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https://www.readbyqxmd.com/read/29332055/operating-room-scheduling-and-surgeon-assignment-problem-under-surgery-durations-uncertainty
#1
Hongwei Liu, Tianyi Zhang, Shuai Luo, Dan Xu
BACKGROUND: Scientific management methods are urgently needed to balance the demand and supply of heath care services in Chinese hospitals. Operating theatre is the bottleneck and costliest department. Therefore, the surgery scheduling is crucial to hospital management. OBJECTIVE: To increase the utilization and reduce the cost of operating theatre, and to improve surgeons' satisfaction in the meantime, a practical surgery scheduling which could assign the operating room (OR) and surgeon for the surgery and sequence surgeries in each OR was provided for hospital managers...
December 29, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29330886/surgery-and-magnetic-resonance-imaging-increase-the-risk-of-hypothermia-in-infants
#2
Joel M Don Paul, Elizabeth J Perkins, Prue M Pereira-Fantini, Asha Suka, Olivia Farrell, Julia K Gunn, Anushi E Rajapaksa, David G Tingay
AIM: Maintaining normothermia is a tenet of neonatal care. However, neonatal thermal care guidelines applicable to intra-hospital transport beyond the neonatal intensive care unit (NICU) and during surgery or magnetic resonance imaging (MRI) are lacking. The aim of this study is to determine the proportion of infants normothermic (36.5-37.5°C) on return to NICU after management during surgery and MRI, and during standard clinical care in both environments. METHODS: Sixty-two newborns requiring either surgery in the operating theatre (OT) (n = 41) or an MRI scan (n = 21) at the Royal Children's Hospital (Melbourne) NICU were prospectively studied...
January 13, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29328799/clinical-supervision-beyond-the-first-flush
#3
Edward White
Nearly two decades ago, Smith (1999) recognised that little had been published on the implementation and usefulness of clinical supervision in the operating theatre. Accordingly, she conducted a small action research project and reported its findings. These were deemed to have been in a positive direction and a number of benefits were listed, essentially clustered around better communication between operating department practitioners (ODPs). Prophetically, however, she thought 'it would be interesting to observe if this enthusiasm and motivation continues after the project is completed' (p308)...
May 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29328797/does-a-dedicated-orthopaedic-day-surgery-list-improve-delivery-of-trauma-services
#4
Jagmeet Singh Bhamra, Baljinder S Dhinsa, Sohil Patel, Chi Davies, Matthew OLiver
Our aim was to implement a 23-hour pathway for uncomplicated trauma to overcome delays and improve efficiency. A retrospective review of a single surgeon series of 105 consecutive patients operated on between July 2010 and July 2011 was performed. With recently revised trauma tariffs, we believe an efficient day surgery trauma list improves theatre utilisation, reduces inpatient bed demands, prioritises major and sub-specialist trauma and delivers patient satisfaction.
November 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29328760/leadership-briefing-and-debriefing-in-the-operating-room
#5
Teresa Donnelly
Steelman (2014) stated that the concept of briefing and debriefing used in operating theatres derived from the airline industry in the 1970s. There had been a series of devastating air crashes and the airline industry had come under severe public scrutiny. Investigations identified that, while the crews operating these aircrafts were very skilled and knowledgeable, they lacked competence in their ability to perform as part of a team.
July 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29328748/analysis-of-neuro-theatre-utilisation-and-reasons-for-cancellation-to-improve-efficiency-and-productivity
#6
Feras Sharouf, Asfand Baig Mirza, Vazira Moosajee, Sarah Plummer, Imran M Bhatti, Malik Zaben
In neurosurgery, much emphasis has recently been placed on theatre cancellation and time utilization as a key hospital management performance indicator. We sought to evaluate our unit's theatre throughput efficiency and identify the causes of elective surgery cancellations. We retrospectively audited all scheduled elective neurosurgical procedures over a period of nine months. Mean theatre utilization time was 47.0%. The common causes of cancellations were lack of theatre time (32%), non-availability of beds in recovery room (18...
April 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29328747/critical-incident-analysis-equip-to-avoid-failure
#7
Naomi Potts, Daphne Se Martin, Leontia Hoy
This work is set in the context of perioperative practice in difficult airway management. It integrates a root cause analysis and fish bone technique to investigate a critical incident in temporary yet crucial equipment failure. Risk management and incident reporting is analysed alongside human factors in the operating theatre environment. Finally, recommendations for risk reduction, vigilance and checking vital airway equipment are made in anaesthetic practice.
April 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29328742/pragmatic-recycling-of-paper-and-cardboard-in-the-operating-theatre-an-audit
#8
Douglas Ra McKendrick, Lorraine J Snedden, Rozel Bunch, Hazel McGregor
Despite recent legislation introduced in Scotland and motivated recycling at home, very little recycling exists within theatre environments. This study audited the introduction of recycling of paper and cardboard. All waste within a single operating theatre was collected by a dedicated team for 20 surgical cases. The collection of clean paper and cardboard packaging was limited to the theatre preparation room (TPR) and anaesthetic room (AR). No waste segregation was attempted within the operating theatre itself...
March 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29328065/upper-lid-ptosis-surgery-what-is-the-optimal-interval-for-the-postoperative-review-a-retrospective-review-of-300-cases
#9
A M Porteous, A S Haridas, J R O Collin, D H Verity
PurposeCorrection of upper eyelid ptosis is one of the most commonly performed oculoplastic procedures on the NHS but there is currently no data in the literature informing the surgeon of the optimal time for the first postoperative review. Our aim was to investigate how often a complication that warranted intervention occurred in the first 6 weeks after surgery and whether such a complication could have been predicted preoperatively.Patients and methodsA retrospective review was performed of 300 operations in 239 patients over a 9-month period at Moorfields Eye Hospital, London...
January 12, 2018: Eye
https://www.readbyqxmd.com/read/29326127/skill-sets-required-for-the-management-of-military-head-face-and-neck-trauma-a-multidisciplinary-consensus-statement
#10
John Breeze, R Blanch, J Baden, A M Monaghan, D Evriviades, S E Harrisson, S Roberts, A Gibson, N MacKenzie, D Baxter, A J Gibbons, S Heppell, J G Combes, R F Rickard
INTRODUCTION: The evolution of medical practice is resulting in increasing subspecialisation, with head, face and neck (HFN) trauma in a civilian environment usually managed by a combination of surgical specialties working as a team. However, the full combination of HFN specialties commonly available in the NHS may not be available in future UK military-led operations, necessitating the identification of a group of skill sets that could be delivered by one or more deployed surgeons. METHOD: A systematic review was undertaken to identify those surgical procedures performed to treat acute military head, face, neck and eye trauma...
January 10, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29325198/-hygienic-inspections-of-ventilation-systems-under-resting-conditions-according-to-din-1946-4-1999-03-a-retrospective-assessment
#11
Lena Friedrich, Irina Boeckelmann
BACKGROUND: Hygienic and microbiologically sterile air quality is essential for successful guideline-based work in operating theatres. To ensure clean air and to reduce contamination during surgery, ventilation systems are indispensable. Ventilation systems should be especially designed to keep the number of particles and germs under statutory limits. Therefore, they must be operated to recognised standards of good practice and be periodically inspected and maintained. The objective of this study was to prove, through the analysis of observation outside surgery time (rest condition), the effects of ventilation systems on air quality in a medical facility...
January 11, 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29322892/could-the-orthopaedic-surgeon-deployed-in-austere-setting-perform-flaps-on-the-leg
#12
O Barbier, D Ollat, P Pasquier, S Rigal, G Versier
The orthopaedic military surgeons deployed in operations are led to perform soft tissue coverage on the lower limb. The purpose of this study was to evaluate if flaps performed by surgeons' non-specialist in reconstructive surgery are associated with good outcome. All patients operated for a flap on the leg in French Forward Surgical Team deployed in theatre of operations between 2003 and 2013 were retrospectively reviewed. Forty-nine patients were included, for a total of 54 flaps' procedures. Indications were open fractures in 25 cases and osseous infections in 29 cases...
March 2017: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29306382/diagnostic-radiographers-working-in-the-operating-theatre-an-action-research-project
#13
S Naylor, D Foulkes
INTRODUCTION: Failures in interprofessional communication are well-documented and are an established cause of medical error and negative health outcomes. Socio-historical issues like imbalances in power and status are particularly prevalent in the operating theatre environment, adding complications to interprofessional working. Simulation, used in healthcare education, may impact positively on interprofessional working. METHODS: The aim of this action research study was to develop, pilot and run a simulation experience for Diagnostic Radiography (DRAD) students...
February 2018: Radiography
https://www.readbyqxmd.com/read/29297088/changes-in-operative-experience-after-the-introduction-of-residency-an-objective-comparison-of-surgical-and-endoscopic-volumes
#14
Kherru Sarah Sim, Jin Yao Teo, Peng Chung Cheow
INTRODUCTION: The SingHealth Residency General Surgery Programme replaced the basic and advanced specialist training (AST) system in Singapore in 2010. The relative merits of both systems continue to be debated, especially concerning the operational readiness of graduating residents. We set out to compare the operative and endoscopic volumes of graduates from the AST system with those from the first graduating batch of the residency programme during their registrar (or equivalent) years, as a reflection of procedural experience gained during traineeship...
January 3, 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29289500/perforator-mapping-reduces-the-operative-time-of-diep-flap-breast-reconstruction-a-systematic-review-and-meta-analysis-of-preoperative-ultrasound-computed-tomography-and-magnetic-resonance-angiography
#15
REVIEW
Ryckie G Wade, James Watford, Justin C R Wormald, Russell J Bramhall, Andrea Figus
BACKGROUND: Prior to DIEP flap breast reconstruction, mapping the perforators of the lower abdominal wall using ultrasound, computed tomography angiography (CTA) or magnetic resonance angiography (MRA) reduces the risk of flap failure. This review aimed to investigate the additional potential benefit of a reduction in operating time. METHODS: We systematically searched the literature for studies concerning adult women undergoing DIEP flap breast reconstruction, which directly compared the operating times and adverse outcomes for those with and without preoperative perforator mapping by ultrasound, CTA or MRA...
December 12, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29288539/cold-cold-vs-bipolar-dissection-tonsillectomy-a-surgeon-controlled-study-of-400-cases
#16
Simon Morris, Thomas Martin, Steven Lewis
Surgeon controlled study of 200 cold/cold and 200 hot/hot tonsillectomy cases in one institution Hot/hot resulted in higher overall rates of early and late post-tonsillectomy haemorrhage and return-to-theatre when compared to cold/cold methods. Bipolar diathermy tonsillectomy resulted in a statistically significant higher rate of secondary post-tonsillectomy haemorrhage than cold-steel of nearly three times. Trainee surgeons performed better in bipolar haemostasis than cold-steel dissection with regard to post-operative morbidity...
December 30, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29287221/ankle-fractures-getting-it-right-first-time
#17
Anna S Walsh, Victoria Sinclair, Patrick Watmough, Alistair A Henderson
INTRODUCTION: Ankle fractures are common injuries presenting to trauma departments and ankle open reduction and internal fixation (ORIF2) is one of the first procedures targeted in early orthopaedic training. Failure to address the fracture pattern with the appropriate surgical technique and hardware may lead to early failure, resulting in revision procedures or premature degenerative change. Patients undergoing revision ORIF are known to be at much greater risk of complications and many of these secondary procedures may be preventable...
November 28, 2017: Foot
https://www.readbyqxmd.com/read/29283367/surveillance-of-environmental-and-procedural-measures-of-infection-control-in-the-operating-theatre-setting
#18
Laura Dallolio, Alessandra Raggi, Tiziana Sanna, Magda Mazzetti, Alessandra Orsi, Angela Zanni, Patrizia Farruggia, Erica Leoni
The microbiological contamination of operating theatres and the lack of adherence to best practices by surgical staff represent some of the factors affecting Surgical Site Infections (SSIs). The aim of the present study was to assess the microbiological quality of operating settings and the staff compliance to the SSI evidence-based control measures. Ten operating rooms were examined for microbiological contamination of air and surfaces, after cleaning procedures, in "at rest" conditions. Furthermore, 10 surgical operations were monitored to assess staff compliance to the recommended practices...
December 28, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29248882/-mutiny-on-the-crown-two-cases-of-rare-cephalic-malformations
#19
Kashish Khanna, Minu Bajpai, Alisha Gupta, Prabudh Goel
The presentation and management of two bizarre congenital cephalic curiosities at the two extremes of the clinical spectrum are discussed herewith. Case 1: presented to us as a neonate with a scalp swelling mirror-imaging her head and face. The journey from clinics to wards and to the operation theatre and to her home is introspected. Case 2: presented to us as dicephalous dibrachius dipus parapagus conjoined twins. The detailed work-up of individual organ systems, the multidisciplinary approach to management and the final outcome are discussed...
December 15, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29248505/fear-and-hierarchy-critical-influences-on-antibiotic-decision-making-in-the-operating-theatre
#20
J Broom, A Broom
No abstract text is available yet for this article.
December 14, 2017: Journal of Hospital Infection
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