The Impact of Operating Room Layout on Circulating Nurse’s Work Patterns and Flow Disruptions: A Behavioral Mapping Study

Bayramzadeh, Sara; Joseph, Anthony; San, Dee; Khoshkenar, Amin; Taaffe, Kevin; Jafarifiroozabadi, Roxana; Neyens, David M.

doi:10.1177/1937586717751124

Cited by 37 publications

(34 citation statements)

References 22 publications

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“…Article (8) England 2018 the operating room (25) ; and use of instruments to systematize and document nursing practice (4) . The category "factors with negative implications" included: emergency surgery (8,20,22); lack, poor quality or unavailability of equipment (8,16,19,23); problems related to the workflow of inpatient units (8) ; delay and cancellation of surgeries (8,25); excessive movement of the circulating nurse (10) ; lack of human (4,13,16,(19)(20)22) , material (8,13,16,(19)(20)23) and structural (8,13,16,20,22) resources; client's clinical conditions (13,20,22) ; lack of adequate time to carry out activities (16) ; lack of planning (6,16,19) and organization (16,19) ; lack of preoperative evaluation (19) ; technical failures of professionals (19) ; poor quality devices and equipment (19) ; failure to communicate with the management (6) ; work overload (23...…”

Section: Type Of Study/ Level Of Evidence Factor Implicationsmentioning

confidence: 99%

“…The challenges imposed by the physical environment can affect the safety of clients and the health staff. The higher the number of tasks performed by nurses in different hospital wards, the greater the chance that the workflow (10) will be interrupted due to the waiting time for materials and equipment.…”

Section: Factors With Negative Implicationsmentioning

confidence: 99%

“…Operating room nurses must recognize the factors involved in their workflow (10) and their implications. This can support the planning and delivery of high quality care (4) , making nurses able to make decisions.…”

Section: Introductionmentioning

confidence: 99%

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Workflow and decision making of operating room nurses: integrative review

Rodrigues

Torres

Gomes

et al. 2020

Rev. Gaúcha Enferm.

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Objective: Identify workflow factors in the operating room and their implications, which influence nurses' decision making. Method: Integrative review of the literature conducted through searches in the databases: Latin American and Caribbean Literature in Health Sciences; Nursing Database; Pubmed; Scopus and Cumulative Index to Nursing and Allied Health Literature. The results were organized into factors related to positive, negative and positive and negative implications. Results: The sample of 18 articles included examples of factors with positive implications, such as preoperative data collection, negative outcomes, such as lack of human, material and structural resources, and positive and negative outcomes, as preparation for certification. Conclusions: Factors that influence the decision-making process of nurses are associated to different conditions: client- related conditions and those conditions that go beyond the domain and organization of the surgical environment.

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Section: Type Of Study/ Level Of Evidence Factor Implicationsmentioning

confidence: 99%

Section: Factors With Negative Implicationsmentioning

confidence: 99%

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Workflow and decision making of operating room nurses: integrative review

Rodrigues

Torres

Gomes

et al. 2020

Rev. Gaúcha Enferm.

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“…There should also be sufficient space available in the setup if large-sized equipment is used during surgery [14]. 4 Planning of pathways The pathways to supply stocks, workstations and the sterile area should be as short as possible to minimize the travel path of the circulator during surgery [61].…”

Section: Spatial Requirementsmentioning

confidence: 99%

Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery

Neumann

Angrick

Höhn

et al. 2020

BMC Med Inform Decis Mak

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Background: 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. Yet, there is no objective method for the assessment and design of operating room setups for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty. Methods: With the help of computer simulation, a method for the design and assessment of enhanced OR setups was developed. New OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Thereby, a 3D graphical simulation representation enabled the strong involvement of clinical stakeholders in all phases of the design and decision-making process of the new setup alternatives. Results: The implementation of improved OR setups reduces the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortens the procedure duration. Additionally, the ergonomics of the OR staff were improved. Conclusion: The developed simulation method was evaluated in the actual intraoperative setting and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.

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“…Esto puede provocar un acceso difícil a los monitores y controles, un mayor riesgo de tropiezos y restricciones o desconexiones [30] . La ubicación de la zona del equipo (en particular, la mesa quirúrgica), unidades de comunicación, computadoras y puertas son importantes para la eficiencia y la eficacia del flujo de trabajo del personal [31] . Aunado a esto, los humanos a menudo no se desempeñan correctamente en condiciones menores a las ideales.…”

Section: Diseño Del Entornounclassified

Ergonomic Criteria for Operating Room Design

Cortés-Sáenz

Carrizosa-Morales

Balderrama-Armendariz

et al.

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El personal involucrado en el área quirúrgica se ve afectado con lesiones musculoesqueléticas por esfuerzos y movimientos repetitivos acumulados. La gravedad de sus lesiones está dada en función de las posturas de trabajo, la especialidad quirúrgica y la disposición de los elementos con los que interactúa. La ergonomía ha tomado relevancia ya que ha hecho aportes muy importantes para las condiciones de trabajo en diferentes áreas. Aun cuando en la literatura se pueden encontrar diversas investigaciones de la frecuencia y los efectos de las lesiones ocupacionales en el personal del área quirúrgica, escasos estudios han propuesto pautas para el diseño ergonómico de quirófanos. El presente estudio engloba cuatro criterios ergonómicos que deben considerarse para el diseño de quirófanos.

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The Impact of Operating Room Layout on Circulating Nurse’s Work Patterns and Flow Disruptions: A Behavioral Mapping Study

Abstract: The similarity of the movement and flow disruption patterns, despite variations in OR layout, highlighted the adjacencies required between major zones that CNs regularly visit. These optimum adjacencies should be considered while designing ORs such that they are more efficient and safer.

Cited by 37 publications

References 22 publications

Workflow and decision making of operating room nurses: integrative review

Workflow and decision making of operating room nurses: integrative review

Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery

Ergonomic Criteria for Operating Room Design

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