Center for Health Facilities Design and Testing, School of Architecture, College of Architecture, Arts and Humanities, Clemson University, Clemson, SC 29634, USA.
Department of Industrial Engineering, College of Engineering, Computing and Applied Sciences, Clemson University, Clemson, SC 29634, USA.
Int J Environ Res Public Health. 2021 Jul 31;18(15):8114. doi: 10.3390/ijerph18158114.
(1) Background: The surgical table within a typical ambulatory surgery operating room is frequently rotated and placed in different orientations to facilitate surgery or in response to surgeon preferences. However, different surgical table orientations can impact access to different work zones, areas and equipment in the OR, potentially impacting workflow of surgical team members and creating patient safety risks; (2) Methods: This quantitative observational study used a convenience sample of 38 video recordings of the intraoperative phase of pediatric outpatient surgeries to study the impacts of surgical table orientation on flow disruptions (FDs), number of contacts between team members and distance traveled; (3) Results: This study found that the orientation of the surgical table significantly influenced staff workflow and movement in the OR with an angled surgical table orientation being least disruptive to surgical work. The anesthesia provider, scrub nurse and circulating nurse experienced more FDs compared to the surgeon; (4) Conclusions: The orientation of the surgical table matters, and clinicians and architects must consider different design and operational strategies to support optimal table orientation in the OR.
(1) 背景：在典型的日间手术手术室中，手术台经常被旋转并放置在不同的位置，以方便手术或响应外科医生的偏好。然而，不同的手术台方位可能会影响到手术室中不同的工作区、区域和设备的使用，这可能会影响手术团队成员的工作流程，并产生患者安全风险；(2) 方法：这项定量观察性研究使用了 38 个小儿门诊手术术中阶段的视频记录的便利样本，研究了手术台方位对流程中断（FD）、团队成员之间的接触次数和移动距离的影响；(3) 结果：这项研究发现，手术台的方位显著影响了手术室中工作人员的工作流程和移动，倾斜的手术台方位对手术工作的干扰最小。麻醉师、洗手护士和巡回护士比外科医生经历了更多的 FD；(4) 结论：手术台的方位很重要，临床医生和建筑师必须考虑不同的设计和操作策略，以支持手术室中最佳的手术台方位。
