The reorganization measures described led to a comprehensive commitment of the hygiene procedure plan by distinct specifications for responsibilities, for the course of action and for the use of resources. Furthermore, a simplification of the plan, a

  2. Prevalence of Allergy to Natural Rubber Latex and Potential Cross Reacting Food in Operation Room Staff in Shiraz Hospitals -2006

    Directory of Open Access Journals (Sweden)

    H Nabavizade

    2007-07-01

    Full Text Available Introduction & Objective: Allergic reactions to natural rubber latex have increased during past 10 years especially among health care workers and patients with high exposure to latex allergens. Allergic reaction to latex is related to many diseases like occupational asthma. This study was performed to determine the prevalence of allergy to natural rubber latex and potential cross reacting food in operation room staff in Shiraz hospitals. Materials & Methods: In this cross-sectional descriptive study five hundred eighty operation room staff of ten private and state hospitals in Shiraz completed latex allergy questionnaire. They were questioned about personal history and previous history of latex sensitivity, symptoms of latex reactivity and about other allergies particularly to foods that may cross react with latex. Informed consent was obtained and skin prick testing was performed with natural rubber latex. Skin prick tests were done with three potentially cross reacting food (banana, Kiwi, and potato. The obtained data were analyzed with SPSS software and Chi-square test. Results: Among the 580 operation room workers 104 (17.9 % of participants were positive to latex skin test. We found a significant association between positive skin test to latex in operation room staff and atopy, urticaria and food allergy. Positive skin test to latex related to positive kiwi skin test (p<0.05. The prevalence did not vary by sex, age, education, surgical and non surgical glove users, history of contact dermatitis or smoking status. Conclusion: Latex allergy has a high prevalence in personnel of operation room. Evaluation of present symptom and prediction of future disease necessitate screening test in individuals at risk.

  3. 探讨血透室护理流程管理对提高护理质量的影响%Investigation of Impact on Improving the Quality of Care by Hemodialysis Room Nursing Process Management

    Institute of Scientific and Technical Information of China (English)

    杨桂珠

    2013-01-01

    Objective to analyze the ef ect of hemodialysis room nursing process management on the quality of nursing care. Method comparison before and after the implementation of nursing process management of nurses in various aspects ability, nursing and nursing satisfaction. Result There is an obvious gap between the results before and after the implementation of nursing process management of nurses in various aspects ability, nursing quality and nursing satisfaction, the p value is less than 0.05, there was statistical significance. Conclusion the hemodialysis room nursing process management can ef ectively improve the quality of nursing in hemodialysis room.%目的:分析血透室采用护理流程管理对护理质量的影响。方法比较实施护理流程管理前后护士的各方面能力、护理的情况和护理满意度。结果实施护理流程管理前后护士的各方面能力、护理的质量和护理满意度有明显的差距,P值<0.05,有统计学意义。结论血透室实施护理流程管理能够有效的提高血透室的护理质量。

  4. Event-based knowledge elicitation of operating room management decision-making using scenarios adapted from information systems data

    Directory of Open Access Journals (Sweden)

    Epstein Richard H

    2011-01-01

    Full Text Available Abstract Background No systematic process has previously been described for a needs assessment that identifies the operating room (OR management decisions made by the anesthesiologists and nurse managers at a facility that do not maximize the efficiency of use of OR time. We evaluated whether event-based knowledge elicitation can be used practically for rapid assessment of OR management decision-making at facilities, whether scenarios can be adapted automatically from information systems data, and the usefulness of the approach. Methods A process of event-based knowledge elicitation was developed to assess OR management decision-making that may reduce the efficiency of use of OR time. Hypothetical scenarios addressing every OR management decision influencing OR efficiency were created from published examples. Scenarios are adapted, so that cues about conditions are accurate and appropriate for each facility (e.g., if OR 1 is used as an example in a scenario, the listed procedure is a type of procedure performed at the facility in OR 1. Adaptation is performed automatically using the facility's OR information system or anesthesia information management system (AIMS data for most scenarios (43 of 45. Performing the needs assessment takes approximately 1 hour of local managers' time while they decide if their decisions are consistent with the described scenarios