Identifying the Factors Affecting the Transfer of Operating Room Medical Equipment Technology and Prioritizing Them Using the Weighted Mean Method

2021 ◽  
Author(s):  
Hossein Eghbali ◽  
Masoud Ahmadvand
Keyword(s):  
Operating Room ◽  
Medical Equipment ◽  
Weighted Mean ◽  
Factors Affecting

Systemic Determinants in Surgery: Nonclinical Factors Affecting Time to Operation for Incarcerated Ventral Hernias

2021 ◽  
pp. 000313482110111
Author(s):  
David E. Wang ◽  
Paul J. Chung ◽  
Rafael Barrera ◽  
Gene F. Coppa ◽  
Antonio E. Alfonso ◽  
...  
Keyword(s):  
Operating Room ◽  
Negative Binomial ◽  
Private Insurance ◽  
Negative Binomial Regression ◽  
Outcome Variable ◽  
Hospital Size ◽  
Factors Affecting ◽  
Binomial Regression ◽  
Comorbidity Status ◽  
Ventral Hernias

Introduction We explore nonclinical factors affecting the amount of time from admission to the operating room for patients requiring nonelective repair of ventral hernias. Methods Using the 2005-2012 Nationwide Inpatient Sample, we identified adult patients with a primary diagnosis of ventral hernia without obstruction/gangrene, who underwent nonelective repair. The outcome variable of interest was time from admission to surgery. We performed univariate and multivariable analyses using negative binomial regression, adjusting for age, sex, race, income, insurance, admission day, comorbidity status (van Walraven score), diagnosis, procedure, hospital size, location/teaching status, and region. Results 7,253 patients met criteria, of which majority were women (n = 4,615) and white (n = 5,394). The majority of patients had private insurance (n = 3,015) followed by Medicare (n = 2,737). Median time to operation was 0 days. Univariate analysis comparing operation <1 day to ≥1 day identified significant differences in race, day of admission, insurance, length of stay, comorbidity status, hospital location, type, and size. Negative binomial regression showed that weekday admission (IRR 4.42, P < .0001), private insurance (IRR 1.53-2.66, P < .0001), rural location (IRR 1.39-1.76, P < .01), small hospital size (IRR 1.26-1.36, P < .05), white race (IRR 1.30-1.34, P < .01), healthier patients (van Walraven score IRR 1.05, P < .0001), and use of mesh (IRR 0.39-0.56, P < .02) were associated with shorter time until procedure. Conclusion Shorter time from admission to the operating room was associated with several nonclinical factors, which suggest disparities may exist. Further prospective studies are warranted to elucidate these disparities affecting patient care.

Future Directions in Robotic Neurosurgery

2021 ◽  
Author(s):  
Christopher R Wagner ◽  
Timothy Phillips ◽  
Serge Roux ◽  
Joseph P Corrigan
Keyword(s):  
Machine Learning ◽  
Operating Room ◽  
Key Factors ◽  
Future Directions ◽  
Factors Affecting ◽  
Implementation Challenges ◽  
Image Guided ◽  
Robotic Neurosurgery ◽  
Specific Technology ◽  
Technology Trends

Abstract In this paper, we highlight promising technologies in each phase of a robotic neurosurgery operation, and identify key factors affecting how quickly these technologies will mature into products in the operating room. We focus on specific technology trends in image-guided cranial and spinal procedures, including advances in imaging, machine learning, robotics, and novel interfaces. For each technology, we discuss the required effort to overcome safety or implementation challenges, as well as identifying example regulatory approved products in related fields for comparison. The goal is to provide a roadmap for clinicians as to which robotic and automation technologies are in the developmental pipeline, and which ones are likely to impact their practice sooner, rather than later.

scholarly journals THE STUDY OF THE EFFECT OF ETHICAL CLIMATE ON THE UNIVERSITY STUDENTS’ EDUCATIONAL ATTITUDES IN OPERATING ROOM

2016 ◽  
pp. 105
Author(s):  
Nazanin Yousefian Miandoab ◽  
Mahnaz Shahrakipour ◽  
Sadegh Zare
Keyword(s):  
University Students ◽  
Operating Room ◽  
Ethical Climate ◽  
Statistical Tests ◽  
Medical Science ◽  
Average Score ◽  
Educational Attitudes ◽  
Factors Affecting ◽  
Objective Health ◽  
The University

<p>ABSTRACT<br />Objective: Health-care students should be properly trained to be able to solve the society problems in the future. One of the factors affecting the<br />academic progress of students is student’s educational attitudes that are affected by the factors such as their learning environment’s climate. The<br />aim of the current study is studying the ethical climate on the university students’ educational attitudes in the operating room of the medical science<br />university in Zahedan.<br />Methods: In this descriptive-analytical study, the students were selected by census method (62 students). To collect the data, a three-part questionnaire<br />was used that the first part was related to the demographic features, the second part was related to the educational attitude, and the third part was<br />related to Olson’s standard questionnaire. The data were analyzed in SPSS 19 by statistical tests, t-test, and variance analysis.<br />Results: The average age of students was 21.65±1.63 and 36 participants were female and 26 participants were male. 34 participants were educating<br />in semester 4 and 28 participants were educating semester 8. The average score of educational attitude was 87.01±9.20 and the average score of<br />ethical climate was 15.58±92.85, and the significant relationships were observed between the ethical climate and educational attitude (p=0.03).<br />Conclusion: The results of this study showed that students have a positive view of their field of study and existence ethical climate and managers, and<br />officials should try to maintain this situation, and the relationship between the ethical climate and educational attitude was significant.<br />Keywords: Educational attitude, Ethical climate, The university students, Operating rooms.</p>

scholarly journals Taxonomy of Surgical Delay Related to Sterile Processing and Domino Effect

2019 ◽  
Vol 8 (1) ◽  
pp. 291-295
Author(s):  
Kimberly A. LaForge ◽  
Helen J. A. Fuller ◽  
Timothy Arnold ◽  
Kristin Chrouser ◽  
William Gunnar
Keyword(s):  
Operating Room ◽  
Medical Equipment ◽  
Domino Effect ◽  
Staff Time ◽  
Surgical Delay ◽  
Wide Range ◽  
Competing Demands ◽  
Instructions For Use ◽  
Sterile Processing ◽  
Work Done

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.

scholarly journals Bio contamination of surfaces and medical devices in controlled environment areas at a hospital in Morocco

2021 ◽  
Vol 319 ◽  
pp. 01080
Author(s):  
Samira Jaouhar ◽  
Abdelhakim El Ouali Lalami ◽  
Khadija Ouarrak ◽  
Jawad Bouzid ◽  
Mohammed Maoulouaa ◽  
...  
Keyword(s):  
Operating Room ◽  
Medical Devices ◽  
Medical Equipment ◽  
Microbiological Quality ◽  
Hospital Environment ◽  
P Value ◽  
Controlled Environment ◽  
Coagulase Negative Staphylococci ◽  
Burn Unit ◽  
Sterilization Service

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.

Sign in / Sign up

Export Citation Format

Share Document