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- Beyond the technical requirements, creating a comfortable and supportive environment is crucial for enhancing the patient experience. To minimize noise levels, incorporate sound-absorbing materials and strategically design the layout. Ensure patient privacy throughout procedures and recovery.
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Improving Future Operating Room Design. With the increasing interest on hospital and surgeon performance, the time is ripe to explore how the operating room could be designed better to improve both. Adopting simulation, staged construction, user-centered outcomes and new research collaborations could help begin improving future operating room ...
Apr 29, 2024 · A recent Mayo Clinic study investigated how operating room (OR) design can be improved to create a more supportive workspace, ultimately strengthening the well-being of surgical teams during healthcare delivery.
- Or Setups For Total Knee Replacement
- Or Setups For Total Hip Replacement
- In Silico Comparison of Initial and Newly Designed Or Setups
- Inter-Setup Evaluation of The Simulation Results
Initial TKA setup 1
During data acquisition, the initial TKA Setup 1 was used with minor variations in the position of the 1st assistant in every TKA surgery at the orthopedic department. In the left-side TKA Setup 1 (Fig. 4, left) the scrub nurse (SN), surgeon (SU) and the 1st assistant (A1) stand on the left side of the OR table as seen by the patient. The A1 stands either on the same site as the surgeon or together with the 2nd assistant (A2) on the opposite. The instrument Tables 1–4 are located at the lower...
Newly designed TKA setup 2
In this newly designed left-side TKA setup (Fig. 5, left) the rotational movement of the scrub nurse should be reduced by arranging the instrument tables in a U-shape behind the surgeon. Thereby, Tables 1 and 2 are located between the scrub nurse and the surgeon. Tables 3 and 4 are located on the left and the right side of the scrub nurse. In the right-side setup (Fig. 5, right) there is little space for the circulator between the WP1 and the instrument tables. In the left-side setup, workpla...
Newly designed TKA setup 3
The goal of the TKA Setup 3 design was to maintain the compact table layout of Setup 2 but to establish a direct view between the surgeon and the scrub nurse as well as the operating area. Therefore, in the left-side TKA Setup 3 (Fig. 6, left) the instrument tables are located in a U-shape around the scrub nurse at the bottom of the OR table. The scrub nurse faces the surgeon directly and has a direct view of the operating area. The circulator can reach all workplaces and supply storage witho...
Initial THA setup 1
For left-side THA (Fig. 8, left), the scrub nurse, the surgeon, and the 1st assistant are positioned on the left side of the patient’s body, while the 2nd assistant stands on the right side (healthy hip joint). The surgeon stands at the patient’s hip. The four tables are arranged in a J-shape around the scrub nurse at foot of the OR table with one table in front, on the left side and two tables behind. The right-side THA Setup 1 is mirrored along the operating table (Fig. 8, right). The main...
Initial THA setup 2
In the second recorded THA setup, there are only three instrument tables, which are arranged in a U-shape around the scrub nurse behind the surgeon with Table 1 between them. The use of a 3-table or 4-table setup depends on the preferences of the OR team as well as resource requirements and the complexity of the surgery. In principle, a 3-table setup is sufficient for most of the THA surgeries. Therefore, an additional table is positioned on the left side and one on the right side of the scru...
Newly designed THA setup 3
For THA surgery one OR setup is newly designed with only three instrument tables. In the left-side THA Setup 3 (Fig. 10, left), the instrument tables are located around the scrub nurse. Table 2 is positioned directly at the bottom of the OR table. Table 1 stands between the scrub nurse and the surgeon. Additionally, Table 3 closes the U-shaped arrangement around the scrub nurse, who is facing the surgeon directly. The circulator has unrestricted access to all supply stocks and workplaces. For...
Instrument handover times
The instrument handovers for all tables in all TKA setups were simulated with Delmia and subsequently compared with each other (Fig. 11, left side). As a result, TKA Setup 3 enables the fastest instrument handover between scrub nurse and surgeon for instrument Tables 1, 2 and 4. For instrument Table 3 TKA Setup 2 allows a slightly faster handover. TKA Setup 1 and Setup 4 have equivalent instrument handover times due to the similar setup design whereby TKA Setup 4 is slightly faster for the in...
Total instrument handover times
During initial data acquisition, the total number of instrument handovers and the handover path in 7 TKA surgeries, were recorded in the initial TKA Setup 1. For instrument Table 1 an average of 108.3 ± 32.2 instrument handovers, for instrument Table 2 an average of 5.7 ± 7.3 handovers, for instrument Table 3 an average of 5.0 ± 4.2 handovers and for the instrument Table 4 an average of 2.7 ± 2.3 instrument handovers were documented. Based on the number of handovers, the total handover time w...
Distance traveled by the circulator
During the initial data acquisition, the number and pathways of the circulator were recorded in the 7 TKA surgeries. Thereby, the circulator travels on average 4.0 ± 1.6 times to the supply rack R1, 2.7 ± 2.0 times to supply rack R2, 2.7 ± 1.4 times to the supply stock ST1, which is located outside of the OR, 3.0 ± 0.8 times to the supply stock ST2, which is located in the sterile room on the left side of the OR and 2.2 ± 1.2 times to the anesthesia room on the right side of the OR. Additiona...
In the last step, the Delmia simulation results of the newly designed THA Setup 3 and TKA Setup 3 were compared with the intraoperatively recorded data to evaluate the accuracy and closeness to the actual intraoperative situation. For this purpose, the instrument handover time was analyzed. The simulated and real intraoperative instrument handover ...
- Juliane Neumann, Christine Angrick, Celina Höhn, Dirk Zajonz, Mohamed Ghanem, Andreas Roth, Thomas N...
- 2020
Design Strategies. Desired Outcomes. To view citation, click on desired outcomes below. Locate computer workstations in close proximity to surgical team members' related tasks. Locate doors adjacent, or in direct access, to primary circulation area to direct flow away from sterile and anesthesia zones.
Feb 26, 2018 · 2.1 Introduction. Caring for a patient in the operating room requires an integrated system of healthcare professionals with the primary goal to safely bring the patient through a surgical procedure. This is a principle that is initiated in the preoperative setting and is carried through the operation and to the postoperative setting.
- Katerina Dukleska, Allison A. Aka, Adam P. Johnson, Karen A. Chojnacki
- 2018
Dec 27, 2023 · This article provides an overview of the guideline and discusses recommendations for the interdisciplinary team, planning and designing the surgical suite, construction-related environmental contamination, ORs, and OR maintenance.
Mar 1, 2008 · Whether your operating room (OR) design project involves renovation, new construction, or a little of both, OR equipment layout planning and implementation strategies can be challenging, with available technologies representing a staggering array of options.
