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Journal articles on the topic 'Operating theatre work'
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Dhimal, Kaushila, Punam Limbu, and Pushpa Biswakarma. "Safety Measures In Neuro-Surgical Theatre: An Institutional Protocal." Eastern Green Neurosurgery 1, no. 2 (September 23, 2019): 36–38. http://dx.doi.org/10.3126/egn.v1i2.25735.
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Effective teamwork in the operating theatre is of vital importance for same and smooth surgery. The main goal of safety measures is to reduce mortality, morbidity, improves communication and team work ,reduce operation time, ensuring the patient is secure in operation table, and also to ensure the operating staff and surgeons from advertent injuries.
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Thomas, Stephanie, Rish Palmer, Edward Phillipo, and Geoffrey Chipungu. "Reducing bacterial contamination in an Orthopedic Theatre ventilated by natural ventilation, in a Developing Country." Journal of Infection in Developing Countries 10, no. 05 (May 31, 2016): 518–22. http://dx.doi.org/10.3855/jidc.7436.
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Introduction: All surgical procedures have the potential for infection and some of the main sources are contamination from airborne particles, theatre personnel and the theatre environment. There is strong evidence that the use of ultra-clean air flow systems in orthopedic operating theatres reduces the incidence of deep sepsis after surgery. In the developing world however, this is often an unrealistic solution. The aim of this study was to establish baseline levels of contamination in a working orthopedic theatre, at the Queen Elizabeth Central Hospital, Blantyre, Malawi. To feedback results to the theatre team, promote infection prevention discussion and work with the team to implement workable and realistic goals to improve the intra-operative environment. Methodology: Samples were collected from theatre equipment available at the time of surgery, from theatre water and theatre air using passive air sampling techniques. Samples were immediately transferred to the Central Microbiology Laboratory for culture on basic culture media. Results: Bacterial contamination of theatre equipment, intra-operative theatre air and water was detected. Results were discussed with the theatre and infection prevention team who were receptive to feedback with regards to infection prevention strategies and keen to develop simple measures which could be put in place to change practice. Conclusions: In this setting, we suggest that implementing workable and realistic goals such as, establishing baseline rates of bacterial contamination and introduction of strict protocols for asepsis and theatre etiquette, may reduce bacterial contamination rates and subsequent intra-operative infection in the absence of expensive engineering solutions.
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Butt, DA, M. Hadjipavlou, and J. Walczak. "A NOISE AT WORK ASSESSMENT IN THE ORTHOPAEDIC OPERATING THEATRE." Bulletin of the Royal College of Surgeons of England 96, no. 1 (January 2014): 32–34. http://dx.doi.org/10.1308/003588414x13814021676990.
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Herron, Jonathan Blair Thomas, Rachel French, and Andrew Douglas Gilliam. "Extended operating times are more efficient, save money and maintain a high staff and patient satisfaction." Journal of Perioperative Practice 28, no. 9 (April 3, 2018): 231–37. http://dx.doi.org/10.1177/1750458918767601.
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Current public sector austerity measures necessitate efficiency savings throughout the NHS. Performance targets have resulted in activity being performed in the private sector, waiting list initiative lists and requests for staff to work overtime. This has resulted in staff fatigue and additional agency costs. Adoption of extended operating theatre times (0800-1800 hours) may improve productivity and efficiency, with potentially significant financial savings; however, implementation may adversely affect staff morale and patient compliance. A pilot period of four months of extended operating times (4.5 hour sessions) was completed and included all theatre surgical specialties. Outcome measures included: the number of cases completed, late starts, early finishes, cancelled operations, theatre overruns, preoperative assessment and 18-week targets. The outcomes were then compared to pre-existing normal working day operating lists (0900-1700). Theatre staff, patient and surgical trainee satisfaction with the system were also considered by use of an anonymous questionnaire. The study showed that in-session utilisation time was unchanged by extended operating hours 88.7% (vs 89.2%). The service was rated as ‘good’ or ‘excellent’ by 87.5% of patients. Over £345,000 was saved by reducing premium payments. Savings of £225,000 were made by reducing privately outsourced operation and a further £63,000 by reviewing staff hours. Day case procedures increased from 2.8 to 3.2 cases/day with extended operating. There was no significant increase in late starts (5.1% vs 6.8%) or cancellation rates (0.75% vs 1.02%). Theatre over-runs reduced from 5% to 3.4%. The 18 weeks target for surgery was achieved in 93.7% of cases (vs 88.3%). The number of elective procedures increased from 4.1 to 4.89 cases/day. Only 13.33% of trainees (n = 33) surveyed felt that extended operating had a negative impact on training. The study concludes that extended operating increased productivity from 2.8 patients per session to 3.2 patients per session with potential savings of just over £2.4 million per financial year. Extrapolating this to the other 155 trusts in England could be a potential saving of £372 million per year. Staff, trainee and patient satisfaction was unaffected. An improved 18 weeks target position was achieved with a significant reduction in private sector work. However, some staff had difficulty with arranging childcare and taking public transport and this may prevent full implementation.
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Istomina, Natalja, Lina Šakienė, Rokas Bagdonas, and Ingrida Bakaitė. "Komandinio darbo operacinėje efektyvumo vertinimas operacinės komandos narių požiūriu." Sveikatos mokslai 23, no. 1 (January 5, 2013): 155–60. http://dx.doi.org/10.5200/sm-hs.2013.028.
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Work in the operating theatre is carried on under the team principle where division of labour, competence, instant reaction, tolerance, work knowledge and skills as well as associating with team members are of greatest significance. Fluctuation of opera-ting theatre team members results in difficulty in concentration, loss of valuable time and work quality, and has negative influence upon work process.The aim of this work was to evaluate the efficacy of the team work in the Operating Theatre Room from the viewpoint of team members.The sample was (n=21): operating theatre nurses, anaesthesiologists reanimatologists, surgeons, other staff. The gender was not homogeneous; the experience of work of the participants was from 3 to 30 years. The qualitative research was done. The methods of critical analysis and semi-structured interview were used.The research should be significant in the development of the science of nursing and nursing practice in Lithuania, especially in the sphere of surgical nursing. It could also be useful to both nurses and patients as both these groups are interested in the improvement of nursing quality: nurses as suppliers of the service and patients as its receivers.
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Tomaszewska, Katarzyna, and Bożena Majchrowicz. "Harmful factors at the workplace of an operating nurse." Journal of Education, Health and Sport 12, no. 7 (July 2, 2022): 286–300. http://dx.doi.org/10.12775/jehs.2022.12.07.028.
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Abstract Introduction: Operating theatre is a very specific work environment. The staff employed in this organizational unit, apart from specific professional qualifications, must have the ability to make quick decisions as well as the skills to utilize highly specialized medical apparatus and equipment. Operating theatre nurses are exposed to various harmful factors, thus strain resulting from this type of work can be both mental and physical. The aim of this paper was to assess the level of knowledge of surgical nurses about harmful factors at their workstations. Material and methods: The study was performed in a group of 625 nurses working in different types of operating rooms of public hospitals in Poland. An original questionnaire survey was used to characterize the harmful factors occurring at the operating room nurse's workstation. Results: The results obtained prove that according to the nurses surveyed, the main problem associated with working in the operating theatre is constant exposure to harmful factors that have a significant impact on workload. Conclusions: There are factors identified by the staff at the operating theatre nurse's workstation that affect the level of strain both physically and mentally. Shaping the right working conditions, affecting the efficiency and safety of employees should be a priority for hospital managers and directors.
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Ijah, Rex Friday Ogoronte A., Solomon N. Elenwo, Joy O. Dayi, Friday E. Aaron, Rose E. Oko-Jaja, and Vitalis O. Ofuru. "The Role and Impact of Operating Theatre Background Music on Users and Patients: Opinion of Theatre Staff." European Journal of Clinical Medicine 2, no. 5 (September 13, 2021): 1–5. http://dx.doi.org/10.24018/clinicmed.2021.2.5.19.
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Aim: To determine the opinion of operating theatre users on the role of operating theatre background music on theatre users and patients in tertiary health care facilities in Port Harcourt.
Background: The relationship between music and health has been described by researchers. Music has been used in several hospital settings with effects which some consider beneficial and others harmful.
Materials and Methods: This cross-sectional descriptive study was carried out among theatre users from March to June 2020 in two multispecialty tertiary healthcare facilities in Port Harcourt Nigeria. Using the convenience sampling method, data collected with pretested semi-structured questionnaires were analyzed using the Statistical Package for the Social Sciences (SPSS) version 20.0.
Results: One hundred and twenty-one (82.9%) respondents asserted to knowledge of relationship between music and stress hormone. 97 (66.4%) agreed that music has positive effect on workers in the operating theatre. One hundred and seventeen (80.1%) respondents were of the opinion that background music in the operating theatre is not a distraction, while 22 (15.1%) respondents felt otherwise. One hundred and forty-four (98.8%) respondents agreed to usefulness of background music while at work. High proportion of respondents who lack knowledge of the relationship between stress hormone and music had no preference for operating theatre background music and the relationship was statistically significant (P<0.05).
Conclusion: Operating theatre background music is useful as opined by the majority of operating theatre staff, though its preference is low among those with less knowledge of the positive relationship between such music and stress hormones.
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Booth, K., and S. Hall. "The Challenge of Change: Not Everyone's Cup of Tea." Journal of Perioperative Practice 24, no. 11 (November 2014): 249–52. http://dx.doi.org/10.1177/175045891402401102.
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This article explains how the authors adapted The Productive Operating Theatre (TPOT) programme for a large theatre department. The multidisciplinary theatre teams identified barriers at each launch. At subsequent programme workshops they learned to collate information and to work together to challenge and change practices.
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Pekkala, Laura, and Riku Roihankorpi. "An Artistic Community and a Workplace." Nordic Theatre Studies 30, no. 1 (August 2, 2018): 115–43. http://dx.doi.org/10.7146/nts.v30i1.106926.
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The article analyzes how money interacts with the practices and organizational activities of independent theatres in Finland in the 2010s. It discusses what kind of development the interaction entails or favors in the wider context of Finnish cultural policy. We share the results of Visio (2015-16), an empirical study and development project funded by the Ministry of Education and Culture and carried out with four professional independent theatres, which originated as group theatres, but are now institutionalized and operate with discretionary state subsidies. During the development project supported by Theatre Centre Finland, the study observed aspects of organizational development and learning as well as sustainable work in the said theatres. This was done via ethnographic and multiple case study methodologies. The study defined a theatre organization as a community for artistic work and a workplace for a diverse group of theatre professionals. The cases and the ethnographies were then reflected against current Finnish cultural policy.As descendants of the group theatre movement – arising from artistic ambition and opposition to commercialism – Finnish independent theatres have developed in different directions in their ideas of theatre, artistic visions, objectives, production models, and positioning in the field. Yet, there is a tendency to define independent theatres in opposition to theatres subsidized by law (the so-called VOS theatres), instead of laying stress on their specific artistic or operational visions or characteristics. This emphasis is present in public discussions, but also in the self-definitions of independent theatres. Money, and the economic affairs it underlines, strongly interact with the development, organizational learning, and working culture of Finnish independent theatres. Theoretically, we promote a Simmelian framework that stresses the socio-cultural dimension of money. Thus, we examine how the practices of the monetary economy are present in the practices and the development of independent theatres, and how this reflects their position within the current cultural policy and funding systems. Based on the above, the article suggests a more versatile approach to artistic independent theatres – one that emphasizes recognizing the heterogeneity of their operating models and artistic orientations, and their roles as diverse artistic communities aside from workplaces.
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Lum, Brandon, Hong Muay Png, Hock Lan Yap, Cindy Tan, Bixian Sun, and Yen Hoon Law. "Streamlining workflows and redesigning job roles in the theatre sterile surgical unit." BMJ Open Quality 8, no. 3 (September 2019): e000583. http://dx.doi.org/10.1136/bmjoq-2018-000583.
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The theatre sterile surgical unit (TSSU) is an essential core to support the operating theatres in National University Hospital. Surgical instruments and supplies are processed, packaged and sterilised safe for surgical procedures. A rapid improvement event adopting lean methodology was conducted with the TSSU team to streamline the workflows in this area.The project aimed to identify TSSU work processes that can be streamlined or automated, improving timeliness while identifying potential for role redesign and maximising human resource.The team successfully implemented initiatives to eliminate unnecessary workflows and achieve workload levelling. This reduced instrument processing time by 5%, while replenishment times of surgical supplies to the operating theatres decreased by 29%. The team successfully redesigned the TSSU job roles, converting several nursing staff to non-nursing roles. Long-term initiatives such as the use of disposables and an improved theatre instrument management system were planned for as well.Initiatives derived from this project can be spread to other sterile supply units within the hospital, further optimising the use of resources at a hospital level. The concept of role redesign was found to be applicable to healthcare, highlighting its potential in other areas of the hospital.
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Fitzgerald, Anneke, and Yong Wu. "Beyond clinical priority: what matters when making operational decisions about emergency surgical queues?" Australian Health Review 41, no. 4 (2017): 384. http://dx.doi.org/10.1071/ah16009.
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Objective This paper describes the perceptions of operating theatre staff in Australia and The Netherlands regarding the influence of logistical or operational reasons that may affect the scheduling of unplanned surgical cases. It is proposed that logistical or operational issues can influence the priority determination of queue position of surgical cases on the emergency waiting list. Methods A questionnaire was developed and conducted in 15 hospitals across The Netherlands and Australia, targeting anaesthetists, managers, nurses and surgeons. Statistical analyses revolved around these four professional groups. Six hypotheses were then developed and tested based on the responses collected from the participants. Results There were significant differences in perceptions of logistics delay factors across different professional groups when patients were waiting for unplanned surgery. There were also significant differences among different groups when setting logistical priority factors for planning and scheduling unplanned cases. The hypotheses tests confirm these differences, and the findings concur with the paradigmatic differences mentioned in the literature. These paradigmatic differences among the four professional groups may explain some of the tensions encountered when making decisions about scheduling emergency surgical queues, and therefore should be taken into consideration for management of operating theatres. Conclusions Queue positions of patients waiting for unplanned surgery, or emergency surgery, are determined by medical clinicians according to clinicians’ indication of clinical priority. However, operating theatre managers are important in facilitating smooth operations when planning for emergency surgeries. It is necessary for surgeons to understand the logistical challenges faced by managers when requesting logistical priorities for their operations. What is known about the topic? Tensions exist about the efficient use of operating theatres and negotiating individual surgeon’s demands, especially between surgeons and managers, because in many countries surgeons only work in the hospital and not for the hospital. What does this paper add? The present study examined the logistical effects on functionality and purports the notion that, while recognising the importance of clinical precedence, logistical factors influence queue order to ensure efficient use of operating theatre resources. What are the implications for practitioners? The results indicate that there are differences in the perceptions of healthcare professionals regarding the sequencing of emergency patients. These differences may lead to conflicts in the decision making process about triaging emergency or unplanned surgical cases. A clear understanding of the different perceptions of different functional groups may help address the conflicts that often arise in practice.
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Heath, Christian, Paul Luff, Marcus Sanchez-Svensson, and Maxim Nicholls. "Exchanging implements: the micro-materialities of multidisciplinary work in the operating theatre." Sociology of Health & Illness 40, no. 2 (July 14, 2017): 297–313. http://dx.doi.org/10.1111/1467-9566.12594.
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Oyediran, Olufemi Oyebanji, Olamide Hope Olafare, Ifeoluwapo Oluwafunke Kolawole, Emmanuel Olufemi Ayandiran, Iyanuoluwa, Oreofe Ojo, and Boluwaji Reuben Fajemilehin. "The Pattern of Communication and Teamwork among Operating Theatre Personnel in a State of a Developing Country." Nurse Media Journal of Nursing 12, no. 2 (August 2, 2022): 160–71. http://dx.doi.org/10.14710/nmjn.v12i2.45933.
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Background: Effective communication and teamwork is increasingly recognized as an important mechanism for enhancing the safety of healthcare. However, there is dearth of study on the pattern of communication among surgeons, nurses and anaesthetists in South Western part of NigeriaPurpose: This study assessed the patterns of communication and teamwork among operating theatre personnel and also identified barriers to communication and teamwork in the operating theatre in selected hospitals in Lagos State, Nigeria.Methods: A descriptive research design was adopted and a convenience sampling technique was used to select 215 nurse and doctor respondents for the study. With a 53-item self-developed structured questionnaire, data were collected. Results were presented descriptively (frequency tables and bar charts), and inferential statistics (Chi-square) were used to test the hypotheses.Results: Results revealed that 41.9% of the respondents had a fair knowledge of communication and teamwork in the operating theatre. Respondents described their pattern of communication as follows; the majority (99.5%) of the respondents communicate through written, spoken words or visual media, and 99.1% also communicate with other theatre personnel irrespective of their hierarchies. In addition, 90.7% reported that upward communication from patients to surgical team members is common in the theatre, while 87% submitted that they communicate through telephone conversations in this theatre. Individual bias, pressure to complete work, workload, poor leadership/lackadaisical attitudes and conflict of interest were identified as barriers to communication and teamwork in the operating theatre.Conclusion: The study concluded that the majority of theatre personnel lack adequate knowledge of communication and teamwork in the operating room. Hence, there is a need for periodic training for operating personnel to improve communication and teamwork, and surgical outcomes.
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Michalak, Monika, Karolina Przybył, and Magdalena Kazimierska-Zając. "Strategies for Coping with Stress among Medical Staff who Work in the Operating Theatre." Journal of Neurological and Neurosurgical Nursing 11, no. 2 (June 30, 2022): 59–64. http://dx.doi.org/10.15225/pnn.2022.11.2.3.
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Introduction. Stress is a constant presence in the work of health care professionals who come into contact with sick and suffering people every day. Medical personnel must possess both professional knowledge, skills, and social competence to best help patients. Coping strategies for stress among medical professionals can vary. One factor that may influence the strategies chosen is personality. Type D personality combines traits of negative emotionality and social inhibition. This personality type predisposes to experiencing increased levels of stress.
Aim. The purpose of this study was to determine the level of stress and coping strategies among operating theatre staff.
Material and Methods. 100 operating theater employees were surveyed. The study group consisted of nurses/nurses, paramedics, doctors. Questionnaires were used in the study: Perceived Stress Scale (PSS-10), Inventory for the Measurement of Coping with Stress (Mini-COPE), Type D Scale (DS-14) and self-administered questionnaire.
Results. Almost half of the subjects (47%) reported high levels of stress and 35 subjects (35%) reported medium levels of stress. The most common coping strategies used to manage stress were active coping, planning, positive reevaluation, acceptance and seeking emotional support. 41% of the respondents demonstrated a Type D personality. Negative emotionality was more strongly indicated than social inhibition.
Conclusions. The highest levels of stress are mainly experienced by young women, not in a relationship, with short work experience. Systemic psychological support should be introduced, especially targeted at this group. Due to the shortage of medical staff, measures to prevent professional burnout should also be implemented. A possible solution could be classes or trainings before starting work. Their aim would be to prepare for stressful moments in future work and to teach the most effective ways of coping with stress. (JNNN 2022;11(2):59–64).
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Leong, Katharina Brigitte Margarethe Siew, Mirelle Hanskamp-Sebregts, Raymond A. van der Wal, and Andre P. Wolff. "Effects of perioperative briefing and debriefing on patient safety: a prospective intervention study." BMJ Open 7, no. 12 (December 2017): e018367. http://dx.doi.org/10.1136/bmjopen-2017-018367.
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ObjectivesThis study was carried out to improve patient safety in the operating theatre by the introduction of perioperative briefing and debriefing, which focused on an optimal collaboration between surgical team members.DesignA prospective intervention study with one pretest and two post-test measurements: 1 month before and 4 months and 2.5 years after the implementation of perioperative briefing and debriefing, respectively.SettingOperating theatres of a tertiary care hospital with 875 beds in the Netherlands.ParticipantsAll members of five surgical teams participated in the perioperative briefing and debriefing.InterventionThe implementation of perioperative briefing and debriefing from July 2012 to January 2014.Primary and secondary outcomesThe primary outcome was changes in the team climate, measured by the Team Climate Inventory. Secondary outcomes were the experiences of surgical teams with perioperative briefing and debriefing, measured with a structured questionnaire, and the duration of the briefings, measured by an independent observer.ResultsTwo and a half years after the introduction of perioperative briefing and debriefing, the team climate increased statistically significant (p≤0.05). Members of the five surgical teams strongly agreed with the positive influence of perioperative briefing and debriefing on clear agreements and reminding one another of the agreements of the day. They perceived a higher efficiency of the surgical programme with more operations starting on time and less unexpectedly long operation time. The perioperative briefing took less than 4 min to conduct.ConclusionsPerioperative briefing and debriefing improved the team climate of surgical teams and the efficiency of their work within the operating theatre with acceptable duration per briefing. Surgical teams with alternating team compositions have the most benefit of briefing and debriefing.
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Gruber, Sabine, Sebastian Buhl, and Clemens Bulitta. "Innovative Ventilation Technology for Operating Rooms." Current Directions in Biomedical Engineering 4, no. 1 (September 1, 2018): 177–79. http://dx.doi.org/10.1515/cdbme-2018-0044.
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AbstractThe purpose of this work was to evaluate the decontamination potential of the Potok system both in an experimental setting in a research Operating Room (OR) with standalone Air Decontamination Units (Potok 150-M-01) and in a clinical setting in a real operating theatre in Moscow. Our experiments showed an impact of the Potok units on the bacterial contamination of the room air according to the Swedish SIS-TS 39:2015 standard. For the initial measurements in our research OR in Weiden this could be shown by a decrease of the bacterial burden at all three different measurement points (OR table, instrumentation tray, periphery). Also the subsequently done measurements in the Moscow hospital verified this decontaminating effectivity of the Potok system. In this case the initial background contamination of the operating theatre was higher than in the research OR in Germany. This bacterial burden could be effectively decreased by the use of the installed Potok based ventilation system.
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Gruber, Sabine, Sebastian Buhl, and Clemens Bulitta. "Innovative Ventilation Technology for Operating Rooms." Current Directions in Biomedical Engineering 4, no. 1 (September 1, 2018): 243–45. http://dx.doi.org/10.1515/cdbme-2018-0059.
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AbstractThe purpose of this work was to evaluate the decontamination potential of the Potok system both in an experimental setting in a research Operating Room (OR) with standalone Air Decontamination Units (Potok 150-M-01) and in a clinical setting in a real operating theatre in Moscow. Our experiments showed an impact of the Potok units on the bacterial contamination of the room air according to the Swedish SIS-TS 39:2015 standard. For the initial measurements in our research OR in Weiden this could be shown by a decrease of the bacterial burden at all three different measurement points (OR table, instrumentation tray, periphery). Also the subsequently done measurements in the Moscow hospital verified this decontaminating effectivity of the Potok system. In this case the initial background contamination of the operating theatre was higher than in the research OR in Germany. This bacterial burden could be effectively decreased by the use of the installed Potok based ventilation system.
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Marinho, Helena, Mónica Chambel, Alfonso Benetti, and Luís Bittencourt. "Experimental recreation practices: Restaging Constança Capdeville’s musical theatre work Don’t, Juan." Studies in Musical Theatre 14, no. 1 (April 1, 2020): 77–94. http://dx.doi.org/10.1386/smt_00020_1.
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The recreation or re-enactment of twentieth-century avant-garde musical theatre works involves a set of epistemological and methodological issues that can be addressed through practice-based procedures informed by archaeological, ethnographic and experimental perspectives. This article presents a discussion about the relevance of integrating these perspectives, departing from their application in a specific case study, the recreation of Don’t, Juan (1985), an experimental musical theatre work by the Portuguese composer, pianist and percussionist Constança Capdeville (1937‐92). This research proposes the blending of archaeology with the living experience of performance as an approach to a reconstruction project, with methods such as performative ethnography, experimental practice and embodied knowledge through performance operating as effective tools.
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Rydenfält, Christofer, Gerd Johansson, Per Anders Larsson, Kristina Åkerman, and Per Odenrick. "Social structures in the operating theatre: how contradicting rationalities and trust affect work." Journal of Advanced Nursing 68, no. 4 (July 20, 2011): 783–95. http://dx.doi.org/10.1111/j.1365-2648.2011.05779.x.
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Ābele, Ilona, Laura Vīksna, Dagnija Gulbe, and Līga Skuja-Petruševiča. "SELF-ASSESSMENT OF OPERATING THEATRE NURSE COMPETENCE IN PERIOPERATIVE CARE." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 1 (May 19, 2022): 710–20. http://dx.doi.org/10.17770/sie2022vol1.6820.
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Assessment of competence level of operating theatre nurses (OTN) has a significant role in ensuring patient safety, continuity of perioperative care, and positive care environment, allowing to identify shortcomings and address them. The competence level describes quantitatively the competence in perioperative care — a set of skills, attitudes, and knowledge required for effective and safe perioperative care. A simple method to assess the competence level is a self-assessment scale; however, this method has not been used in Latvia to establish the OTN competence levelThe goal of this work is to determine the perceived level of competence in the perioperative care of OTN in a multi-profile hospital in Latvia. For this purpose, a modified perioperative competence self-assessment scale was used, based on Gillespie’s (2012) Perceived Perioperative Competence Scale-Revised (PPCS-R). The results show that OTN have a high perceived level of competence. However, the leadership subscale (which includes coordination and management) displayed lower levels of perceived competence, which shows the insufficiency of training. The results also show that certified OTN, those with more work experience, and OTN with a Bachelor’s degree have a higher perceived competence level. The scale adapted to Latvian exhibits equally good internal consistency as other versions of PPCS-R.
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Fruhen, Laura, Joseph Alexandre Carpini, Sharon K. Parker, Yee Leung, and Adrian F. S. Flemming. "Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative study." BMJ Open 10, no. 2 (February 2020): e032351. http://dx.doi.org/10.1136/bmjopen-2019-032351.
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ObjectivesThis study investigates perceived barriers towards the implementation of multiprofessional team briefings (MPTB) in operating theatres, as well as ways to overcome these perceived barriers. Previous research shows that MPTB can enhance teamwork and communication, but are underused in operating theatres. By adopting a multilevel systems perspective, this study examines perceived barriers and solutions for MPTB implementation.DesignParticipants completed open-ended survey questions. Responses were coded via qualitative content analysis. The analysis focused on themes in the responses and the systems level at which each barrier and solution operates.SettingFour tertiary hospitals in Australia.Participants103 operating theatre staff, including nurses, surgeons, anaesthetists, technicians and administrators.ResultsParticipants identified barriers and solutions at the organisational (15.81% of barriers; 74.10% of solutions), work group (61.39% of barriers; 25.09% of solutions) and individual level (22.33% of barriers; 0% of solutions). Of all the perceived barriers to MPTB occurrence, a key one is getting everyone into the room at the same time . Matching of perceived barriers and solutions shows that higher systems-level solutions can address lower level barriers, thereby showing the relevance of implementing such wider reaching solutions to MPTB occurrence (including work practices at occupational level and above) as well as addressing more local issues.ConclusionsSuccessful MPTB implementation requires changes at various systems levels. Practitioners can strategically prepare and plan for systems-based strategies to overcome barriers to MPTB implementation. Future research can build on this study’s findings by directly examining higher systems-level barriers and solutions via detailed case analyses.
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Selano, Maria Karolina, Yohanes Hendy Kurniawan, and Priyo Sambodo. "Hubungan Lama Kerja Perawat Dengan Kepatuhan Pengisian Surgical Safety Checklist di Instalasi Bedah Sentral." Jurnal Kepemimpinan dan Manajemen Keperawatan 2, no. 1 (May 18, 2019): 16. http://dx.doi.org/10.32584/jkmk.v2i1.267.
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The use of the Surgical Safety Checklist reduces mortality and surgical complication. Nurse obedience in documenting the surgical safety checklist is still low. It is showed that there is a lack of nurses awareness about the importance of surgical safety checklist in an operation. This research aims to know about the relationship between the years of service of the nurse and compliance with filling surgical safety checklist at Central Operating Theatre. Design of this study uses cross-sectional approach. Sampling technique uses total sampling technique, samples taken for study as many as 23 respondents who met the inclusion and exclusion criteria. The data are described in table form and a Fisher test was conducted with spss 21. The highest work period are they who have light of work ≥ 3 years as many as 15 respondent (65,2%) and respondents who have length of work < 3 years as many as 8 respondent (34,8%), for nurses obedience 18 respondents (78,3%) who did not complete the surgical safety checklist while 5 respondents (21,7%) complete the surgical safety checklist correctly. Fisher statistic test obtained p-value data is 0,586 > 0,05. There is no relationship between the years of service of the nurse and compliance with filling surgical safety checklist at Central Operating Theatre
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Lynne Johnstone, P. "Occupational stress in the operating theatre suite: Should employers be concerned?" Australian Health Review 22, no. 1 (1999): 60. http://dx.doi.org/10.1071/ah990060.
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Research conducted amongst perioperative nurses during 1996 investigated both the causes of occupational stress and nurses' perceptions of the effects of modern medical technologies on several aspects of their work life during the preceding three years. It found that there was a strong perception amongst the 433 nurses in the study that medical technologies had contributed to their increased workloads and higher levels of stress. This article presents the key findings on occupational stress and discusses some of their implications for health service managers who have responsibility for the occupational health and safety of nurses working in the operating theatre environment.
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Radford, Eleanor J., and Theo Fotis. "The lived experiences of operating theatre scrub nurses learning technical scrub skills ‘I’m doing this right, aren’t I? Am I doing this right?’." Journal of Perioperative Practice 28, no. 12 (June 14, 2018): 355–61. http://dx.doi.org/10.1177/1750458918780159.
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Operating theatre scrub nurses (OTSNs) are not required to have undertaken a secondary or specialist post-registration theatre qualification to work in the operating theatre (OT) setting in the UK. From the systematic review there is only very limited literature or research in how technical scrub skills are acquired. This study explores the lived experiences of OTSNs learning technical scrub skills. The study employed the qualitative methodology of interpretative phenomenological analysis. Data was collected from six participating OTSNs using semi-structured interviews. Four superordinate themes emerged: How technical scrub skills are established, Gatekeepers, How the learner feels whilst learning and, Reflections of the experienced scrub nurse. The study found that the experiences of OTSNs learning technical scrub skills are varied and a variety of teaching and learning methods are utilised. These experiences were influenced by the team, mentor and surgeon within the OT environment. Lived experiences were also influenced by organisational structure and service pressures within the NHS.
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Lin, QingLian, and Duojin Wang. "Facility Layout Planning with SHELL and Fuzzy AHP Method Based on Human Reliability for Operating Theatre." Journal of Healthcare Engineering 2019 (January 14, 2019): 1–12. http://dx.doi.org/10.1155/2019/8563528.
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A well-design facility layout planning refers to the reduction of the operation cost in the manufacturing and service industry. This work consists of reliability analysis of facility layout for an operating theatre; it aims at proposing a new evaluation approach, which integrated the fuzzy analytic hierarchy process and human reliability tool, for optimization of facility layout design with safety and human factors in an operating theatre. Firstly, the systematic layout planning is used to design the layout schemes on the basis of field investigations. Then, the criteria system is proposed based on human reliability analysis from four perspectives: software, hardware, environment, and liveware. Finally, the fuzzy analytic hierarchy process, a fuzzy extension of the multicriteria decision-making technique analytic hierarchy process, is used to compare these layout schemes based on the criteria system. The results that are obtained reveal interesting properties of facility layout planning in hospitals. It reveals that decision in selecting a suitable layout must meet not only the strategies and goals of the system but also meet the safety, security, and reliability of the system.
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Faraj, Aa, Ap Wright, Jhs Haneef, and A. Jones. "Listen While you Work? the Attitude of Healthcare Professionals to Music in the Operating Theatre." Journal of Perioperative Practice 24, no. 9 (September 2014): 199–204. http://dx.doi.org/10.1177/175045891402400903.
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Von Saucken, A. M., J. Prümper, and M. Kraft. "Evaluation Of Human Errors And Malfunctions For Minimal Invasive Surgeries In Conventional and Integrated OR Solutions." Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 2, no. 1 (June 2013): 90–91. http://dx.doi.org/10.1177/2327857913021017.
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This German Research Foundation project aims to investigate the human-machine interaction of the operating theatre as a work system and from the results deduce measures and, using consolidated medical devices as an example, develop design guidelines for a prospective development of complex integrated technical systems.
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Braun, A. R., K. Leslie, C. Morgan, and S. Bugler. "Patients’ Knowledge of the Qualifications and Roles of Anaesthetists." Anaesthesia and Intensive Care 35, no. 4 (August 2007): 570–74. http://dx.doi.org/10.1177/0310057x0703500417.
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Patients’ knowledge of anaesthetists’ qualifications and roles remains inaccurate despite the efforts of professional bodies worldwide. However, patients have not been surveyed on this subject in Australia for more than 20 years. We therefore surveyed 200 patients attending the pre-admission clinic prior to elective non-cardiothoracic surgery in an Australian teaching hospital to determine current knowledge. Most (90.5%) patients stated that anaesthetists are medically qualified and 83.5% stated that they are medical specialists. Younger age, an English-speaking background and previous experience with surgery predicted knowledge of anaesthetists’ qualifications. Most patients believed that anaesthetists work in the operating theatre and are continually present during surgery, but few recognised their leading role in the care of patients during surgery or their other roles outside the operating theatre. Increased efforts are required to inform patients about the roles of anaesthetists in their care.
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Burcică, Pompilia. "The Hungarian Professional Theatre in Greater Romania, 1918–1930." New Theatre Quarterly 35, no. 1 (January 16, 2019): 70–90. http://dx.doi.org/10.1017/s0266464x18000623.
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In this article Pompila Burcică traces the work and legal conditions in which Hungarian theatre professionals – company directors and actors – operated as a national minority of middle-class status in Greater Romania after 1918. Their attempts at representing Hungarian culture in the public space, as revealed in their business correspondence with the Romanian state, placed theatre professionals not at the vanguard of a collective action on behalf of a minority and its cultural life, but at the forefront of civic engagement and individual private initiative that led to economic recovery and development, thus illustrating the array of civic choices and economic opportunities for minorities holding Romanian citizenship in a nation state. The article focuses on two issues: the work environment for minorities that helped them adjust professionally and negotiate and exert a civic identity in the new nation state; and the degree to which a cultural field such as theatre was actually treated as an economic entrerprise, free of political interference. These civic and economic concerns accounted for the success of these theatre entrepreneurs, operating their businesses under the control of a paternalistic state.
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Deighton, Christine. "A Reflection on the Development of the Advanced Scrub Practitioner." Journal of Perioperative Practice 17, no. 10 (October 2007): 485–92. http://dx.doi.org/10.1177/175045890701701004.
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From the time in 1990 when I began my career in the operating theatre it has been the unwritten assumption that a member of the theatre team will assist the surgeon with his work. This has always been done on an ad hoc and, some might say, casual basis, as no member of the team was qualified to take this role upon their shoulders. There was the assumption that these ‘first assistant’ activities were performed with accountability and liability. But where was the evidence for this practice? This article considers the evolution of the Advanced Scrub Practitioner (ASP) role from its beginnings to the position it is today.
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Gorman, Suzanne, Tessa Cox, Rebecca Sandford Hart, Lewis Marais, Scott Wallis, Julie Ryan, and Michele Handbury. "Who’s who? Championing the ‘#TheatreCapChallenge’." Journal of Perioperative Practice 29, no. 6 (May 13, 2019): 166–71. http://dx.doi.org/10.1177/1750458919839686.
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Our Developing Perioperative Practice service improvement project, sponsored by the Royal Bournemouth Hospital, addressed whether the remarkably simple idea of putting names and roles on hats in theatre would improve communication and patient care. We were inspired by our own experiences as a group of student Operating Department Practitioners: unfamiliarity with members of the team, wanting to feel included in the work but not out of our depth, and by social media campaigns such as the ‘#TheatreCapChallenge’ and ‘#hellomynameis’, aiming to humanise care and increase patient safety. Researching, clinically trialling and presenting this project gave us a systematic approach to improving the quality of care within the theatre environment.
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Potts, N., DSE Martin, and L. Hoy. "Critical Incident Analysis: Equip to Avoid Failure." Journal of Perioperative Practice 27, no. 4 (April 2017): 77–82. http://dx.doi.org/10.1177/175045891702700403.
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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.
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Hemphälä, H., W. Osterhaus, PA Larsson, J. Borell, and P. Nylén. "Towards better lighting recommendations for open surgery." Lighting Research & Technology 52, no. 7 (February 25, 2020): 856–82. http://dx.doi.org/10.1177/1477153520903355.
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This study assesses the lighting requirements for operating theatres and the lighting conditions in a specific test case and proposes alternate ways of achieving a favourable visual environment. The hypothesis was that an increased illuminance level from general lighting and lower luminance contrasts between the essential task areas affect perceived lighting quality, visual ability and performance, as well as tiredness of medical staff performing surgical work. The investigation consisted of three parts: a laboratory study, followed by a field study and concluding with a retrospective study. In the laboratory study, each medical staff subject was exposed to four lighting scenarios with three illuminances from the operating light (12 lighting conditions), with no patients present. In the field and the retrospective study, the existing lighting scenario was compared to the highest-rated test lighting scenario (with illuminances more than double). The field study and the retrospective study took place with medical staff working under either the test general lighting condition or the existing general lighting condition. Increased illuminance from the general lighting and a higher correlated colour temperature did not improve the operating staff’s visual ability. However, medical staff rated the change in lighting quality resulting from the increased general illuminance as an improvement in the work environment, both in the laboratory study and in the field study. Medical staff subjects using the operating theatre rated both perceived visual ability and lighting quality higher under the test lighting scenario. Tiredness was also rated lower under that test scenario. Based on the results from this study, general lighting levels of 2000 lx in the periphery of the operating room, 4000 lx surrounding the operating table and 5500 lx on the operating table are recommended by the authors. With reference to the selections made by the surgeons for the illuminance in the operating cavity, it is suggested that the central beam illuminance from the surgical luminaires be between 50,000 lx and 100,000 lx.
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Mathieu, Laurent, Michel Levadoux, Emmanuel Soucany de Landevoisin, Tarun J. McBride Windsor, and Sylvain Rigal. "Digital replantation in forward surgical units: a cases study." SICOT-J 4 (2018): 9. http://dx.doi.org/10.1051/sicotj/2018004.
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Introduction: Noncombat-related hand injuries are common in current theatres of operations. Crushing is one of the most frequent mechanisms that may cause traumatic amputations of digits. In the military setting, management of these digital amputations is challenging regarding limitation in microsurgical means in medical treatment facilities and aeromedical evacuation delays out of the combat zone. Methods: Two cases of digital replantation performed in French forward surgical units are described. The first case was a complete distal amputation of the medius which was successfully replanted in the operating theatre of an aircraft carrier. No complication was observed after evacuation. Functional and aesthetic results were excellent. The second case was a ring finger avulsion revascularized in a role 2 facility in Central African Republic. Unfortunately, revascularization failed due to arterial thrombosis during evacuation. Results: Digital, hand or more proximal upper extremity replantation may be considered for isolated amputations due to work-related accidents within the combat zone. For a surgeon trained to microsurgery, a microsurgical set and magnification loupes enable to attempt such procedures in austere conditions. Discussion: The authors propose an algorithm of management in the field according to the type and level of amputation.
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Franco, G., and R. Fonte. "Advances in evaluating liver response to operating theatre work: urinary D-glucaric acid as an index of effect." Occupational Medicine 44, no. 1 (1994): 12–16. http://dx.doi.org/10.1093/occmed/44.1.12.
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Waller, Olivia, Frank Waller, Marilyn Williams, and Bernadette County. "A Train of Events." British Journal of Perioperative Nursing (United Kingdom) 10, no. 8 (August 2000): 412–16. http://dx.doi.org/10.1177/175045890001000802.
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What sort of relationship do you have with your Sterile Services Department? Do you know what goes on in that department? Do their staff know what goes on in your department? In making a strong case for recognised training in Sterile Services, Olivia and Frank Waller see an exchange of experiences between operating theatres and SSD as a valuable part of the learning process. Too often separate departments only contact each other when things go wrong. The authors quote a damning judgement from an enquiry following the death of five patients: a powerful reminder of the fact that perioperative care gives only one chance to get it right. Just because you work in theatre does not mean you can ignore or take for granted those departments on which you rely for supplies and services. Get involved, find out and understand what they can do for you and what you can do for them.
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Giddings, Tony. "A very personal journey." Bulletin of the Royal College of Surgeons of England 91, no. 7 (July 1, 2009): 240–41. http://dx.doi.org/10.1308/147363509x459644.
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The College has recently approved a two-part film entitled, The Journey about the safety of patients in the operating theatre. It is designed to provoke discussion and has certainly ensured a widespread and at times heated response from surgeons. The film's subject is not the technical but the non-technical skills required to work with others in a safe team. Such factors are now known to be the original cause of about three quarters of surgical 'accidents'.
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Stewart, Sarah. "‘Concealment of What is Closed’: Western Necrocivilization in David Greig’s Version of Aeschylus’s The Suppliant Women." New Theatre Quarterly 38, no. 1 (February 2022): 91–102. http://dx.doi.org/10.1017/s0266464x21000440.
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UK crises of hospitality, feminism, and democracy are as acute as ever despite ostensible commitment to the values that foster them. This article examines David Greig’s 2016 Edinburgh version of Aeschylus’s Suppliants as it attempts to expand spaces of democracy into the theatre, and investigates the foundations of democratic institutions. Drawing on Achille Mbembe’s formulation of necropolitics and Elaine Scarry’s theorization of civilization, it highlights necrocivilizational elements in the production’s premise and reception. It argues that Greig’s presentation of Aeschylus’s play presents a more complex engagement with western democracy, asylum, theatre, and civilization than commentators have acknowledged. Rather than primarily opening up new spaces of negotiation among asylum-seekers and citizens in the community, The Suppliant Women foregrounds the exclusionary discursive tactics operating under the auspices of civilization that leave the logics underpinning the UK’s asylum policy largely untroubled. Sarah Stewart is an independent researcher whose work centres on the relationships forged between asylum-seekers, members of the theatre establishment, and citizen communities within and beyond the performance space. She holds a PhD in English Literature from the University of Edinburgh.
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Bethune, R., G. Sasirekha, A. Sahu, S. Cawthorn, and A. Pullyblank. "Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre." Postgraduate Medical Journal 87, no. 1027 (January 27, 2011): 331–34. http://dx.doi.org/10.1136/pgmj.2009.095802.
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Amutharasan, Emlyn, Karan Malhotra, Amit Zaveri, and Matthew J. Welck. "The Incidence of Surgical Cancellations: Lessons Learned from the Resumption of Elective Orthopaedic Operating after the First Wave of COVID-19." Foot & Ankle Orthopaedics 7, no. 1 (January 2022): 2473011421S0007. http://dx.doi.org/10.1177/2473011421s00078.
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Category: Ankle; Other Introduction/Purpose: In the aftermath of the first wave of COVID-19, there was a significant backlog of elective orthopaedic cases. To address this problem, efficient running of theatres with optimal theatre utilisation was paramount. However, as new processes were introduced to reduce transmission risk, 'last-minute' cancellations of patients were inevitable. We report our experience of resuming elective work, with particular focus on surgical cancellations, and lessons learned. Methods: This was a retrospective, single centre audit at a specialist elective orthopaedic hospital. We identified and examined all cancellations in foot and ankle cases between June and October 2020. Data was analysed and cancellations were categorised into groups by reason of cancellation. Results: There were 36 cancellations out of 193 patients listed (19%). Twenty-one cancellations (57%) were directly related to COVID-19 and its processes. These comprised six patients (17%) with COVID-19 swab related issues including: booking errors, transport problems, non-attendance, and invalid swabs. Three patients (8%) contracted COVID-19 preoperatively. Nine patients (25%) cancelled their procedure at short notice amidst fears of contracting COVID-19 perioperatively. Three (8%) cancellations were due to the patient being unfit on the day of surgery - these issues were not routinely identified at pre-assessment appointments as face-to-face pre-assessment clinics had been suspended. A further 15 cancellations (42%) were due to non- COVID-19 reasons including lack of beds, unwell patients, and patients cancelling for other personal reasons. Conclusion: Mitigation of cancellations is a key factor in maintaining theatre utilisation. Based on our experience we recommend thorough counselling of patients regarding the importance of self-isolation prior to surgery and of the pre-operative swab. Having a designated team to manage COVID-19 swabs is also critical. Reinstatement of face-to-face pre-operative assessments may help identify evolving issues and prevent last-minute cancellations. These lessons are pertinent to trusts, particularly as we emerge from subsequent waves of COVID-19.
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Abdulbaki Alshirbaji, Tamer, Nour Aldeen Jalal, and Knut Möller. "Data Recording Framework for Physiological and Surgical Data in Operating Theatres." Current Directions in Biomedical Engineering 6, no. 3 (September 1, 2020): 364–67. http://dx.doi.org/10.1515/cdbme-2020-3094.
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AbstractIntegrated operating rooms typically connect medical devices providing the clinical user a complete control over environment, device setting and digital management of intervention-related data. Consequently, the opportunity to analyse and present data from different perspectives and with different objectives has arisen. The available integrated ORs are so far designed as closed systems, thus connecting coexisting systems from different manufactures e.g. anaesthesia machines and surgical devices is demanding. The purpose of this project is to facilitate data collection from anaesthesiology, patient monitoring and surgical devices. The study is performed on laparoscopic procedures, and the data are going to be recorded at the Schwarzwald-Baar Klinikum (SBK) in Villingen-Schwenningen (Germany). Therefore, this part of the project focuses on the overall architecture for collecting data in the operating theatre at the SBK. In this work, (i) the system architecture (i.e. hardware components), (ii) software architecture and (iii) required protocols for synchronous recording of data in the OR are described. The proposed framework demonstrates that signal recording is possible with variety of devices at different sampling rates during surgical procedure.
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Pauling, M., and C. M. Ball. "Delivery of Anoxic Gas Mixtures in Anaesthesia: Case Report and Review of the Struggle towards Safer Standards of Care." Anaesthesia and Intensive Care 45, no. 1_suppl (July 2017): 21–28. http://dx.doi.org/10.1177/0310057x170450s104.
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In 1983 a patient at The Alfred Hospital, Melbourne died during general anaesthesia for emergency surgery, in the weeks following maintenance to the operating theatre gas supply. In the ensuing investigation, it was revealed that he had been given 100% nitrous oxide throughout the anaesthetic due to the inadvertent crossing of the nitrous oxide and oxygen pipelines during the repair work. In this article we review the published literature on the delivery of hypoxic and anoxic gas mixtures, and the associated morbidity and mortality. We explore the developments that took place in the delivery of anaesthetic gases, and the unforeseen dangers associated with these advances. We consider the risks to patient safety when technological advances outpaced the implementation of essential safety standards. We investigate the events that pushed the development of safer standards of anaesthetic practice and patient monitoring, which have contributed to modern day theatre practice. Finally, we consider the risks that still exist in the hospital environment, and the need for on-going vigilance.
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Siddaiah-Subramanya, Manjunath, Masimba Nyandowe, and Kor Woi Tiang. "Technical problems during laparoscopy: a systematic method of troubleshooting for surgeons." Innovative Surgical Sciences 2, no. 4 (August 22, 2017): 233–37. http://dx.doi.org/10.1515/iss-2017-0031.
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AbstractBackground:Laparoscopic surgery has progressed rapidly since the early 1990s. For some surgical operations, it has become the standard of care to the extent where open surgery is sometimes looked down upon by some surgical colleagues as well as by patients.Current status:Despite this widespread adoption and acceptance, many surgeons struggle to understand how the laparoscopy stacks work despite having the skills to perform the operation. Most hospitals rely on operating theatre assistants to troubleshoot in the event of problems. This could be potentially unsafe for patients if laparoscopic vision or pneumoperitoneum is lost at a critical point of the operation.Discussion:There are a number of approaches that have been published for troubleshooting laparoscopy stack. We explore and discuss some of them along with their advantages and disadvantages and how they relate to our methodology and approach. As a product of the discussion, we suggest a systematic way forward to troubleshooting laparoscopic tower equipment problems.Conclusion:The technical knowledge of surgeons and trainees varies widely in the area of laparoscopy-related troubleshooting. This systematic, practical algorithm would help and guide all surgeons to adopt a uniform approach, thereby improving patient safety.
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Kruger, P. S., and P. J. Longden. "A Study of a Hospital Staff's Knowledge of Pulse Oximetry." Anaesthesia and Intensive Care 25, no. 1 (February 1997): 38–41. http://dx.doi.org/10.1177/0310057x9702500107.
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A selection of medical and nursing staff and anaesthetic technicians at work on a particular day at a regional Base Hospital were invited to complete a questionnaire to assess their knowledge of the principles of pulse oximetry. A 98.5% response rate (203 respondents) was achieved from staff in a broad cross section of hospital wards participating in the study. Most of the participants (nursing [N] 87%, medical [M] 91%, anaesthetic technicians [AT] 100%) used pulse oximetry regularly in their daily work. Less than half of the participants (N 36%, M 48% and AT 50%) felt they had adequate training in the use of pulse oximetry. Only 68.5% of participants correctly stated what pulse oximeters measure. Answers to the questions regarding the principles of pulse oximetry, potential errors, normal ranges or the physiology of oxygen haemoglobin dissociation varied but generally reflected limited understanding. As the use of pulse oximeters extends beyond the operating theatre and intensive care environment, appropriate staff education must ensure a basic understanding of the operating principles of the instrument.
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Aaron, Friday E., Rex Friday Ogoronte A. Ijah, and Tonye Obene. "Pattern of orthopaedic case presentations at the rivers state university teaching hospital: a ten-year review." International Surgery Journal 9, no. 4 (March 28, 2022): 781. http://dx.doi.org/10.18203/2349-2902.isj20220935.
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Background: Pattern of diseases help institutions and governments to know the dominant disease conditions and how to allocate scarce resources. Knowledge of the pattern of orthopedic disease conditions seen and treated in the Rivers State university teaching hospital will help in guiding the repositioning effort of the department/discipline, especially in the light of the new status of the institution as a teaching hospital for teaching, service delivery and research. The aim of this study therefore was to determine the pattern of orthopedic cases seen in the surgery department of the Rivers State university teaching hospital from January 2010 to January 2019.Methods: A descriptive retrospective cross-sectional study was carried out at the emergency room, clinic, operating theatre, and wards of the surgery department of the Rivers State university teaching hospital, using hospital registers. The study was analyzed using the Microsoft excel spreadsheet.Results: There were 2854 orthopedic emergency room cases seen, comprising 621 fractures, 463 lumbar spondylosis/ spondylolisthesis, 392-foot ulcer/sepsis, 375 dislocations, 310 acute osteomyelitis, and 864 osteoarthritis with other conditions. The common orthopedic cases seen in the out-patient clinics in descending order of occurrence were lumbar spondylitis / spondylolisthesis (881), osteoarthritis (655), fractures (560), dislocations (227), etc.Conclusions: Trauma-related disease care constituted the bulk of work of the orthopedic surgeon in our environment in the emergency room, operating theatre and ward admissions, and younger males were more affected.
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Yeo, Charles J. "Mini-Incision Versus Laparoscopic Cholecystectomy." HPB Surgery 10, no. 5 (January 1, 1997): 338–40. http://dx.doi.org/10.1155/1997/27210.
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Background: We report a prospective randomised comparison between laparoscopic and small-incision cholecystectomy in 200 patients which was designed to eliminate bias for or against either technique.Methods: Patients were randomised in the operating theatre and anaesthetic technique and pain-control methods were standardised. Four experienced surgeons did both types of procedure. Identical wound dressings were applied in both groups so that carers could be kept blind to the type of operation.Findings: There was no significant difference between the groups for age, sex, body mass index, and American Society of Anaesthesiologists grade. Laparoscopic cholecystectomy took significantly longer than small-incision cholecystectomy (median 65 [range 27-140] min vs 40 [18-142] min, p<0.001). The operating time included operative cholangiography which was attempted in all patients. We found no significant difference between the groups for hospital stay (postoperative nights in hospital, median 3.0 [1-17] nights for laparoscopic vs 3.0 [1-14] nights for small-incision, p=0.74), time back to work for employed persons (median 5.0 weeks vs 4.0 weeks; p=0.39), and time to full activity (median 3.0 weeks vs 3.0 weeks; p=0.15).Interpretation: Laparoscopic cholecystectomy takes longer to do than small-incision cholecystectomy and does not have any significant advantages in terms of hostital stay or 13 ostoperative recovery.
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Player, Mark. "Media-Morphosis. Intermediality, (Re-)Animation and the Medial Uncanny in Tsukamoto Shinya’s Tetsuo: The Iron Man (1989)." Acta Universitatis Sapientiae, Film and Media Studies 12, no. 1 (September 1, 2016): 167–89. http://dx.doi.org/10.1515/ausfm-2016-0009.
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Abstract Operating self-sufficiently on the fringes of the Japanese film industry for almost his entire career, the work of independent filmmaker Tsukamoto Shinya1 is perhaps best-known for its uncompromising, musical freneticism, as well as its corporeal spectacle. However, Tsukamoto’s dynamic clashing of visual media signifiers, such as those of theatre and television (industries within which he also operated prior to his film career during the 1980s), and how these impact upon his reflexive cinematic style, has yet to be fully considered. Drawing on Laura Mulvey’s conception of the ‘uncanny’ in response to cinema’s potential to confuse animate and inanimate, as well as Tsukamoto’s own under-discussed background in experimental street theatre and television advertising production, this essay seeks to examine Tsukamoto’s unique method of stop motion photography within his signature, self-produced feature Tetsuo: The Iron Man (1989). The intention is to show that these hyperbolic sequences instil not only an uncanniness in their live-action subjects, who are rendered inanimate then reanimated to form staccato, cyborg characters, but also a ‘medial uncanny’ that simultaneously emulates and subverts the qualities of a vast range of visual media, particularly television and its associated post-medial peripherals and artefacts.
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Wæhle, Hilde Valen, Stig Harthug, Eirik Søfteland, Nick Sevdalis, Ingrid Smith, Siri Wiig, Karina Aase, and Arvid Steinar Haugen. "Investigation of perioperative work processes in provision of antibiotic prophylaxis: a prospective descriptive qualitative study across surgical specialties in Norway." BMJ Open 9, no. 6 (June 2019): e029671. http://dx.doi.org/10.1136/bmjopen-2019-029671.
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ObjectiveSurgical site infections are known postoperative complications, yet the most preventable of healthcare-associated infections. Correct provision of surgical antibiotic prophylaxis (SAP) is crucial. Use of the WHO Safe Surgical Checklist (SSC) has been reported to improve provision of SAP, and reduce infections postoperatively. To understand possible mechanisms and interactions generating such effects, we explored the underlying work processes of SAP provision and SSC performance at the intersection of perioperative procedures and actual team working.DesignAn ethnographic study including observations and in-depth interviews. A combination of deductive and inductive content analysis of the data was conducted.SettingOperating theatres with different surgical specialities, in three Norwegian hospitals.ParticipantsObservations of perioperative team working (40 hours) and in-depth interviews of 19 experienced perioperative team members were conducted. Interview participants followed a maximum variation purposive sampling strategy.ResultsAnalysis identified provision of SAP as a process of linked activities; sequenced, yet disconnected in time and space throughout the perioperative phase. Provision of SAP was handled in relation to several interactive factors: preparation and administration, prescription accuracy, diversity of prescription order systems, patient-specific conditions and changes in operating theatre schedules. However, prescription checks were performed either as formal SSC reviews of SAP items or as informal checks of relevant documents. In addition, use of cognitive reminders and clinical experiences were identified as mechanisms used to enable administration of SAP within the 60 min timeframe described in the SSC.ConclusionProvision of SAP was identified as a complex process. Yet, a key element in provision of SAP was the given 60 min. timeframe of administration before incision, provided in the SSC. Thus, the SSC seems beneficial in supporting timely SAP administration practice by either being a cognitive tool and/or as a cognitive intervention.
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Kwiecień-Jaguś, Katarzyna, Daria Lach, Renata Piotrkowska, Wioletta Mędrzycka-Dąbrowska, and Monika Kopeć. "Analysis of Sleep Disorder Occurrence among Anaesthesiology Nurses Employed in Operating Theatres and Intensive Therapy Wards – a Prospective, Comparative Study Design using the Athens Insomnia Scale." Journal of Neurological and Neurosurgical Nursing 11, no. 3 (December 1, 2022): 105–13. http://dx.doi.org/10.15225/pnn.2022.11.3.2.
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Introduction. Good quality of sleep and feeling well are important issues for health and employee productivity especially for people with highly demanding jobs. Nursing personnel have to confront with significant mental and physical challenges. Shift work can lead to many health problems including: anxiety, insomnia, obesity or high blood pressure.
Aim. The study examined the occurrence of sleep disorders among nursing personnel employed in operating theatres and intensive therapy units.
Material and Methods. The study was prospective, comparative and descriptive nature. The project was carried out between January 1th and April 31th 2019. The study covered 180 medical personnel employed in Anaesthesiology and Intensive Therapy Departments in five different hospitals. Data were collected on the basis of a standardised tool of the Athens Insomnia Scale (AIS) as well as an original interview questionnaire.
Results. The study showed that 65.6% (N = 118) of respondents experienced sleeping problems, manifested by frequent awakenings at night. For more than forty-five percent (45.6%; N = 82) of nurses, the time of their sleep is not sufficient, and more than 60% (N = 109) of respondents feel sleepiness. The in-depth analyses provide a statistically significant dependence between the quality of sleep and the use of sleeping drugs (Z = –1.95; p = 0.050).
Conclusions. A nursing personnel working in the intensive therapy and operating room theatre wards suffer from sleep disorders related to insomnia; the symptoms of insomnia in this professional group include awakening at night and sleepiness during the day; male nurses have a far better quality of sleep compared to females nurses. (JNNN 2022;11(3):105–113)
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Tafazal, H., P. Spreadborough, D. Zakai, N. Shastri-Hurst, S. Ayaani, and M. Hanif. "Laparoscopic cholecystectomy: a prospective cohort study assessing the impact of grade of operating surgeon on operative time and 30-day morbidity." Annals of The Royal College of Surgeons of England 100, no. 3 (March 2018): 178–84. http://dx.doi.org/10.1308/rcsann.2017.0171.
Full textAbstract:
Introduction There is an increasing trend towards day case surgery for uncomplicated gallstone disease. The challenges of maximising training opportunities are well recognised by surgical trainees and the need to demonstrate timely progression of competencies is essential. Laparoscopic cholecystectomy provides the potential for excellent trainee learning opportunities. Our study builds upon previous work by assessing whether measures of outcome are still affected when cases are stratified based on procedural difficulty. Material and methods A prospective cohort study of all laparoscopic cholecystectomies conducted at a district general hospital between 2009 and 2014, performed under the care of a single consultant. The operative difficulty was determined using the Cuschieri classification. The primary endpoint was duration of operation. Secondary endpoints included length of hospital stay, delayed discharge rate and 30-day morbidity. Results A total of 266 laparoscopic cholecystectomies were performed during the study period. Mean operative time for all consultant-led cases was 52.5 minutes compared with 51.4 minutes for trainees (P = 0.67 unpaired t-test). When cases were stratified for difficulty, consultant-led cases were on average 5 minutes faster. Median duration of hospital stay was equivalent in both groups and there was no statistical difference in re-attendance (12.9% vs. 15.3% P = 0.59) or re-admission rates (3.2% vs. 8.1% P = 0.10) at 30 days. Conclusions Our study provides evidence that laparoscopic cholecystectomy provides a good training opportunity for surgical trainees without being detrimental to patient outcome. We recommend that, in selected patients, under consultant supervision, laparoscopic cholecystectomy can be performed primarily by the surgical trainee without impacting on patient outcome or theatre scheduling.