Noise reduction in an operating room: A case study

2008 ◽  
Vol 123 (5) ◽  
pp. 3677-3677 ◽  
Author(s):  
James West ◽  
Ilene Busch‐Vishniac ◽  
Joseph King ◽  
Natalia Levit
Author(s):  
Mirette Dubé ◽  
Jason Laberge ◽  
Elaine Sigalet ◽  
Jonas Shultz ◽  
Christine Vis ◽  
...  

Purpose: The aim of this article is to provide a case study example of the preopening phase of an interventional trauma operating room (ITOR) using systems-focused simulation and human factor evaluations for healthcare environment commissioning. Background: Systems-focused simulation, underpinned by human factors science, is increasingly being used as a quality improvement tool to test and evaluate healthcare spaces with the stakeholders that use them. Purposeful real-to-life simulated events are rehearsed to allow healthcare teams opportunity to identify what is working well and what needs improvement within the work system such as tasks, environments, and processes that support the delivery of healthcare services. This project highlights salient evaluation objectives and methods used within the clinical commissioning phase of one of the first ITORs in Canada. Methods: A multistaged evaluation project to support clinical commissioning was facilitated engaging 24 stakeholder groups. Key evaluation objectives highlighted include the evaluation of two transport routes, switching of operating room (OR) tabletops, the use of the C-arm, and timely access to lead in the OR. Multiple evaluation methods were used including observation, debriefing, time-based metrics, distance wheel metrics, equipment adjustment counts, and other transport route considerations. Results: The evaluation resulted in several types of data that allowed for informed decision making for the most effective, efficient, and safest transport route for an exsanguinating trauma patient and healthcare team; improved efficiencies in use of the C-arm, significantly reduced the time to access lead; and uncovered a new process for switching OR tabletop due to safety threats identified.


Author(s):  
Surangama Sharma ◽  
Lovkesh Arora

Anaphylaxis in the operating room is a life-threatening condition that can evolve rapidly. As an anesthesiologist, it is important to understand the pathophysiology, diagnose the condition, recognize the inciting agent/agents, and manage it appropriately. It is equally important to confirm the diagnosis for preventing a catastrophic event from happening in future. This chapter defines anaphylaxis, discusses the clinical manifestations and most common causes, and describes ways it can be diagnosed. It also considers treatment and preventative measures. The chapter uses a case study of a 55-year-old female, weighing 85 kg and a body mass index of 36 with no other known comorbidities, who is scheduled to undergo elective laparoscopic cholecystectomy.


2008 ◽  
Vol 123 (5) ◽  
pp. 3811-3811
Author(s):  
Kathleen Kondylas ◽  
Natalia Levit ◽  
Joseph A. King ◽  
Chris R. Fuller

Author(s):  
M. Robert Garfield ◽  
Judith Tiferes

Team communication challenges compound the complexity of healthcare environments. While there is a significant body of research on team interaction in surgical and operating room settings, there is limited research in more specialized use environments such as the electrophysiology (EP) lab where an interdisciplinary team supports the diagnostics and interventional correction of the heart’s electrical timing. This work proposes a novel framework to uncover and classify team communication pathways in complex healthcare environments via a case study of the EP lab. Designers of integrated medical systems should study the communication practices and communication barriers of intended users to drive better user needs and design inputs.


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