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A Mobile Health Application for Operating Room Nurses: Optimizing Workflows with Surgical Checklists and Preference
Maria-Anna Katsiki1, Joseph Liaskos1, Emmanouil Zoulias1
1Health Informatics Laboratory, Faculty of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.
Studies in Health Technology and Informatics
|July 3, 2026
Summary
A new mobile health (mHealth) application digitizes surgical checklists and preference cards, reducing cognitive load for operating room (OR) nurses. This technology streamlines preparation, enhancing team coordination and patient safety in high-risk OR environments.
Area of Science:
- Healthcare technology
- Surgical workflow optimization
- Mobile health applications
Background:
- Operating rooms (ORs) face challenges with traditional paper-based systems and reliance on memory, leading to inefficiencies and stress.
- Accurate preparation is crucial for patient safety and efficiency in high-risk OR environments.
- Existing methods for managing surgical checklists and preference cards can be cumbersome and prone to error.
Purpose of the Study:
- To design, develop, and evaluate a mobile health (mHealth) application for digitizing surgical checklists and surgeon preference cards.
- To optimize operating room (OR) preparation processes through a user-centered design approach.
- To enhance patient safety and workflow efficiency in the OR.
Main Methods:
- User-centered design methodology.
- Focus group with experienced OR nurses to gather initial requirements.
- Development of a web-based prototype.
- Usability and clinical applicability evaluation by expert users via a structured questionnaire.
Main Results:
- High user acceptance of the mHealth application.
- Significant reduction in cognitive load reported by participants.
- Streamlined preparation of surgical instruments and consumables.
- Demonstrated value as an educational tool for novice nurses.
Conclusions:
- Digitizing OR workflows with user-informed mHealth applications enhances team coordination.
- The developed application reduces preparation time and improves patient safety.
- Targeted mHealth solutions can effectively address inefficiencies in OR preparation.
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