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- Use of simulation, staged construction, user-centered outcomes and new research collaborations are emerging as useful tools to improve future operating room design.
journals.lww.com/annalsofsurgery/Fulltext/2017/01000/Building_a_Better_Operating_Room__Views_from.8.aspxBuilding a Better Operating Room: Views from Surgery and ...
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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.
- 1 Scalpels
- 2 Scissors
- 3 Forceps
- 4 Needle Holders
- 5 Retractors
- 6 Suction
- 7 Clamps
- Basics of Instrumentation and Equipment For Laparoscopic Surgery
- 1 Imaging System
- 2 Instrumentation For Obtaining Access to The Abdominal Cavity
The scalpel is one of the synonymous instruments that is associated with surgery. Perhaps the most important decision to make prior to using the scalpel is the decision for where the incision will be placed. This should be a deliberate decision with the goal of the operation in mind. Essentially, the location of the incision should allow you to per...
Scissors come in multiple varieties, and depending on the type, they are used in various settings. They have a bias for right-handed individuals. When using a scissor, place only about a half of the distal phalanx of your thumb and ring finger, and attempt to use your dominant hand if possible. Scissors used for dissection include the Metzenbaum sc...
The general principle for how forceps work is by grasping tissue in between two opposing surfaces. Deciding on which forceps to use depends on the task at hand. In general, forceps come in two varieties, smooth and toothed. Forceps that are smooth cause crushing tissue trauma, and in instances as such, the use of toothed forceps is preferable. An e...
The type, size, and weight of the needle holder are determined by the needle and suture. For example, larger and heavier needle holders are required for large needles, such as the ones used for fascial closure. Conversely, small needles that are used for vascular anastomoses require finer and lighter needle drivers, such as the Castroviejo. When lo...
Much like other instruments, retractors come in different varieties, and their use is determined by the task at hand. They can be handheld or self-retaining retractors. An example of commonly utilized handheld retractors that are utilized in general surgery include the Army-Navy and Richardson retractors. Similarly, self-retaining retractors, such ...
Visualization of the operative field is important, which is accomplished through the use of suction devices. Sizes of the suction tip depend on the area and type of tissue being worked on. The commonly used Yankauer aspirates through the tip end and is either disposable plastic or reusable metal. A Poole sucker has multiple ports all along the side...
Clamps are used to hold objects in place and/or to maintain control of tissue, such as cutting off blood flow to an area of interest. They can be either straight or curved, perforating or non-perforating, fine-tipped for more precise clamping or broad for thicker or more generalized areas, and with or without teeth depending on the power of the gri...
Laparoscopic procedures require surgical skills that include dexterity, efficiency, and the ability to operate in a three-dimensional environment that is usually visualized in two dimensions. In addition to patient and surgeon positioning, one must be cognizant of equipment positioning in order to facilitate the expeditious progression of the opera...
The imaging system consists of the laparoscope, camera, video monitor(s), and light source. In general, the sterile components of this system include the laparoscope, camera, and fiber-optic cord that connects the laparoscope to the light source. Most modern laparoscopes utilize a rod-lens system that was initially discovered by Harold H. Hopkins i...
When initially planning the location for initial access for an abdominal laparoscopic procedure , first, survey the abdomen for scars from prior surgery or for any masses. Second, keep the planned operation and the operative field in mind. The most common site for initial entry and trocar placement is the umbilicus. The amount of soft tissue betwee...
- Katerina Dukleska, Allison A. Aka, Adam P. Johnson, Karen A. Chojnacki
- 2018
Abstract. Background: Existing research regarding design improvements to the operating room (OR) is scarce and emphasizes the compelling need to measure and test new design strategies and interventions.
- Sarah A Brownlee, Paul J Whitson, Andrew M Ibrahim
- 2019
Methods: Two industrial engineers with expertise in human factors workflow disruptions observed 10 cardiac operations from the moment the patient entered the OR to the time they left for the intensive care unit.
- Gary Palmer, James H. Abernathy, Greg Swinton, David Allison, Joel Greenstein, Scott Shappell, Kevin...
- 2013
May 4, 2020 · Reeves et al 5 recently argued that taming complexity requires the following efforts: creating a modular structure; using simple, common operating principles; embedding a bias for change; relaxing control; optimizing globally; and. fixing, repairing, and pruning.
Jul 2, 2020 · The design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially.
