An experimental study on the effects of positioning medical equipment on contaminant exposure of a patient in an operating room with unidirectional downflow

2019 ◽  
Vol 165 ◽  
pp. 106096
Author(s):  
Amar Aganovic ◽  
Guangyu Cao ◽  
Liv-Inger Stenstad ◽  
Jan G. Skogås
1998 ◽  
Vol 23 (2) ◽  
pp. 122-134 ◽  
Author(s):  
Isao Baba ◽  
Takashi Ito ◽  
Hiroshi Furuhata ◽  
Toshio Nojima ◽  
Takashi Kano ◽  
...  

Author(s):  
Kimberly A. LaForge ◽  
Helen J. A. Fuller ◽  
Timothy Arnold ◽  
Kristin Chrouser ◽  
William Gunnar

Successful surgery does not just depend on the skills and knowledge of those in the operating room but also on the staff that insure the needed instrumentation is available and sterile. The process that continuously provides reusable medical equipment (RME) to the Operating Room (OR) requires highly specialized expertise over a wide range of instrumentation. The reprocessing team must be familiar with instructions for use (IFU), and how to apply them to process every piece of RME from surgeries, endoscopies, and clinic procedures. Coupled with the limitations of staff, time, and resources and with competing demands to produce sterile instruments and environments that work in almost total isolation from each other, there are several gaps in the process that must be identified and bridged. While the workflow for moving between the Sterile Processing Department (SPD) and the OR is sometimes thought as a fairly simple circular flowchart, the realities of work done versus work imagined are vastly different. In addition, these challenges vary considerably across different departments, even in a single healthcare system, and as such there are no simple solutions. Understanding the demands on the SPD, the needs in the OR for sterile RME, and the patient safety concerns that drive this cycle are critical if we are to improve the process.


2020 ◽  
Vol 32 ◽  
pp. 101837
Author(s):  
Kai Xue ◽  
Guangyu Cao ◽  
Meng Liu ◽  
Yixian Zhang ◽  
Christoffer Pedersen ◽  
...  

2021 ◽  
Vol 319 ◽  
pp. 01080
Author(s):  
Samira Jaouhar ◽  
Abdelhakim El Ouali Lalami ◽  
Khadija Ouarrak ◽  
Jawad Bouzid ◽  
Mohammed Maoulouaa ◽  
...  

The hospital environment, especially medical devices and surfaces, represents a secondary reservoir for pathogens. This work aims to evaluate the microbiological quality of surfaces and medical equipment of controlled environment services (burn unit, operating room, and sterilization service) at a hospital in Meknes (center of Morocco). This study was carried out for three months (September-December of 2017). A total of 63 samples were taken by swabbing technique from different surfaces and medical equipment after bio-cleaning. Identification was performed according to conventional bacteriological methods and by microscopic observation for fungi. The study showed that 68% of the surface was contaminated. The operating room recorded a rate of 93% of contamination (p-value <0.01), 83% for sterilization service, and 47% for burn unit. A percentage of 67% of the isolates were identified as Gram-positive bacteria against 32% Gram-negative bacteria (p-value <0.05). Bacterial identification showed Coagulase-negative Staphylococci (45%), Enterobacter cloacae (14%), Micrococcus sp (10%), Klebsiella pneumoniae, peptostreptococcus sp and Pseudomonas fluorescens (7% for each one), Escherichia coli, and Methicillin-resistant Staphylococcus aureus (5% for each one). These results require corrective action represented by rigorous cleaning and disinfection procedures.


2020 ◽  
Vol 29 ◽  
pp. 101184
Author(s):  
Tee Lin ◽  
Omid Ali Zargar ◽  
Kuan-Yu Lin ◽  
Oscar Juiña ◽  
Dexter Lyndon Sabusap ◽  
...  

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