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Related Concept Videos

Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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What delays your case start? Exploring operating room inefficiencies.

Dimitrios I Athanasiadis1, Sara Monfared1, Jake Whiteside2

  • 1Department of Surgery, Indiana University School of Medicine, 545 Barnhill Dr., EH 130, Indianapolis, IN, 46202, USA.

Surgical Endoscopy
|June 20, 2020
PubMed
Summary

Identifying operating room (OR) incidents reveals significant delays in the preparatory phase. Addressing these disruptions can optimize surgical workflow and improve patient care.

Keywords:
EfficiencyGeneral surgeryOperating roomPreparatory timeWorkflow

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Area of Science:

  • Surgical Operations Research
  • Healthcare Management
  • Patient Safety

Background:

  • Operating room (OR) inefficiencies impact healthcare teams, hospitals, and patients.
  • Limited literature exists on identifying specific OR delays during the preparatory phase.

Purpose of the Study:

  • To identify and quantify incidents causing delays during the preparatory phase of general surgery cases.
  • To utilize a novel surgical application for real-time incident tracking.

Main Methods:

  • A prospective, observational study was conducted between July 2018 and January 2019.
  • A novel surgical application (ExplORer Surgical) was used by observers to record disrupting incidents and their duration.
  • Data collected included anesthesia delays, conversations, missing items, and other workflow disruptions.

Main Results:

  • Ninety-six cases were analyzed, with 20 incidents recorded in 18% of cases.
  • Cases with incidents had a significantly longer preparatory duration (25.9 min) compared to those without (19.5 min).
  • The average incident duration was 3.7 minutes, contributing approximately 18% to the preparatory phase time.

Conclusions:

  • The ExplORer Surgical app effectively recorded incidents impacting the OR preparatory phase.
  • Identified incidents significantly prolonged preoperative preparation time.
  • Pinpointing these inefficiencies is crucial for developing targeted interventions to optimize OR efficiency.