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https://www.readbyqxmd.com/read/29457928/an-atraumatic-retractor-for-interdisciplinary-use-in-conventional-laparoscopy-and-robotic-surgery
#1
Ibrahim Alkatout
BACKGROUND: The removal of obstacles from the surgical field is a crucial aspect of any procedure in gynecological, urological or visceral laparoscopic surgery. Reliable instruments and skilled assistance are essential for the smooth execution of procedures. Blunt forceps are commonly used to keep tissue away from the operating field. The range of existing instruments has been enhanced by the introduction of laparoscopic retractors. However, no laparoscopic retractor can be used without causing tissue damage...
February 19, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/29456960/evaluation-and-customization-of-who-safety-checklist-for-patient-safety-in-otorhinolaryngology
#2
Yogesh Dabholkar, Haritosh Velankar, Sneha Suryanarayan, Twinkle Y Dabholkar, Akanksha A Saberwal, Bhavika Verma
The WHO has designed a safe surgery checklist to enhance communication and awareness of patient safety during surgery and to minimise complications. WHO recommends that the check-list be evaluated and customised by end users as a tool to promote safe surgery. The aim of present study was to evaluate the impact of WHO safety checklist on patient safety awareness in otorhinolaryngology and to customise it for the speciality. A prospective structured questionnaire based study was done in ENT operating room for duration of 1 month each for cases, before and after implementation of safe surgery checklist...
March 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29432971/assessing-the-costs-of-disposable-and-reusable-supplies-wasted-during-surgeries
#3
V Chasseigne, G Leguelinel-Blache, T L Nguyen, R de Tayrac, M Prudhomme, J M Kinowski, P Costa
BACKGROUND: The management of disposable and reusable supplies might have an impact on the cost efficiency of the Operating Room (OR). This study aimed to evaluate the cost and reasons for wasted supplies in the OR during surgical procedures. METHODS: We conducted an observational and prospective study in a French university hospital. We assessed the cost of wasted supplies in the OR (defined by opened unused devices), the reasons for the wastage, and the circulator retrievals...
February 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29432266/looking-for-holes-in-sterile-wrapping-how-accurate-are-we
#4
Christopher H Rashidifard, Hani A Mayassi, Chelsea M Bush, Brian M Opalacz, Mark W Richardson, Paul M Muccino, Thomas G DiPasquale
BACKGROUND: Defects in sterile surgical wrapping are identified by the presence of holes through which light can be seen. However, it is unknown how reliably the human eye can detect these defects. QUESTIONS/PURPOSES: The purpose of this study was to determine (1) how often holes in sterile packaging of various sizes could be detected; and (2) whether differences in lighting, experience level of the observer, or time spent inspecting the packaging were associated with improved likelihood of detection of holes in sterile packaging...
February 8, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29420404/association-between-labor-and-delivery-unit-census-and-delays-in-patient-management-findings-from-a-computer-simulation-module
#5
Rose L Molina, Matthew Gombolay, Jennifer Jonas, Anna M Modest, Julie Shah, Toni H Golen, Neel T Shah
OBJECTIVE: To demonstrate the association between increases in labor and delivery unit census and delays in patient care decisions using a computer simulation module. METHODS: This was an observational cohort study of labor and delivery unit nurse managers. We developed a computer module that simulates the physical layout and clinical activity of the labor and delivery unit at our tertiary care academic medical center, in which players act as clinical managers in dynamically allocating nursing staff and beds as patients arrive, progress in labor, and undergo procedures...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29419333/an-interprofessional-initiative-aimed-at-creating-a-common-learning-resource-for-the-operating-room-ward
#6
Eva Torbjörnsson, Charlotta Olivecrona, Anders Sonden
Every semester, the operating room (OR) ward receives students from different educational programmes. Although interprofessional knowledge is essential for OR teamwork, students have traditionally been prepared in an uniprofessional manner, with no focus on interprofessional learning outcomes. This report describes the work process of an interprofessional initiative undertaken to create a common learning resource aimed at preparing students for OR practice. With a focus on interprofessional learning, shared and profession-specific learning outcomes, which are needed to prepare for practice, were identified by an interprofessional faculty...
February 8, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29406814/a-randomized-controlled-trial-of-video-education-versus-skill-demonstration-which-is-more-effective-in-teaching-sterile-surgical-technique
#7
Stephanie N Pilieci, Saad Y Salim, Daithi S Heffernan, Kamal M F Itani, Rachel G Khadaroo
BACKGROUND: Video education has many advantages over traditional education including efficiency, convenience, and individualized learning. Learning sterile surgical technique (SST) is imperative for medical students, because proper technique helps prevent surgical site infections (SSIs). We hypothesize that video education is at least as effective as traditional skill demonstration in teaching first-year medical students SST. METHODS: A video series was created to demonstrate SST ( https://www...
February 6, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29399904/privacy-at-end-of-life-in-icu-a-review-of-the-literature
#8
Fiona Timmins, Stelios Parissopoulos, Sotirios Plakas, Margaret Theresa Naughton, Jan M A de Vries, Georgia Fouka
BACKGROUND: While the provision of ICU care is vital, the nature and effect of the potential lack of privacy during death and dying in ICUs has not been extensively explored. AIM: This paper aims to explore the issues surrounding privacy during death in ICU. DESIGN: A literature search using CINAHL and Pubmed revealed articles related to privacy, death and dying in ICU. METHOD: Key words used in the search were 'ICU', 'Privacy', 'Death' and 'Dying'...
February 5, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29399903/identifying-the-non-technical-skills-required-of-nurses-in-general-surgical-wards
#9
Dianne Marshall, Mary Finlayson
AIMS AND OBJECTIVES: To identify the non-technical skills (NTS) required of nurses in general surgical wards for safe and effective care. BACKGROUND: As the largest occupational group, nurses are in an ideal position to block the vulnerabilities of patient adverse events in a surgical ward. Previous studies in the surgical environment have identified the NTS required of nurses for safe care in operating rooms however these skills have not been identified for nurses in general surgical wards...
February 5, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29397359/operational-efficiency-and-productivity-improvement-initiatives-in-a-large%C3%A2-cardiac%C3%A2-catheterization-laboratory
#10
Grant W Reed, Scott Hantz, Rebecca Cunningham, Amar Krishnaswamy, Stephen G Ellis, Joe Rak, Samir R Kapadia
OBJECTIVES: This study sought to report outcomes from an efficiency improvement project in a large cardiac cath lab. BACKGROUND: Operational inefficiencies are common in the cath lab, yet solutions are challenging. A detailed report describing and providing solutions for these inefficiencies may be valuable in guiding improvements in productivity. METHODS: In this observational study, the authors report metrics of efficiency before and after a cath lab quality improvement program in June 2014...
January 25, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29397018/from-somda-to-application-integration-strategies-in-the-or-net-demonstration-sites
#11
Max Rockstroh, Stefan Franke, Raluca Dees, Angela Merzweiler, Gerd Schneider, Max Dingler, Christian Dietz, Jonas Pfeifer, Franziska Kühn, Malte Schmitz, Alexander Mildner, Armin Janß, Jasmin Dell'Anna Pudlik, Marcus Köny, Björn Andersen, Björn Bergh, Thomas Neumuth
The effective development and dissemination of the open integration for the next generation of operating rooms require a comprehensive testing environment. In this paper, we present the various challenges to be addressed in demonstration applications, and we discuss the implementation approach, the foci of the demonstration sites and the evaluation efforts. Overall, the demonstrator setups have proven the feasibility of the service-oriented medical device architecture (SOMDA) and real-time approaches with a large variety of example applications...
February 3, 2018: Biomedizinische Technik. Biomedical Engineering
https://www.readbyqxmd.com/read/29369877/a-multidisciplinary-qi-initiative-to-improve-or-icu-handovers
#12
Dawn Krimminger, Carrie Sona, Elaine Thomas-Horton, Marilyn Schallom
: Background: Handover from the operating room (OR) staff to the ICU staff is a critical transition time for patients, in which the potential for error and miscommunication is high. Therefore, minimization of extraneous interruptions during the exchange of crucial information between the anesthesia and surgical teams and the nursing, respiratory therapy, and medical teams is imperative. OBJECTIVES: The aim of this quality improvement (QI) initiative was, first, to examine the impact of a standardized handover process between the OR and the ICU on process and information-sharing errors, and second, to examine provider satisfaction with the handover process...
February 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29355033/the-impact-of-operating-room-layout-on-circulating-nurse-s-work-patterns-and-flow-disruptions-a-behavioral-mapping-study
#13
Sara Bayramzadeh, Anjali Joseph, Dee San, Amin Khoshkenar, Kevin Taaffe, Roxana Jafarifiroozabadi, David M Neyens
AIM: To assess how the adjacencies of functionally different areas within operating rooms (ORs) can influence the circulating nurse's (CN) workflow patterns and disruptions. BACKGROUND: The CN plays a significant role in promoting patient safety during surgical procedures by observing, monitoring, and managing potential threats at and around the surgical field. Their work requires constant movement to different parts of the OR to support team members. The layout of the OR and crowded and cluttered environment might impact the CN's workflow and cause disruptions during the surgery...
January 1, 2018: HERD
https://www.readbyqxmd.com/read/29352453/measuring-surgical-safety-during-minimally-invasive-surgical-procedures-a-validation-study
#14
Mathijs D Blikkendaal, Sara R C Driessen, Sharon P Rodrigues, Johann P T Rhemrev, Maddy J G H Smeets, Jenny Dankelman, John J van den Dobbelsteen, Frank Willem Jansen
BACKGROUND: During the implementation of new interventions (i.e., surgical devices and technologies) in the operating room, surgical safety might be compromised. Current safety measures are insufficient in detecting safety hazards during this process. The aim of the study was to observe whether surgical teams are capable of measuring surgical safety, especially with regard to the introduction of new interventions. METHODS: A Surgical Safety Questionnaire was developed that had to be filled out directly postoperative by three surgical team members...
January 19, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29331398/critical-differences-between-elective-and-emergency-surgery-identifying-domains-for-quality-improvement-in-emergency-general-surgery
#15
Alexandra B Columbus, Megan A Morris, Elizabeth J Lilley, Alyssa F Harlow, Adil H Haider, Ali Salim, Joaquim M Havens
OBJECTIVE: The objective of our study was to characterize providers' impressions of factors contributing to disproportionate rates of morbidity and mortality in emergency general surgery to identify targets for care quality improvement. BACKGROUND: Emergency general surgery is characterized by a high-cost burden and disproportionate morbidity and mortality. Factors contributing to these observed disparities are not comprehensively understood and targets for quality improvement have not been formally developed...
January 10, 2018: Surgery
https://www.readbyqxmd.com/read/29330982/assessment-of-safety-levels-in-operation-rooms-at-two-major-tertiary-care-public-hospitals-of-karachi-safe-surgery-saves-life
#16
Muhammad Saeed Minhas, Muhammad Muzzammil, Jahanzeb Effendi
BACKGROUND: The objectives of this study are to determine the knowledge and attitude towards surgical safety among the health care professionals including surgeons, anaesthetist, hospital administrators, and operation room personnel and raise awareness towards the importance of safe surgery. METHODS: A pilot cross- sectional study of 543 healthcare providers working in the operating rooms and the surgical intensive care units was conducted in two tertiary care hospitals, within a study period of one month...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29311439/psychosocial-work-environment-and-oxidative-stress-among-nurses
#17
Eman A Salem, Sabah M Ebrahem
BackgroundWork stress among nurses has increased in recent years due to the demands of clinical nursingObjectives:To investigate psychosocial work stress among nurses using the effort-reward imbalance (ERI) model with assessment malondialdehyde (MDA) as an oxidative stress marker and total antioxidants.MethodsThe present study was conducted on 204 registered nurses worked at two tertiary hospitals in Menoufia governorate, Egypt through the period from the 1st of February to the end of July 2016. Two questionnaires were applied including general demographic and occupational histories as well as effort-reward questionnaire...
December 28, 2017: Journal of Occupational Health
https://www.readbyqxmd.com/read/29306920/status-of-violence-in-a-selected-faculty-the-students-experience
#18
Mohammad Fathi, Arezoo Fallahi, Salar Sharifi, Shoaib Dehghani, Nazila Olyaei, Sina Valiee
The present study is aimed at examining the status of violence among the students of nursing, midwifery, and operating room. A self-reporting questionnaire with two sections of demographic characteristics and experience of violence was used. The data obtained were analyzed, using SPSS software. 58.7 percent of the students had a history of violence in the previous year. The maximum percentage of violence exposure belonged to the students of operating room (76.9%). The highest incidence of violence was verbal (76...
January 5, 2018: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/29301519/iterative-co-creation-for-improved-hand-hygiene-and-aseptic-techniques-in-the-operating-room-experiences-from-the-safe-hands-study
#19
Annette Erichsen Andersson, Maria Frödin, Lisen Dellenborg, Lars Wallin, Jesper Hök, Brigid M Gillespie, Ewa Wikström
BACKGROUND: Hand hygiene and aseptic techniques are essential preventives in combating hospital-acquired infections. However, implementation of these strategies in the operating room remains suboptimal. There is a paucity of intervention studies providing detailed information on effective methods for change. This study aimed to evaluate the process of implementing a theory-driven knowledge translation program for improved use of hand hygiene and aseptic techniques in the operating room...
January 4, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29299520/the-efficacy-of-lavender-aromatherapy-in-reducing-preoperative-anxiety-in-ambulatory-surgery-patients-undergoing-procedures-in-general-otolaryngology
#20
Michael Wotman, Joshua Levinger, Lillian Leung, Aron Kallush, Elizabeth Mauer, Ashutosh Kacker
Background: Preoperative anxiety is a common problem in hospitals and other health care centers. This emotional state has been shown to negatively impact patient satisfaction and outcomes. Aromatherapy, the therapeutic use of essential oils extracted from aromatic plants, may offer a simple, low-risk and cost-effective method of managing preoperative anxiety. The purpose of this study was to evaluate the efficacy of lavender aromatherapy in reducing preoperative anxiety in ambulatory surgery patients undergoing procedures in general otolaryngology...
December 2017: Laryngoscope Investigative Otolaryngology
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