Introducing new technology into the operating room: Measuring the impact on job performance and satisfaction

Stahl, James E.; Egan, Marie T.; Goldman, Julian M.; Tenney, Dawn; Wiklund, Richard A.; Sandberg, Warren S.; Gazelle, Scott; Rattner, David W.

doi:10.1016/j.surg.2004.12.015

Cited by 49 publications

(32 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Surgical Process Models (Spms) -Motivation Definition and mentioning

confidence: 99%

“…Medical disciplines, especially surgery, are slowly merging with technical disciplines. The number of technical and technological appliances in the operating room (OR) is steadily on the rise, requiring the surgeons to adopt -in addition to their medical formation -a more technical background and to gather knowledge and experience regarding the best possible application of modern technology [6,7] for the sake of the best possible outcome for the patients and to adhere to current best-practice as well as to economic aspects.Although the OR, in general, is the most expensive hospital unit with regard to patient treatment [8,9], the current information and communication technology (ICT) in hospitals is not able to support the clinical and operational sequence adequately [10][11][12][13], thus creating breaches in the surgical workflow, prolongations in routines, additional staff or room idle times, and media disruptions. The growing amount of information gathered in the OR by means of technology, the big data, and the knowledge concerning surgical "modi operandi" that might support Medicine 4.0 are not sufficiently inspected, selected or discarded, interpreted, and employed to the advantage of the intervention at hand or to that of the overall management of all ORs and the hospital or the patients in general.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Surgical process modeling

Neumuth

2017

Innovative Surgical Sciences

View full text Add to dashboard Cite

Due to the rapidly evolving medical, technological, and technical possibilities, surgical procedures are becoming more and more complex. On the one hand, this offers an increasing number of advantages for patients, such as enhanced patient safety, minimal invasive interventions, and less medical malpractices. On the other hand, it also heightens pressure on surgeons and other clinical staff and has brought about a new policy in hospitals, which must rely on a great number of economic, social, psychological, qualitative, practical, and technological resources. As a result, medical disciplines, such as surgery, are slowly merging with technical disciplines. However, this synergy is not yet fully matured. The current information and communication technology in hospitals cannot manage the clinical and operational sequence adequately. The consequences are breaches in the surgical workflow, extensions in procedure times, and media disruptions. Furthermore, the data accrued in operating rooms (ORs) by surgeons and systems are not sufficiently implemented. A flood of information, "big data", is available from information systems. That might be deployed in the context of Medicine 4.0 to facilitate the surgical treatment. However, it is unused due to infrastructure breaches or communication errors. Surgical process models (SPMs) alleviate these problems. They can be defined as simplified, formal, or semiformal representations of a network of surgery-related activities, reflecting a predefined subset of interest. They can employ different means of generation, languages, and data acquisition strategies. They can represent surgical interventions with high resolution, offering qualifiable and quantifiable information on the course of the intervention on the level of single, minute, surgical work-steps. The basic idea is to gather information concerning the surgical intervention and its activities, such as performance time, surgical instrument used, trajectories, movements, or intervention phases. These data can be gathered by means of workflow recordings.These recordings are abstracted to represent an individual surgical process as a model and are an essential requirement to enable Medicine 4.0 in the OR. Further abstraction can be generated by merging individual process models to form generic SPMs to increase the validity for a larger number of patients. Furthermore, these models can be applied in a wide variety of use-cases. In this regard, the term "modeling" can be used to support either one or more of the following tasks: "to describe", "to understand", "to explain", to optimize", "to learn", "to teach", or "to automate". Possible use-cases are requirements analyses, evaluating surgical assist systems, generating surgeon-specific training-recommendation, creating workflow management systems for ORs, and comparing different surgical strategies. The presented chapter will give an introduction into this challenging topic, presenting different methods to generate SPMs from the workflow in the OR, as well as various...

show abstract

Section: Surgical Process Models (Spms) -Motivation Definition and mentioning

confidence: 99%

mentioning

confidence: 99%

Surgical process modeling

Neumuth

2017

Innovative Surgical Sciences

View full text Add to dashboard Cite

show abstract

“…All staff in a surgical suite must be familiar with the development of potential dangers, so they could avoid related injuries or exposures to other threats within the suite. Key words: surgical nurses • surgery suite • occupational hazards • stress • burnout Running head: Occupational Hazards and Risks and surgical ward caj uvođenja novih tehnologija u operacijskoj dvorani na stupanja zadovoljstva zaposlenika i incidenciju nastanka sindroma sagorijevanja [1]. Prema rezultatima istraživanja, uvođenje poboljšanih tehnologija predstavlja veći rizik za stres i sagorijevanje (engl.…”

Section: Introductionunclassified

“…caj uvođenja novih tehnologija u operacijskoj dvorani na stupanja zadovoljstva zaposlenika i incidenciju nastanka sindroma sagorijevanja [1]. Prema rezultatima istraživanja, uvođenje poboljšanih tehnologija predstavlja veći rizik za stres i sagorijevanje (engl.…”

unclassified

See 1 more Smart Citation

Profesionalne opasnosti i rizici u radu operacijskih sestara/tehničara Occupational Hazards and Risks in Work of Surgical Nurses and Technicians at surgical ward

Kozina

Bastaja

2017

SG/NJ

View full text Add to dashboard Cite

Au tor za ko res pon den ci ju/Corresponding aut hor: Blaženka Kozina, mag. med. techn., Operating center, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10 000 Zagreb, Received August 8 th 2016; Accepted October 3 rd 2016;Profesionalne opasnosti i rizici u radu operacijskih sestara/tehničara Occupational Hazards and Risks in Work of Surgical Nurses and Technicians at surgical wardBlaženka Kozina, Snježana BastajaOperacijski centar, Klinička bolnica Dubrava, Avenija Gojka Šuška 6, 10 000 Zagreb, HrvatskaOperating center, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10 000 Zagreb, Croatia SG/NJ 2017;22:121-4 DOI: 10.11608/sgnj.2017.22.025 PROFESIONALNA SESTRINSKA PRAKSA / NURSING PRACTICE PREGLEDNI ČLANAK / REVIEW ARTICLE Uvod /Introduction U sestrinskoj profesiji, opasnosti i rizici različiti su i brojni. Neki su verificirani od nastanka struke, a odnedavno su priznati kao faktori rizika. Drugi zdravstveni problemi novijeg su datuma, a većina je nastala zbog ubrzanog razvoja novih tehnologija u zdravstvu.Značajna ekonomska ulaganja u medicini dovela su do ubrzanog razvoja novih tehnologija, tehnika, vještina i resursa koji omogućuju brzo rješavanje zdravstvenih problema, a istovremeno smo suočeni s nedostatnim brojem zdravstvenih djelatnika, poteškoćama u stvaranju novih djelatnika. Stahl i sur. 2005. godine, u općoj bolnici u Massachusetssu [USA] proveli su istraživanje kojim su željeli procijeniti utje- SažetakZdravstveni djelatnici u operacijskoj dvorani izloženi su raznim profesionalnim opasnostima poput bioloških, kemijskih, fizičkih i psihosocijalnih opasnosti koje mogu dovesti do ozbiljnih akutnih i dugoročnih štetnih zdravstvenih ishoda. Kod izvršavanja svojih radnih zadataka, operacijske sestre/tehničari susreću se s različitim profesionalnim zdravstvenim problemima. Operacijska je dvorana prostor gdje djelatnici kirurškog tima djeluje u interakciji jedan s drugim te s tehnološkim sredstvima. Operacijske sestre/tehničari značajno su osjetljivi na stresne čimbenike, izloženi su specifičnom radnom okruženju koje zahtijeva tehničku organizaciju i iskustvo, rukovanje s preciznim instrumentima, ovladavanje složenim tehnikama, uz to i zatvorena radna okolina -rad s istim osobama, rad bez duže interakcije s bolesnikom. Upravo zbog složenosti posla i odgovornosti, operacijske sestre /tehničari su izloženi stresnim situacijama koje su često previsokog stupnja i predugog trajanja što ih svrstava u rizičnu skupinu za nastanak stupnja sagorijevanja (engl. Burnout). Ključne riječi: operacijske sestre • operacijska dvorana • profesionalne opasnosti • stres • sagorijevanje Kratki naslov: Profesionalne opasnosti i rizici i operacijske sestre/tehničari AbstractHealth workers in a surgical suite are exposed to various professional threats like biological, chemical, physical and psychosocial, all of which can lead to serious acute and long-term harmful outcomes. During the implementation of their duties surgical nurses/technicians are meeting various professional health problems. Surgical suite is a space wher...

show abstract