High Number of Door Openings Increases the Bacterial Load of the Operating Room

Lansing, Shan S.; Moley, James P.; McGrath, Mary S.; Stoodley, Paul; Chaudhari, Ajit M.W.; Quatman, Carmen E.

doi:10.1089/sur.2020.361

Cited by 10 publications

(4 citation statements)

References 24 publications

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“…The study, like previous studies 1,5,30 , con rmed that door opening was associated with an increase in the number of particles or microroganims in the OR room air.. A clinical simulation from our institution previously demonstrated that a positive correlation exists between oating particles in the OR and the total number of personnel and door openings performed 1 . It is not surprising to nd a higher particle count in procedures with positive swabs, since pathogens cluster and travel in particles 5 µm or larger, meanwhile smaller particles (≤ 3 µm) usually correlate with tissue combustion 5 .…”

Section: Discussionsupporting

confidence: 81%

Operating Room Air May Harbor Pathogens: The Role of an Ultraviolet Air Filtration Unit

Fernández-Rodríguez,

Tarabichi,

Golankiewicz

et al. 2024

The Journal of Arthroplasty

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Section: Discussionsupporting

confidence: 81%

Operating Room Air May Harbor Pathogens: The Role of an Ultraviolet Air Filtration Unit

Fernández-Rodríguez,

Tarabichi,

Golankiewicz

et al. 2024

The Journal of Arthroplasty

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“…The number of door openings during a surgical case has been linked to postoperative infections in orthopaedic cases because a high number of door openings increase the bacterial load of the OR. 15 Notably, resident presence in the surgery did not increase 90day complications and supports that intraoperative resident education is not only vital for training purposes but also safe for the patient.…”

Section: Discussionmentioning

confidence: 74%

Effects of Surgeon-Preferred Staff and Staff Turnover on Operating Time and Complication Rates in Reverse and Anatomic Total Shoulder Arthroplasty

Kurkowski,

Gerak,

Thimmesch

et al. 2024

JAAOS Glob Res Rev

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Background: This study focuses on investigating the risk factors of increased operating room time and patient complication rates after total shoulder arthroplasty cases (both reverse and anatomic). We hypothesize that the use of surgeon-preferred staff will improve operating room efficiency and reduce complication rates while increased staff turnover will decrease efficiency and increase complications. Methods: This is a single-center, retrospective study focused on determining the effects of staffing on operating room time and efficiency in total shoulder arthroplasty. The study included patients who underwent total shoulder arthroplasty by a single fellowship-trained orthopaedic surgeon from 2018 to 2023. Results: Four hundred twenty-three patients were included in the study from August 2018 to April 2023, 264 of which were reverse total shoulder arthroplasty (rTSA) and 159 were anatomic total shoulder arthroplasty (aTSA). In both rTSA and aTSA, the presence of surgeon-preferred staff markedly decreased operating room time. In rTSA, staff turnover increased risk of 90-day complications. Conclusion: Because the presence of surgeon-preferred staff affects operating room time and efficiency, orthopaedic surgeons should train multiple surgical teams so that efficiency is not affected by the loss of personnel during a case. To reduce 90-day complication rates in rTSA, staff breaks and turnover should be minimized as much as possible because this has a direct effect on patient outcomes. Effort from hospital administration and management should be put toward reducing turnover to improve patient outcomes.

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“…There are a variety of preventive measures that may help perioperative leaders and personnel raise awareness to decrease OR traffic, 13 and bundling at least two such measures may increase compliance 15 . These strategies may include the following: using visual cues, such as hanging customized signs, 16 that can provide a message warning personnel not to enter; installing door alarms 13 to minimize the frequency of opened doors during surgery; 17 installing electronic door counters that collect data and provide a visual reminder with real‐time feedback to assist personnel with reducing OR traffic; 16,18 and promoting staff member recognition of OR traffic in the appropriate forums 13 (eg, staff meetings, huddles). …”

Section: Strategies To Considermentioning

confidence: 99%

“…• installing door alarms 13 to minimize the frequency of opened doors during surgery; 17 • installing electronic door counters that collect data and provide a visual reminder with real-time feedback to assist personnel with reducing OR traffic; 16,18 and…”

Section: Strategies To Considermentioning

confidence: 99%