Perioperative Care and Operating Room Management最新文献

{"title":"Effects of bronchial blockers and double-lumen tubes on recovery quality in patients undergoing lobectomy: A randomized controlled trial","authors":"Bingqing Xu ,&nbsp;Qibin Ke ,&nbsp;Yang Xiao ,&nbsp;Jianfeng Wang ,&nbsp;Wei Kang ,&nbsp;Xiaojuan Luo ,&nbsp;Danlong Ma ,&nbsp;Bo Zhang ,&nbsp;Changchang You ,&nbsp;Chun Chen","doi":"10.1016/j.pcorm.2025.100601","DOIUrl":"10.1016/j.pcorm.2025.100601","url":null,"abstract":"<div><h3>Background</h3><div>In clinical practice, bronchial blockers and double-lumen tubes are commonly used airway management tools for thoracic surgery. Although several studies have compared bronchial blockers and double-lumen tubes in patients undergoing thoracic surgery, their conclusions varied widely. This study aims to compare the effects of bronchial blockers and double-lumen tubeson recovery quality in patients undergoing lobectomy.</div></div><div><h3>Methods</h3><div>Sixty adult patients undergoing lobectomy at the Yichang Central People's Hospital from January 2025 to June 2025 were selected and randomly divided into two groups: the observation group (Group B) and the control group (Group D), with 30 patients in each group. During the operation, Group B received one-lung ventilation using bronchial blockers, while Group D received one-lung ventilation using double-lumen tubes. The first intubation success rate, intubation positioning time, and lung collapse quality were compared between the two groups. Additionally, the operation time, anesthesia time, awakening time, and recovery time of the two groups were recorded. Complications (sore throat, hoarseness, airway injury) and the Steward anesthetic recovery score were compared upon leaving the recovery room. Hospitalization time and costs were compared between the two groups.</div></div><div><h3>Results</h3><div>There were no statistically significant differences between the two groups in general condition, operation time, and anesthesia time (<em>P</em>&gt; 0.05). The first intubation success rate and lung collapse quality were not significantly different between the two groups (<em>P</em>&gt; 0.05); The intubation positioning time was significantly shorter in Group B than in Group D (116.8 ± 6.06s vs 185.93 ± 6.97 s, <em>P</em> &lt; 0.001). The incidence of postoperative complications (sore throat, hoarseness, airway injury) in Group B was lower than in Group D (16.77 % vs 46.77 %, <em>P</em> &lt; 0.05). The awakening time and recovery time were shorter in Group B compared with Group D (24.87 ± 2.56 min vs 33 ± 3.01 min, <em>P</em> &lt; 0.05),(55.67 ± 3.36 min vs 67.9 ± 4.49 min, <em>P</em> &lt; 0.05). The Steward score upon leaving the recovery room was higher in Group B than in Group D (5.43 ± 0.11 vs 4.9 ± 0.12, <em>P</em> &lt; 0.05). The hospitalization time was shorter in Group B than in Group D(10.7 ± 0.70days vs 15.37 ± 1.21days, <em>P</em> &lt; 0.05) and the hospitalization costs of patients inGroup B were less than those in group D(4018.39 ± 1389.76dollars vs 5557.34 ± 2110.65dollars, <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Compared to double-lumen tubes, bronchial blockers effectively reduce intubation complications, enhance the quality of postoperative recovery, and reduce the hospitalization costs of patients.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100601"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of dedicated surgical technologist on the efficiency of shoulder arthroplasty operating rooms","authors":"Shayaan Rasheed ,&nbsp;Alex Mamonov ,&nbsp;Ali Etemaid-Rezaie ,&nbsp;Derek Granzow ,&nbsp;Bruce Miller","doi":"10.1016/j.pcorm.2026.100632","DOIUrl":"10.1016/j.pcorm.2026.100632","url":null,"abstract":"<div><div>The purpose of this study is to evaluate the efficiency of primary shoulder arthroplasty cases including anatomic (ATSA) and reverse shoulder arthroplasty (RTSA) and OR turnover time in cases performed by a sports medicine orthopedic surgeon at a highvolume academic center after hiring a surgical technologist dedicated to OR efficiency/turnover. Cases were collected across a 18 month period prior to hiring this technologist and a 15 month period after the hire. There was a 3 month “wash-out” period between these two periods for training. The primary outcome measuresanalyzed include: (1) Surgical time (ST) defined by the start time from skin incision to the end of dressing application; (2) Wheels-Out to Room Ready defined by the time of the patient leaving the OR to the time that the OR is ready for the next patient; (3) Room ready time for the start of the first case of the day defined as the scheduled 7:30 AM start time; and (4) Turnover Time (TOT) defined by Wheels-Out to Wheels-In. The mean absolute surgical time for RTSA showed a decrease of 14 min after the arrival of the dedicated surgical technologist (<em>P</em> &lt; 0.00031). All arthroplasty cases in the series showed a decrease of 8.9 min in with the dedicated surgical technologist (<em>P</em> &lt; 0.032). Mean room ready time showed a decrease of 5 min (<em>P</em> &lt; 0.000014). With ATSA, there was not a statistically significant difference for AST (<em>P</em> = 0. 0.495). TOT showed a decrease of 7.2 min in mean and 16.5 min in median (<em>P</em> = 0.0000140). The findings provide an evidence-based framework for evaluating the advantages of including a dedicated surgical technologist as a supplement to the OR team.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100632"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147395670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study of mafia game-based learning versus lecture-based learning on knowledge and satisfaction among nurse anesthesia students at shiraz university of medical sciences in 2024","authors":"Samira Mahmoudi ,&nbsp;Armin Fereidouni ,&nbsp;Zahra Maleki ,&nbsp;Amirali Alizadeh","doi":"10.1016/j.pcorm.2025.100592","DOIUrl":"10.1016/j.pcorm.2025.100592","url":null,"abstract":"<div><h3>Background</h3><div>In a time characterized by rapid advancements in knowledge, technology, and cultural and social changes, the combination of innovative teaching methods, such as game-based learning, with traditional approaches like lectures has gained significant interest. This study aimed to compare the effects of mafia game -based and lecture-based learning methods on the Knowledge and satisfaction of nurse anesthesia students.</div></div><div><h3>Methods and Materials</h3><div>This quasi-experimental study involved 28 nurse anesthesia students at the School of Nursing and Midwifery, Shiraz University of Medical Sciences, in 2024. The participants were divided into two groups: the game-based learning group (14 students), and the lecture-Based Learning group (14 students). The game-based learning group engaged in the Mafia game within a simulated, interactive environment, whereas the lecture teaching group underwent traditional lecture-based instruction. The data collection tools were a demographic form, Teaching Method Satisfaction Questionnaire and the Anesthesia Knowledge Questionnaire in Pediatric Surgery. Data were analyzed in SPSS v.22 software using descriptive statistics (frequency, mean, standard deviation), Shapiro-Wilk, Mann-Whitney, Kruskal-Wallis test, Spearman’s correlation test.</div></div><div><h3>Results</h3><div>Both the game-based learning group (<em>P</em> = 0.001) and the lecture-based learning group (<em>P</em> = 0.002) demonstrated significant improvements in knowledge scores compared to baseline measurements. The between-group comparison showed that the post-test knowledge score in the game-based learning group was significantly higher (<em>P</em> = 0.008). The median post-test knowledge score for the game group was 88.9(87.5,94.5) out of a maximum of 100 %, compared to 80.6(68.1,83.4) in the lecture group. Furthermore, the satisfaction level of students in the game-based learning group was significantly higher (<em>P</em> = 0.005), with a median score of 48.0(47.7,48.0) compared to 48.0(47.7,48.0) for the lecture-based group.</div></div><div><h3>Conclusion</h3><div>This study's results indicate that game-based learning is an effective educational tool for nurse anesthesia students. Further research is recommended to validate the generalizability of the findings associated with this educational method.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100592"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe anaphylaxis after peribulbar block: Extremely rare event a lesson to expect the unexpected: a case report","authors":"Hany Bauiomy ,&nbsp;Neveen A. Kohaf ,&nbsp;Ahmed Abdelhamed Hassan","doi":"10.1016/j.pcorm.2025.100604","DOIUrl":"10.1016/j.pcorm.2025.100604","url":null,"abstract":"<div><h3>Background</h3><div>Peribulbar block is the method of choice for ophthalmic surgeries. A combination of local anaesthetics and hyaluronidase is usually used to help in the diffusion of the drugs and speed up the onset of ocular akinesia. Herein, we present an extremely rare case of severe anaphylaxis after a peribulbar block that was successfully managed.</div></div><div><h3>Case presentation</h3><div>A 55-year-old Egyptian female patient was admitted for phacoemulsification as a day-case surgery. The patient received a peribulbar block composed of 5 mL of lidocaine 2% + 5 mL of bupivacaine 0.5% + 30 IU/mL of hyaluronidase, with a total volume of 8 mL, administered in two locations: the inferior and medial canthus. After 15 minutes, the akinesia score was successfully achieved, and the patient was shifted to the operating theatre. Thirty minutes after the block and before starting the surgical procedure, the patient exhibited tearing and a runny nose, which was not present when the surgeon assessed the patient preoperatively. At this time, the patient complained of difficulty breathing, which was initially attributed to claustrophobia or anxiety. However, with increasing complaints of dyspnea, the surgeon decided not to proceed with the case. Accidentally, after removing the surgical drape, the anesthesiologist noticed marked swelling of the whole face and oedema in both eyes. As symptoms aggravated, he called for help and administered 100 micrograms of adrenaline intravenously and 8 mg of dexamethasone intravenously. He also started an infusion of 500 mL of Ringer's lactate. After the patient's condition stabilized, the anesthesiologist recorded the patient's vital data, documenting no hypotension or skin rash. The patient improved and was admitted for 12 hours for fear of relapse. After 12 hours, the patient was discharged with written documentation and information for future surgery under local anaesthesia.</div></div><div><h3>Conclusions</h3><div>Anesthesiologists should always be alert and ready for such fatal complications.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100604"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145840935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parallel processing to reduce turnover time in the operating room: A quality improvement case report","authors":"Marina E. Robson Chase ,&nbsp;Melissa R. Newcomb ,&nbsp;Andrew M. Harris","doi":"10.1016/j.pcorm.2026.100621","DOIUrl":"10.1016/j.pcorm.2026.100621","url":null,"abstract":"<div><h3>Introduction</h3><div>At a Veterans Affairs Medical Center, turnover times exceeded national benchmarks. A quality improvement project sought to decrease turnover times to the national benchmarks - from 43.2 to 35 min and 28.5 to 20 min - over a four-month period.</div></div><div><h3>Methods</h3><div>Gemba walks identified that patient transport to the operating room (OR) began after setup was complete. The first plan-do-study-act (PDSA) cycle employed parallel processing by transporting the patient to a nearby staging area during OR setup. PDSA 2 introduced a daily leadership huddle to optimize turnovers staged. Outcome measures were average biweekly turnover times and process measures were the time between OR readiness and patient arrival and the percentage of turnovers staged. Measures were analyzed using statistical process control (SPC) charts.</div></div><div><h3>Results</h3><div>Through the PDSAs, the time between OR readiness and patient arrival was reduced by 5.8 min and the percentage of turnovers staged was increased from 71.9% to 93.4%. The average turnover time decreased by 7.86% for turnovers with a 20-minute goal and by 1.33% for turnovers with a 35-minute goal from pre- to post-intervention. SPC charts demonstrated special cause variation in the 20-minute goal turnovers only, but it was not sustained throughout the intervention period. A major limitation was the inability to stage every day due to staffing constraints.</div></div><div><h3>Conclusion</h3><div>This single-institution case report describes a quality improvement initiative to reduce OR turnover times. Although turnovers times did not meet the national benchmarks, the lessons learned from the project have inspired future interventions.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100621"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative handover, beyond checklists, towards culture and safety a scoping review","authors":"Susanne Friis Søndergaard ,&nbsp;Ann-Cartin Blomberg ,&nbsp;Tove K. Vassbø","doi":"10.1016/j.pcorm.2026.100614","DOIUrl":"10.1016/j.pcorm.2026.100614","url":null,"abstract":"<div><h3>Objectives</h3><div>Intraoperative handovers among operating room (OR) nurses are critical high-risk transitions in which incomplete communication can compromise patient safety. Despite international safety goals and structured protocols, practice remains inconsistent. This scoping review aimed to identify and conceptually map the existing literature on OR nurses’ practices and experiences of intraoperative handovers.</div></div><div><h3>Methods</h3><div>The review followed the Joanna Briggs Institute (JBI) methodology and the PRISMA-ScR guidelines. Using the Population, Concept, Context (PCC) framework (Population: OR nurses; Concept: handover communication; Context: intraoperative care), we conducted systematic searches in MEDLINE, CINAHL and Web of Science, supplemented by grey literature. Eligible sources included qualitative, quantitative and mixed-methods studies published in English or Scandinavian languages. The data were analysed using narrative conceptual mapping supported by NVivo.</div></div><div><h3>Results</h3><div>Nineteen sources were included, predominantly qualitative studies and field reports. Three conceptual themes emerged: (1) <em>r</em>isk management as an implicit practice – nurses safeguard patient safety through vigilance and compensatory strategies, (2) standardisation as a procedural anchor – structured tools and checklists improve clarity but may constrain adaptability and (3) relational complexity as a contextual determinant – hierarchical norms and psychological safety shape communication quality. Evidence highlights that handovers are socially negotiated processes rather than routine technical exchanges.</div></div><div><h3>Conclusion</h3><div>Intraoperative handovers are complex high-risk transitions influenced by procedural, relational and systemic factors. While structured tools reduce omissions, rigid application risks undermining clinical judgment. Future strategies should integrate flexible standardisation with cultural and organisational reforms that foster psychological safety and shared accountability.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100614"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unseen risks in the operating room: A study of environmental and system-related intraoperative adverse events","authors":"Sergio Susmallian ,&nbsp;Martine Szyper-Kravitz","doi":"10.1016/j.pcorm.2026.100613","DOIUrl":"10.1016/j.pcorm.2026.100613","url":null,"abstract":"<div><h3>Background</h3><div>The operating room (OR) is a highly complex environment where human, technical, and system interactions can generate intraoperative adverse events (IAEs) unrelated to direct surgical errors. This study aimed to evaluate IAEs arising from environmental, human, and system-related factors and to assess their impact on patients, staff, and surgical specialties.</div></div><div><h3>Material and Methods</h3><div>A retrospective observational study was conducted at a tertiary hospital between 2014 and 2020. Eighty-two cases of IAEs were identified from 559,910 surgical procedures through institutional Safety and Risk Management investigations, excluding “never events” and direct surgical errors. Data on incident type, surgical specialty, affected party, causative classification (human, system, or patient-related), and demographics were analyzed. Statistical analysis was performed using IBM SPSS Statistics, with significance set at <em>p</em> &lt; 0.05.</div></div><div><h3>Results</h3><div>The mean age of the cohort was 61.22 ± 18.52 years, and 46 (51.1%) were male. Of all incidents, 67 (81.7%) affected patients and 15 (18.3%) involved OR personnel. General surgery accounted for 35.4% of cases. Human-related causes predominated (54.9 %), followed by system-related (29. %) and patient-related (15. %) factors (<em>p</em> &lt; 0.001). System-related incidents occurred more often among older patients (mean 68.3 vs. 56.0 years; <em>p</em> = 0.013). No significant association was observed between incident type and surgical specialty (<em>p</em> = 0.188).</div></div><div><h3>Conclusion</h3><div>Environmental and system-related IAEs constitute an underrecognized yet preventable source of harm in surgical care. Human factors remain the leading cause, underscoring the need for standardized safety protocols, routine equipment maintenance, and multidisciplinary team training to strengthen OR safety culture.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100613"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing turnover intentions among perioperative nurses in Australia: A cross-sectional study","authors":"Ada Xie ,&nbsp;Hui (Grace) Xu ,&nbsp;Jed Duff","doi":"10.1016/j.pcorm.2025.100598","DOIUrl":"10.1016/j.pcorm.2025.100598","url":null,"abstract":"<div><h3>Aim</h3><div>This study examined turnover intention among Australian perioperative nurses and its relationship with demographic characteristics and the workplace environment.</div></div><div><h3>Background</h3><div>Global shortages of skilled nurses are straining perioperative care. While the United States has led research in this area, further investigation is needed in other countries to understand and address staffing challenges.</div></div><div><h3>Methods</h3><div>An anonymous national survey via Qualtrics gathered demographic data, Turnover Intention Scale (TIS-6) scores, Healthcare Environment Survey responses, and nursing shortage insights. Descriptive statistics, multivariate analysis, and principal component analysis were used to explore variable relationships and predictor effects, and a general linear model was applied to assess model fit and identify significant TIS-6 predictors.</div></div><div><h3>Results</h3><div>Of the 900 analyzed responses, 105 participants had recently changed jobs, while 60.8 % of the remaining participants reported moderate to high turnover intention. Lower turnover intention was associated with satisfaction in workload, leadership, co-worker relationships, and compensation. However, higher satisfaction with building trust with patients and families unexpectedly predicted greater turnover intention.</div></div><div><h3>Conclusions</h3><div>Improving the perioperative work environment is essential to reducing turnover and retaining nursing staff.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100598"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How the Baxter fluid shortage after Hurricane Helene impacted irrigation volume of endoscopic urology cases: A single-institution retrospective study","authors":"Raeesa Islam ,&nbsp;Neal Dalal ,&nbsp;Sophie E. Smith ,&nbsp;Connor J. O’Leary ,&nbsp;Sadia Ibrahim ,&nbsp;John Trovato ,&nbsp;John Pfail ,&nbsp;Danielle Velez-Leitner ,&nbsp;Chrystal Chang ,&nbsp;Ji Hae Park ,&nbsp;Sammy E. Elsamra","doi":"10.1016/j.pcorm.2026.100620","DOIUrl":"10.1016/j.pcorm.2026.100620","url":null,"abstract":"<div><h3>Introduction</h3><div>Hurricane Helene (September 2024) damaged Baxter’s North Cove facility, which supplies 60 % of the United States’ intravenous (IV) fluids, creating nationwide shortages. Endoscopic urologic procedures were particularly affected, with variable implementation of American Urological Association (AUA) conservation guidelines. This study quantifies fluid usage in endoscopic urologic procedures before and after September 29, 2024, when supply disruption began.</div></div><div><h3>Methods</h3><div>An IRB-approved retrospective review analyzed irrigation fluid usage in endoscopic urologic procedures at an academic hospital from July-October 2024, including cystoscopy, ureteroscopy, percutaneous nephrolithotomy (PCNL), transurethral cases, and Holmium laser enucleation of prostate. Statistical analysis compared usage patterns across surgeons and procedures before and after shortage.</div></div><div><h3>Results</h3><div>Analysis of 315 cases showed fluid usage and case duration did not differ significantly overall. A sub-analysis excluding cystoscopies revealed significant reduction in both fluid volume (<em>p</em> = 0.037) and case duration (<em>p</em> = 0.002). Procedure-specific analysis demonstrated that PCNLs had reduced fluid usage post-shortage (<em>p</em> = 0.022). Ureteroscopies exhibited shorter case durations (<em>p</em> = 0.003) without a difference in irrigation volume (<em>p</em> = 0.171), while TURBTs demonstrated decreased fluid usage (<em>p</em> = 0.036) and shorter case durations (<em>p</em> = 0.003). Procedure distribution remained stable, although TURPs decreased from 6.56 % to 0 %, while ureteroscopy and PCNL rates slightly increased.</div></div><div><h3>Conclusion</h3><div>Fluid-intensive procedures were not consistently postponed. Individual efforts preserved fluid in PCNLs and TURBTs, although specimen volume was not accounted for in this analysis. Individual surgeon discretion without guidelines created variability in case selection. Future research should incorporate complexity factors and post-operative fluid usage for better shortage management, as this can decrease surgical costs.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100620"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety perceptions of operating room nurses and surgical intensive care nurses: A multicenter study","authors":"Adile Savsar ,&nbsp;Zehra Yıldız ,&nbsp;Canan Bakan ,&nbsp;Ceren Rabia Yılmaz ,&nbsp;Serap Bar ,&nbsp;Filiz Ogce Aktas","doi":"10.1016/j.pcorm.2025.100606","DOIUrl":"10.1016/j.pcorm.2025.100606","url":null,"abstract":"<div><h3>Background</h3><div>Perception of patient safety is a crucial component of quality improvement. Nurses play a critical role in ensuring patient safety. This study aims to determine the patient safety perceptions of nurses working in operating rooms and surgical intensive care units.</div></div><div><h3>Methods</h3><div>This descriptive and cross-sectional study was conducted with 377 nurses working in the intensive care and operating room units of five hospitals in Izmir. Data were collected between February 8 and July 25, 2023, using the “Socio-demographic and Occupational Characteristics Form” and the “Leiden Operating Room and Intensive Care Safety Scale- LOTICS”. The scale consists of five sub-dimensions: Teamwork and Awareness, Resource Management and Planning, Employee Resources and Audit, Teamwork Instructions and Preparations, and Training and Access to Information. A higher score on the scale indicates a more positive perception of working conditions. The data were analyzed using independent groups <em>t</em>-test, Mann-Whitney U, One Way ANOVA, Kruskal-Wallis test, and multiple linear regression.</div></div><div><h3>Results</h3><div>The total patient safety perception score for intensive care nurses (ICN) was significantly higher (106.03±15.93; min-max: 67–151) than that of operating room nurses (ORN) (101.81±14.24; min-max: 43–132). ICN perceived the sub-dimensions of “Resource Management and Planning”, “Teamwork and Awareness”, and “Teamwork Instructions and Preparations” more positively than ORN. Additionally, being married, being ICN, and having received training in team collaboration predicted nurses' perceptions of patient safety.</div></div><div><h3>Conclusion</h3><div>Intensive care nurses exhibited higher patient safety perception scores than operating room nurses. Married nurses reported higher perception scores than single nurses, and those who received training on team collaboration had better perceptions than those who did not. Therefore, their perceptions of working conditions were more positive. Providing patient safety training to nurses in operating rooms and surgical intensive care units, where systemic risk factors can be high, is essential for enhancing perceptions in this area.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100606"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}