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Surgical technologist

Michael Pickell, Stephen M Mann, Rajesh Chakravertty, Daniel P Borschneck
BACKGROUND: This is a prospective observational study examining the use of a surgeon-driven intraoperative neurophysiologic monitoring system. Intraoperative neurophysiologic monitoring is becoming the standard of care for spinal surgeries with potential post-operative neurologic deficits. This standard applies to both adult and pediatric spinal surgery, but a shortage of appropriately trained and certified technologists and physiologists can compromise monitoring capabilities in some centers...
September 2016: J Spine Surg
Richard A Cabral, Terry Eggenberger, Kathryn Keller, Barry S Gallison, David Newman
To improve surgical team communication, a team at Broward Health Imperial Point Hospital, Ft Lauderdale, Florida, implemented a program for process improvement using a locally adapted World Health Organization Surgical Safety Checklist. This program included a standardized, comprehensive time out and a briefing/debriefing process. Postimplementation responses to the Safety Attitudes Questionnaire revealed a significant increase in the surgical team's perception of communication compared with that reported on the pretest (6% improvement resulting in t79 = -1...
September 2016: AORN Journal
D S McDowell, S McComb
Researchers have shown inconsistencies in compliance, outcomes and attitudes of surgical team members related to surgical safety checklist briefings. The purpose of this study was to examine surgical circulator and scrub practitioners' perceptions of safety checklist briefings and team member involvement, and to identify potential improvements in the process based on those perceptions. An anonymous survey was conducted with members of the Association of periOperative Registered Nurses (AORN) and the Association of Surgical Technologists (AST)...
June 2016: Journal of Perioperative Practice
Byung B Lee, Andrew N Nicolaides, Kenneth Myers, Mark Meissner, Evi Kalodiki, Claudio Allegra, Pier L Antignani, Niels Bækgaard, Kirk Beach, Giovanni Belcaro, Stephen Black, Lena Blomgren, Eliete Bouskela, Massimo Cappelli, Joseph Caprini, Patrick Carpentier, Attilio Cavezzi, Sylvain Chastanet, Jan T Christenson, Demetris Christopoulos, Heather Clarke, Alun Davies, Marianne Demaeseneer, Bo Eklöf, Stefano Ermini, Fidel Fernández, Claude Franceschi, Antonios Gasparis, George Geroulakos, Gianesini Sergio, Athanasios Giannoukas, Peter Gloviczki, Ying Huang, Veronica Ibegbuna, Stavros K Kakkos, Robert Kistner, Tilo Kölbel, Ralph L Kurstjens, Nicos Labropoulos, James Laredo, Christopher R Lattimer, Marzia Lugli, Fedor Lurie, Oscar Maleti, Jovan Markovic, Erika Mendoza, Javier L Monedero, Gregory Moneta, Hayley Moore, Nick Morrison, Giovanni Mosti, Olle Nelzén, Alfred Obermayer, Tomohiro Ogawa, Kurosh Parsi, Hugo Partsch, Fausto Passariello, Michel L Perrin, Paul Pittaluga, Seshadri Raju, Stefano Ricci, Antonio Rosales, Angelo Scuderi, Carl E Slagsvold, Anders Thurin, Tomasz Urbanek, Andre M VAN Rij, Michael Vasquez, Cees H Wittens, Paolo Zamboni, Steven Zimmet, Santiago Z Ezpeleta
There are excellent guidelines for clinicians to manage venous diseases but few reviews to assess their hemodynamic background. Hemodynamic concepts that evolved in the past have largely remained unchallenged in recent decades, perhaps due to their often complicated nature and in part due to emergence of new diagnostic techniques. Duplex ultrasound scanning and other imaging techniques which evolved in the latter part of the 20th century have dominated investigation. They have greatly improved our understanding of the anatomical patterns of venous reflux and obstruction...
June 2016: International Angiology: a Journal of the International Union of Angiology
Sara N Goldhaber-Fiebert, Vivian Lei, Kiruthiga Nandagopal, Sylvia Bereknyei
BACKGROUND: Emergency manuals (EMs)-context-relevant sets of cognitive aids such as crisis checklists-are useful tools to enhance perioperative patient care. Studies in high-hazard industries demonstrate that humans, regardless of expertise, do not optimally retrieve or deploy key knowledge under stress. EM use has been shown in both health care simulation studies and other industries to help expert teams effectively manage critical events. However, clinical adoption and use are still nascent in health care...
May 2015: Joint Commission Journal on Quality and Patient Safety
Shinji Sone, Hirokazu Tsuno, Hitoshi Okazaki
Massive transfusion (hemorrhage) is defined as blood transfusion exceeding the circulatory blood volume within 24 hours. Here, we investigated cases of massive transfusion, defined as transfusion of more than 21 units of red blood cells within 24 hours, in our institution in the period from August 2005 to March 2013. Massive transfusion accounted for approximately 1% of all blood transfusions in our institution, and the majority were cardiac surgery cases (75%), with 80% of the cases receiving blood transfusion irtfhe operating theater...
December 2014: Rinsho Byori. the Japanese Journal of Clinical Pathology
Daiya Takai
Spirometry and the flow-volume curve test are commonly performed lung function tests. However, a unique clinical entity occasionally shows almost normal data in these tests, and is therefore missed on screening tests. The clinical entity of combined pulmonary emphysema and pulmdoary fibrosis was recognized and documented in the 90's in Japan, the USA, and Europe. Typical emphysema shows obstructive disorders, and pulmonary fibrosis shows restrictive disorders. Thus, the combination of both should lead to a combined disorder pattern in lung function tests, but this is not the case...
December 2014: Rinsho Byori. the Japanese Journal of Clinical Pathology
Robert D Harris, Gary Parker
Compact ultrasound (US) was introduced in an austere setting with no other available imaging for an annual mass surgical screening day. Compact US examinations were performed on 25 patients from more than 7000 potential patients, as deemed possibly useful by the screening surgeons. Of the 20 patients with recorded data, compact US was helpful in 14 of 20 as a decision-making tool, obviating computed tomography for preoperative planning. Compact US was helpful in most cases, saving resources (computed tomography), technologist time, and radiation risk in this select population...
February 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Jeremy D Prager, Amanda G Ruiz, Kristin Mooney, Dexiang Gao, Judit Szolnoki, Rahul K Shah
IMPORTANCE: Microlaryngoscopy and bronchoscopy procedures (MLBs) are short-duration, high-acuity procedures that carry risk. Poor case flow and communication exacerbate such potential risk. Efficient operative flow is critical for patient safety and resource expenditure. OBJECTIVES: To identify areas for improvement and evaluate the effectiveness of a multidisciplinary quality-improvement (QI) initiative. DESIGN, SETTING, AND PARTICIPANTS: A QI project using the "Plan-Do-Study-Act" (PDSA) cycle was implemented to assess MLBs performed on pediatric patients in a tertiary academic children's hospital...
March 2015: JAMA Otolaryngology—Head & Neck Surgery
Yan Xiao, Alan Jones, Beilei Belinda Zhang, Monica Bennett, Simon C Mears, Jay D Mabrey, Donald Kennerly
BACKGROUND: Human factors research has suggested benefits of consistent teams yet no surgical team consistency measures have been established for teamwork improvement initiatives. METHODS: Retrospective analysis was conducted of teams performing consecutive elective procedures of unilateral primary total knee and hip replacement between June 2008 and May 2010 at a large tertiary medical center. Surgeons who performed fewer than 50 cases of the procedures during the study period were excluded...
April 2015: World Journal of Surgery
Payal Jotwani, Vinkle Srivastav, Manjul Tripathi, Rama Chandra Deo, Britty Baby, Natesan Damodaran, Ramandeep Singh, Ashish Suri, Martin Bettag, Tara Sankar Roy, Christoph Busert, Marcus Mehlitz, Sanjeev Lalwani, Kanwaljeet Garg, Kolin Paul, Sanjiva Prasad, Subhashis Banerjee, Prem Kalra, Subodh Kumar, Bhavani Shankar Sharma, Ashok Kumar Mahapatra
BACKGROUND: Since the end of last century, technology has taken a front seat in dispersion of medical education. Advancements of technology in neurosurgery and traditional training methods are now being challenged by legal and ethical concerns of patient safety, resident work-hour restriction and cost of operating-room time. To supplement the existing neurosurgery education pattern, various e-learning platforms are introduced as structured, interactive learning system. MATERIALS AND METHODS: This study focuses on the concept, formulation, development and impact of web based learning platforms dedicated to neurosurgery discipline to disseminate education, supplement surgical knowledge and improve skills of neurosurgeons...
July 2014: Neurology India
Tony Trier, Nora Bello, Tamara Reid Bush, Laura Bix
OBJECTIVE: The objective of this study was to assess the impact of package size on the contact between medical devices and non-sterile surfaces (i.e. the hands of the practitioner and the outside of the package) during aseptic presentation to a simulated sterile field. Rationale for this objective stems from the decades-long problem of hospital-acquired infections. This work approaches the problem from a unique perspective, namely packaging size. DESIGN: Randomized complete block design with subsampling...
2014: PloS One
Cynthia Cohen, Diane Lawson, Jennifer Jiang, Momin T Siddiqui
With the increased number of requests for high-risk human papilloma virus in situ hybridization (HPV ISH), not only for uterine cervical squamous cell carcinoma (SCC) but also for biopsies and resections of oropharyngeal SCC, and fine needle aspiration cell blocks of metastatic SCC in cervical lymph nodes, we optimized an automated method to replace the manual one we had used. The new technique used the Leica BOND-maX or III immunostainer, already in use for immunohistochemical analysis, with the Enzo HPV type 16/18 and 6/11 probes...
September 2014: Applied Immunohistochemistry & Molecular Morphology: AIMM
Joel Moktar, Charles A Popkin, Andrew Howard, M Lucas Murnaghan
BACKGROUND: Surgical simulation offers a low-risk learning environment with repetitive practice opportunities for orthopaedic residents. It is increasingly prevalent in many training programs, as acquisition of technical skills in the face of educational demands and reduced work hours becomes more challenging. In addition to surgical skills, orthopaedic residents must also learn the technique of cast application. Deficiencies in casting skill are risk factors for re-displacement of fractures and cast-specific complications...
May 7, 2014: Journal of Bone and Joint Surgery. American Volume
Grace Boynton, Arshia Vahabzadeh, Sami Hammoud, Deborah L Ruzicka, Ronald D Chervin
BACKGROUND: The STOP-BANG is a simple obstructive sleep apnea (OSA) screening tool, part questionnaire (STOP) and part demographic or physical measures (BANG), developed for use in preoperative surgical clinics. This study assessed sensitivity and specificity of the instrument among patients referred to a sleep disorders laboratory, and also its performance characteristics when BANG physical measures are patient-reported rather than measured. METHODS: Adults referred for diagnostic polysomnography completed the STOP questions and answered four yes/no questions (BANG self-reported) about their body mass index (weight and height), age, neck circumference, and gender, which were also assessed by laboratory technologists (BANG-measured)...
September 23, 2013: Journal of Sleep Disorders-- Treatment & Care
Hsin-Shun Tseng, Shi-Ping Liu, Shi-Nian Uang, Li-Ru Yang, Shien-Chih Lee, Yao-Jen Liu, Dar-Ren Chen
BACKGROUND: Electrocautery applications in surgical operations produce evasive odorous smoke in the cleanest operation rooms. Because of the incomplete combustion of electrical current in the tissues and blood vessels during electrocautery applications, electrocautery smoke (ES) containing significant unknown chemicals and biological forms is released. The potential hazards and cancer risk should be further investigated from the perspective of the occupational health of surgical staff...
2014: World Journal of Surgical Oncology
Jeanne B Ackman
There is increasing perception that thoracic magnetic resonance imaging (MRI) is underutilized. Various obstacles to implementation and utilization of thoracic MRI can be overcome with continuous updating, improvement, and standardization of thoracic MRI protocols, close collaboration with MRI technologists, continued education of MRI technologists, radiologists, and referring health care providers, and incorporation of MRI training into thoracic imaging fellowship programs. The purpose of this article is to share the author's experience in developing a successful nonvascular thoracic MRI practice, discuss the fundamentals of nonvascular thoracic MRI, and provide a "how-to" manual for its performance...
January 2014: Journal of Thoracic Imaging
Fabian M Johnston, Ana I Tergas, Jennifer L Bennett, Vicente Valero, Candice K Morrissey, Amanda N Fader, Deborah B Hobson, Sallie J Weaver, Michael A Rosen, Elizabeth C Wick
Operating room briefings improve patient outcomes; however, implementation and methods to measure are lacking. A briefing audit tool was developed with 4 domains: briefing logistics, briefing basics, specific briefing content, and briefing participation. The tool evaluated preoperative briefings across surgical services at an academic medical center. Sixty-three preoperative briefings were observed. Introduction by name and role occurred in 15% of cases. There was a wide variation in discussion of the critical goals of the surgical procedure among services D (100%), A (26%), B (19%), and C (0%)...
November 2014: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Esther Chipps, Stephanie Stelmaschuk, Nancy M Albert, Linda Bernhard, Christopher Holloman
This study describes the incidence of workplace bullying among perioperative RNs, surgical technologists, and unlicensed perioperative personnel in two academic medical centers. The study sought to determine whether the demographic variables of gender, ethnicity, hospital, years of experience on the unit, years in the profession, and job title predict the experience of workplace bullying; whether a relationship exists between workplace bullying and emotional exhaustion; and whether bullying is associated with perceptions of patient safety in the OR...
November 2013: AORN Journal
Susan D John, Quentin T Moore, Tracy Herrmann, Steven Don, Kevin Powers, Susan N Smith, Greg Morrison, Ellen Charkot, Thalia T Mills, Lois Rutz, Marilyn J Goske
Transition from film-screen to digital radiography requires changes in radiographic technique and workflow processes to ensure that the minimum radiation exposure is used while maintaining diagnostic image quality. Checklists have been demonstrated to be useful tools for decreasing errors and improving safety in several areas, including commercial aviation and surgical procedures. The Image Gently campaign, through a competitive grant from the FDA, developed a checklist for technologists to use during the performance of digital radiography in pediatric patients...
October 2013: Journal of the American College of Radiology: JACR
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