6
The use of distributed displays of operating room video when real-time occupancy status was available.
Anesth Analg. 2008 Feb; 106(2):554-60, table of contents
Christoph Kindler, Bereichsleiter Perioperative Medizin, Switzerland. F1000 Anesthesiology & Pain Management
28 Mar 2008 | Technical Advance
The findings suggest that the use of video leads to an improvement of organisation in the operating room (OR).
The authors surveyed the question whether OR staff would accept the presence of video in the OR and whether they would be willing to use it. After extensive discussions with staff concerning questions such as patient confidentiality and privacy, there was a high acceptance of OR video.
I am an attending anesthesiologist and operating room (OR) manager at the same time. It is very helpful having a tool to control the state of operations in different operating rooms. The article shows that operating room video is useful to get accurate information of OR status, such as patient entry and exit and whether or not the OR is in use. It is essential to take into consideration the fears of staff concerning privacy and patient confidentiality before starting such a project.
Acknowledgements: I would like to thank Dr Peter Müller for their assistance in the preparation of this evaluation.
Competing interests: No potential interests relevant to this article were reported.
Kindler C: "The findings suggest that the use of video leads to an improvement of organisation in..." Evaluation of: [Xiao Y et al. The use of distributed displays of operating room video when real-time occupancy status was available. Anesth Analg. 2008 Feb; 106(2):554-60, table of contents; doi: 10.1213/ane.0b013e3181606f01]. Faculty of 1000, 28 Mar 2008. F1000.com/1104238#eval560243
Short form
Kindler C: 2008. F1000.com/1104238#eval560243
Faculty of 1000 evaluations, dissents and comments for [Xiao Y et al. The use of distributed displays of operating room video when real-time occupancy status was available. Anesth Analg. 2008 Feb; 106(2):554-60, table of contents; doi: 10.1213/ane.0b013e3181606f01]. Faculty of 1000, 28 Mar 2008. F1000.com/1104238
Short form
Faculty of 1000: 2008. F1000.com/1104238
On the day of surgery, real-time information of both room occupancy and activities within the operating room (OR) is needed for management of staff, equipment, and unexpected events.A status display system showed color OR video with controllable image quality and showed times that patients entered and exited each OR (obtained automatically). The system was installed and its use was studied in a 6-OR trauma suite and at four locations in a 19-OR tertiary suite. Trauma staff were surveyed for their perceptions of the system.Evidence of staff acceptance of distributed OR video included its operational use for >3 yr in the two suites, with no administrative complaints. Individuals of all job categories used the video. Anesthesiologists were the most frequent users for more than half of the days (95% confidence interval [CI] >50%) in the tertiary ORs. The OR charge nurses accessed the video mostly early in the day when the OR occupancy was high. In comparison (P < 0.001), anesthesiologists accessed it mostly at the end of the workday when occupancy was declining and few cases were starting. Of all 30-min periods during which the video was accessed in the trauma suite, many accesses (95% CI >42%) occurred in periods with no cases starting or ending (i.e., the video was used during the middle of cases). The three stated reasons for using video that had median surveyed responses of "very useful" were "to see if cases are finished," "to see if a room is ready," and "to see when cases are about to finish."Our nurses and physicians both accepted and used distributed OR video as it provided useful information, regardless of whether real-time display of milestones was available (e.g., through anesthesia information system data).
DOI: 10.1213/ane.0b013e3181606f01
PMID: 18227316
Sign in/get access to leave a comment.
No comments yet.