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Related Concept Videos

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

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Ergonomics for Cleft Providers: A Systematic Review.

Jose A Garcia1, Wassim Najjar, Dana Andari

  • 1From the Global Smile Foundation, Norwood, MA.

Annals of Plastic Surgery
|April 10, 2025
PubMed
Summary
This summary is machine-generated.

Cleft surgeons face high rates of work-related musculoskeletal disorders (MSDs). Implementing ergonomic strategies and training is crucial for provider well-being and career longevity.

Keywords:
cleft careergonomicsoccupational healthrobotic surgerysurgical trainingvisualization toolswork-related musculoskeletal disorders

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Area of Science:

  • Surgical Ergonomics
  • Musculoskeletal Health
  • Cleft Care

Background:

  • Cleft care surgeons experience high rates of work-related musculoskeletal disorders (MSDs) due to demanding procedures.
  • Comprehensive ergonomic strategies for this population are underexplored.
  • This review synthesizes evidence on ergonomic challenges and interventions for cleft surgeons.

Approach:

  • Systematic literature search across major databases (PubMed, Embase, etc.) from 2000-2023.
  • Included 19 studies focusing on ergonomic challenges and interventions for cleft care surgeons.
  • Followed PRISMA guidelines for screening, data extraction, and risk of bias assessment.

Key Points:

  • MSD prevalence among cleft surgeons ranges from 47.5% to 97%, affecting the neck, shoulders, and lower back.
  • Risk factors include practice duration, poor posture, and inadequate ergonomic training.
  • Recommended interventions include visualization tools, ergonomic devices, robotic surgery, and posture feedback systems.

Conclusions:

  • Pervasive MSDs highlight the critical need for ergonomic interventions in cleft care.
  • Integrating ergonomic principles into practice and surgical training is vital for provider health.
  • Tailored interventions can improve well-being, reduce MSDs, and enhance career longevity.