Rockstroh M, Franke S, Hofer M, Will A, Kasparick M, Andersen B, Neumuth T
Faculty of Medicine, Innovation Center Computer Assisted Surgery, Universität Leipzig, Semmelweisstr. 14, 04103, Leipzig, Germany.
Department of ENT Surgery, University Hospital of Leipzig, Leipzig, Germany.
Int J Comput Assist Radiol Surg. 2017 Aug;12(8):1461-1469. doi: 10.1007/s11548-017-1589-2. Epub 2017 May 8.
Clinical working environments have become very complex imposing many different tasks in diagnosis, medical treatment, and care procedures. During the German flagship project OR.NET, more than 50 partners developed technologies for an open integration of medical devices and IT systems in the operating room. The aim of the present work was to evaluate a large set of the proposed concepts from the perspectives of various stakeholders.
The demonstration OR is focused on interventions from the head and neck surgery and was developed in close cooperation with surgeons and numerous colleagues of the project partners. The demonstration OR was qualitatively evaluated including technical as well as clinical aspects. In the evaluation, a questionnaire was used to obtain feedback from hospital operators. The clinical implications were covered by structured interviews with surgeons, anesthesiologists and OR staff.
In the present work, we qualitatively evaluate a subset of the proposed concepts from the perspectives of various stakeholders. The feedback of the clinicians indicates that there is a need for a flexible data and control integration. The hospital operators stress the need for tools to simplify risk management in openly integrated operating rooms.
The implementation of openly integrated operating rooms will positively affect the surgeons, the anesthesiologists, the surgical nursing staff, as well as the technical personnel and the hospital operators. The evaluation demonstrated the need for OR integration technologies and identified the missing tools to support risk management and approval as the main barriers for future installments.
临床工作环境已变得非常复杂，在诊断、医疗和护理程序中带来了许多不同的任务。在德国旗舰项目OR.NET期间，50多个合作伙伴开发了用于在手术室中开放集成医疗设备和信息技术系统的技术。本研究的目的是从不同利益相关者的角度评估大量提出的概念。
示范手术室专注于头颈外科手术干预，并与外科医生和项目合作伙伴的众多同事密切合作开发。对示范手术室进行了定性评估，包括技术和临床方面。在评估中，使用问卷调查从医院运营人员那里获取反馈。通过与外科医生、麻醉师和手术室工作人员进行结构化访谈来涵盖临床影响。
在本研究中，我们从不同利益相关者的角度对提出的概念的一个子集进行了定性评估。临床医生的反馈表明需要灵活的数据和控制集成。医院运营人员强调需要工具来简化开放集成手术室中的风险管理。
开放集成手术室的实施将对外科医生、麻醉师、手术护理人员以及技术人员和医院运营人员产生积极影响。评估表明需要手术室集成技术，并确定了支持风险管理和审批的缺失工具是未来安装的主要障碍。
