DiBartola Alex C, Barron Christine, Smith Scott, Quatman-Yates Catherine, Chaudhari Ajit M W, Scharschmidt Thomas J, Moffatt-Bruce Susan D, Quatman Carmen E
The Ohio State University, Wexner Medical Center, Columbus, OH.
The Ohio State University College of Medicine, Columbus, OH.
Am J Med Qual. 2019 Nov/Dec;34(6):561-568. doi: 10.1177/1062860618821180. Epub 2019 Jan 17.
Operating room (OR) traffic and door openings increase potential for air contamination in the OR and create distractions for surgical teams. A multidisciplinary intervention was developed among OR staff, surgical staff, vendors, radiology, and anesthesia and approved by the hospital system's patient and quality safety department for implementation. Interventions included education, OR signage, and team-based accountability and behavioral interventions. After interventions were implemented, a second prospective, observational data collection was performed and compared to preintervention OR traffic. A total of 35 cases were observed over the 3-month period in the preintervention group; 42 cases were observed in the postintervention group. Average door openings per minute decreased by 22% ( = .0011) after intervention. All surgical groups excluding anesthesia had significant reductions in OR traffic following the intervention. Behavioral interventions that focus on education, awareness, and efficiency strategies can decrease overall OR traffic for orthopedic cases.
手术室（OR）的人员流动和门的开启增加了手术室空气污染的可能性，并给手术团队带来干扰。手术室工作人员、外科手术人员、供应商、放射科和麻醉科开展了一项多学科干预措施，并经医院系统的患者和质量安全部门批准实施。干预措施包括教育、手术室标识以及基于团队的问责制和行为干预。在实施干预措施后，进行了第二次前瞻性观察数据收集，并与干预前的手术室人员流动情况进行比较。在干预前的三个月期间共观察了35例病例；干预后观察了42例病例。干预后每分钟平均开门次数减少了22%（P = .0011）。除麻醉科外，所有手术组在干预后手术室人员流动都有显著减少。侧重于教育、意识和效率策略的行为干预可以减少骨科病例的整体手术室人员流动。
