Environmental Hygiene in the Operating Room

Wahr, Joyce A.; Abernathy, James H.

doi:10.1097/aia.0b013e31827da44b

Cited by 7 publications

(4 citation statements)

References 66 publications

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“…Previous studies have shown that failure to model respect affects team performance in a variety of clinical settings, including the operating room. [9][10][11][12][13][14][15] A recent analysis of unsolicited patient observations from a single health care organization found that surgeons with higher numbers of unsolicited patient observations were associated with higher risk of complications, particularly in the most complex surgical cases. 16 Collectively, these studies suggest that the surgeons with the highest number of unsolicited patient observations may interact with team members in the operating room and other perioperative care settings in ways that could negatively affect team performance and contribute to risk for complications.…”

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confidence: 99%

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

et al. 2017

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confidence: 99%

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

et al. 2017

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“…The ideal project of an OR must incorporate the best practices to reduce environmental contamination, but should also consider the optimal placement of equipment and recognize that circuits are critical to patient safety. The regulation of clean and dirty circuits is important to reduce the risk of infection (20). This aspect is visible in factor 3 referring to the "Clean and dirty circuit" in the operating room.…”

Section: Discussionmentioning

confidence: 99%

Validation of a Scale on Structure Indicators in the Operating Room: Contributions to Nursing

Gomes¹,

Martins

Tronchin

et al. 2019

Aquichan

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Objective: Measuring instruments play, namely, an important role in the safety and quality of care. The aim of this study consists in validating a scale conceived to evaluate the structure of the operating room (OR). Materials and Methods: Validation and psychometric evaluation were carried out of the instrument. The sample was comprised of 1019 professionals working in the OR for at least two years in 71 Portuguese hospitals; the research was conducted in 2017. Results: The results obtained in the reliability and validity tests reveal good internal consistency. The 28 items of the scale, and after the principal components analysis, were grouped into seven dimensions: “Environment and equipment”, “Resources for quality and safety”, “Circuits in the operating room”, “Facilities and operating requirements”, “Training and praxis in the operating room”, “Continuity in nursing care”, and “Specificities of professional groups”. Conclusion: The psychometric study allows us to state that the scale of structure indicators in the operating room (SIOR) is a reliable and valid instrument. Its use will permit evaluating and monitoring the structural conditions of the ORs.

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“…Fifth, the handover should include the anesthesiologists and the surgeon to allow the new anesthesiologist-surgeon team to have a shared mental model. 7 Although provocative, the magnitude of the effect size reported by Sun et al 1 needs to be replicated using patients treated in the US health care system before we do more to change our staffing model in the US to greatly reduce the number of complete anesthesia handovers in cardiac surgery. Meanwhile, we must strive to optimize the handover process to minimize the potential for patient harm when care is shifted from one anesthesiology team to another.…”

Section: + Related Articlementioning

confidence: 99%

Safety of Complete Anesthesia Handovers in the Cardiac Surgical Patient

Glance

Dick

2022

JAMA Netw Open

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In this issue of JAMA Network Open, Sun and colleagues 1 report the results of a retrospective population-based study analyzing the association between complete handover of anesthesia care (case is completed by the replacement anesthesiologist) and mortality in cardiac surgical patients using data on 102 156 patients in Ontario, Canada. They used inverse probability of treatment weighting based on propensity scoring to control for baseline patient, procedure, hospital, and physician characteristics. They report that handover was associated with an 89% higher risk of 30-day mortality (hazard ratio, 1.89; 95% CI, 1.41-2.54). This translates to 1 additional death for every 52 cases (number needed to harm) associated with complete handovers of anesthesia care.

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Environmental Hygiene in the Operating Room

Cited by 7 publications

References 66 publications

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

Validation of a Scale on Structure Indicators in the Operating Room: Contributions to Nursing

Safety of Complete Anesthesia Handovers in the Cardiac Surgical Patient

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