Patient safety in the operating room is a process involving organized activities. Within this process, technological environments, behavioral activities, risks, procedures, and sustainability play significant roles.
Purpose
This bibliometric study provides a comprehensive and integrative review of the global literature on post-operative patient safety in nursing.
Design
Bibliometric analysis.
Methods
Data were collected using the Web of Science (WOS) database on September 18, 2024. No time constraints were imposed during the data search, and all data available up to the search date were included in the initial review. The "Biblioshiny" application provided by the Bibliometrix R package was used for analysis.
Results
The results indicate that the nursing literature on patient safety in the operating room has been increasing every year, peaking in the current period. According to the Bradford's Law analysis, the number of journals in the first zone is insufficient, and multidisciplinary journals are included in this specialized nursing publication group. The author productivity does not align with Lotka's Law, highlighting the need to increase the number of expert authors in this field. Developed countries are the most productive in nursing publications related to patient safety in the operating room, and collaborative publications are concentrated in these areas. Some underdeveloped countries have no publications at all. In the nursing literature, relevant research primarily focuses on "operating-room," "patient safety," and "communication." There are literature gaps in the areas of complications, anxiety, and operating-room efficiency.
Conclusions
This bibliometric study provides a comprehensive and integrative review of the global literature on patient safety in the operating room within the field of nursing.
{"title":"Mapping the nursing literature on patient safety in the operating room: A bibliometric analysis","authors":"Havvane Kulaksızoğlu , Seçil Taylan , Fatma Eti-Aslan","doi":"10.1016/j.pcorm.2024.100455","DOIUrl":"10.1016/j.pcorm.2024.100455","url":null,"abstract":"<div><h3>Background</h3><div>Patient safety in the operating room is a process involving organized activities. Within this process, technological environments, behavioral activities, risks, procedures, and sustainability play significant roles.</div></div><div><h3>Purpose</h3><div>This bibliometric study provides a comprehensive and integrative review of the global literature on post-operative patient safety in nursing.</div></div><div><h3>Design</h3><div>Bibliometric analysis.</div></div><div><h3>Methods</h3><div>Data were collected using the Web of Science (WOS) database on September 18, 2024. No time constraints were imposed during the data search, and all data available up to the search date were included in the initial review. The \"Biblioshiny\" application provided by the Bibliometrix R package was used for analysis.</div></div><div><h3>Results</h3><div>The results indicate that the nursing literature on patient safety in the operating room has been increasing every year, peaking in the current period. According to the Bradford's Law analysis, the number of journals in the first zone is insufficient, and multidisciplinary journals are included in this specialized nursing publication group. The author productivity does not align with Lotka's Law, highlighting the need to increase the number of expert authors in this field. Developed countries are the most productive in nursing publications related to patient safety in the operating room, and collaborative publications are concentrated in these areas. Some underdeveloped countries have no publications at all. In the nursing literature, relevant research primarily focuses on \"operating-room,\" \"patient safety,\" and \"communication.\" There are literature gaps in the areas of complications, anxiety, and operating-room efficiency.</div></div><div><h3>Conclusions</h3><div>This bibliometric study provides a comprehensive and integrative review of the global literature on patient safety in the operating room within the field of nursing.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139268","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}
Pub Date : 2024-12-05DOI: 10.1016/j.pcorm.2024.100454
Mahboubeh Rezaei
Background
This study aimed to evaluate the effect of teaching through Team-Based Learning (TBL) on Motivation toward Science Learning (MTSL) in undergraduate operating room technology students. It hypothesized that the teaching through TBL could affect MTSL in these students.
Methods
This is a quasi-experimental study conducted at Kashan University of Medical Sciences, Iran. Participants were 15 operating room technology students in the 5th semester who were selected through a census. They are randomly divided into three five-member groups. Eight sessions of TBL were implemented for the groups. Data were collected at the beginning and end of the intervention by the “Students' Motivation toward Science Learning” questionnaire. Data were analyzed using SPSS software, version 16 using descriptive statistics and paired t-test. The significance level was considered <0.05.
Results
Findings showed that there was no significant difference between the total score of MTSL before and after the intervention (P ≥ 0.05). Also, there were no significant differences between MTSL subscales before and after the intervention (P ≥ 0.05)
Conclusions
Although the results obtained were not statistically significant, the TBL teaching method practically improved the scores of the students, especially the total score of the MTSL questionnaire and the scores in the dimensions of “achievement goal” and “learning environment simulation”. Additionally, the students conveyed their contentment and achieved greater success in their interactions with both their peers and the professor.
Therefore, it is recommended to use this teaching method for operating room technology students considering the limitations mentioned in this study.
{"title":"The effect of teaching through team-based learning on motivation toward science learning in undergraduate operating room technology students","authors":"Mahboubeh Rezaei","doi":"10.1016/j.pcorm.2024.100454","DOIUrl":"10.1016/j.pcorm.2024.100454","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate the effect of teaching through Team-Based Learning (TBL) on Motivation toward Science Learning (MTSL) in undergraduate operating room technology students. It hypothesized that the teaching through TBL could affect MTSL in these students.</div></div><div><h3>Methods</h3><div>This is a quasi-experimental study conducted at Kashan University of Medical Sciences, Iran. Participants were 15 operating room technology students in the 5th semester who were selected through a census. They are randomly divided into three five-member groups. Eight sessions of TBL were implemented for the groups. Data were collected at the beginning and end of the intervention by the “Students' Motivation toward Science Learning” questionnaire. Data were analyzed using SPSS software, version 16 using descriptive statistics and paired <em>t</em>-test. The significance level was considered <0.05.</div></div><div><h3>Results</h3><div>Findings showed that there was no significant difference between the total score of MTSL before and after the intervention (<em>P</em> ≥ 0.05). Also, there were no significant differences between MTSL subscales before and after the intervention (<em>P</em> ≥ 0.05)</div></div><div><h3>Conclusions</h3><div>Although the results obtained were not statistically significant, the TBL teaching method practically improved the scores of the students, especially the total score of the MTSL questionnaire and the scores in the dimensions of “achievement goal” and “learning environment simulation”. Additionally, the students conveyed their contentment and achieved greater success in their interactions with both their peers and the professor.</div><div>Therefore, it is recommended to use this teaching method for operating room technology students considering the limitations mentioned in this study.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100454"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138810","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}
Considering the similarities and differences between dexmedetomidine and magnesium sulfate and understanding their mechanisms of action on shivering and thermoregulation, the authors proposed to compare the effect of intrathecal administration of dexmedetomidine and magnesium sulfate on shivering intensity in patients undergoing cesarean delivery surgery.
Methods
This study is a randomized, double-blind clinical trial, with two intervention groups and a parallel design. Patients randomized to Group D received 5 µg of dexmedetomidine plus 12.5 mg bupivacaine, group M received 25 mg magnesium sulfate plus 12.5 mg bupivacaine, and group C received 12.5 mg bupivacaine plus 1 ml normal saline 0.9 %. Physiological symptoms were recorded in the checklist by a research associate (blinded to the treatment group). Shivering intensity was evaluated by Tsai and Chu method. Physiological symptoms, the shivering intensity were recorded before (0) and 20, 45, 55 and 65 min after spinal anesthesia.
Results
GEE analysis of the study data showed a significant difference in the severity of shivering between the group dexmedetomidine and the group magnesium sulfate at different times (intervals) (p-value<0.001). Additionally, significance difference was observed between group control and group dexmedetomidine (p-value<0.001). The results of second model demonstrates that the patient in magnesium sulfate group were significantly six times more likely to experience shivering compared to dexmedetomidine group (OR =5.69, 95 % CI: 1.71–22.91, p-value<0.01).
Conclusions
Dexmedetomidine has a greater effect than magnesium sulfate on reducing the incidence of shivering and its severity in patients undergoing cesarean delivery.
{"title":"Effects of intrathecal dexmedetomidine vs. magnesium sulfate on post-operative shivering for cesarean delivery: A double-blind randomized clinical trial","authors":"Kiana Babaei , Seyedeh Masoumeh Saadati , Saeed Samarghandian , Fatemeh Khorashadizadeh , Tayyebeh Ali-Abadi , Zohreh Salari , Mohammad Bidkhori , Sahar Damrodi , Mostafa Khaleghipour","doi":"10.1016/j.pcorm.2024.100450","DOIUrl":"10.1016/j.pcorm.2024.100450","url":null,"abstract":"<div><h3>Background</h3><div>Considering the similarities and differences between dexmedetomidine and magnesium sulfate and understanding their mechanisms of action on shivering and thermoregulation, the authors proposed to compare the effect of intrathecal administration of dexmedetomidine and magnesium sulfate on shivering intensity in patients undergoing cesarean delivery surgery.</div></div><div><h3>Methods</h3><div>This study is a randomized, double-blind clinical trial, with two intervention groups and a parallel design. Patients randomized to Group D received 5 µg of dexmedetomidine plus 12.5 mg bupivacaine, group M received 25 mg magnesium sulfate plus 12.5 mg bupivacaine, and group C received 12.5 mg bupivacaine plus 1 ml normal saline 0.9 %. Physiological symptoms were recorded in the checklist by a research associate (blinded to the treatment group). Shivering intensity was evaluated by Tsai and Chu method. Physiological symptoms, the shivering intensity were recorded before (0) and 20, 45, 55 and 65 min after spinal anesthesia.</div></div><div><h3>Results</h3><div>GEE analysis of the study data showed a significant difference in the severity of shivering between the group dexmedetomidine and the group magnesium sulfate at different times (intervals) (p-value<0.001). Additionally, significance difference was observed between group control and group dexmedetomidine (p-value<0.001). The results of second model demonstrates that the patient in magnesium sulfate group were significantly six times more likely to experience shivering compared to dexmedetomidine group (OR =5.69, 95 % CI: 1.71–22.91, p-value<0.01).</div></div><div><h3>Conclusions</h3><div>Dexmedetomidine has a greater effect than magnesium sulfate on reducing the incidence of shivering and its severity in patients undergoing cesarean delivery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100450"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139267","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}
Pub Date : 2024-12-05DOI: 10.1016/j.pcorm.2024.100453
Karim Ahmed Ismail Ahmed, Nermien Sadek Nasr Abdelmalek, Reem Hamdy Mohammed El kabarity, Eman Mohammed Kamal Abo Seif, Noha Mohammed Abdelaziz
Background
Different adjuvants were added to the nerve block to potentiate its analgesic effect and reduce postoperative narcotic consumption. Our objective was to investigate the impact of incorporating fentanyl into bupivacaine in erector spinae plane block (ESPB) for modified radical mastectomy surgeries.
Patients and Methods
Sixty female patients underwent modified radical mastectomy surgeries under general anesthesia, and then they were divided into two equal groups that received ESPB either with bupivacaine alone or with fentanyl.
Results
The total nalpubhine consumption and visual analogue scale score(VAS) were lower in Group 2 than in Group 1. Additionally, patients in Group 2 underwent a longer period of time without requiring the first dose of rescue analgesia. With regard to hemodynamics, Group 2 patients showed lower mean arterial blood pressure (MAP) and heart rate (HR) than group 1 at the 6th and 12th hours postoperatively.
Conclusion
The findings of our study revealed that incorporating fentanyl into local anesthetics in ESBP prolonged postoperative analgesia, reduced pain scores, and decreased postoperative opioid consumption.
{"title":"Effect of adding fentanyl to bupivacaine in ultra-sound guided erector spinae plane block (ESPB) in modified radical mastectomy surgeries: A randomized trial","authors":"Karim Ahmed Ismail Ahmed, Nermien Sadek Nasr Abdelmalek, Reem Hamdy Mohammed El kabarity, Eman Mohammed Kamal Abo Seif, Noha Mohammed Abdelaziz","doi":"10.1016/j.pcorm.2024.100453","DOIUrl":"10.1016/j.pcorm.2024.100453","url":null,"abstract":"<div><h3>Background</h3><div>Different adjuvants were added to the nerve block to potentiate its analgesic effect and reduce postoperative narcotic consumption. Our objective was to investigate the impact of incorporating fentanyl into bupivacaine in erector spinae plane block (ESPB) for modified radical mastectomy surgeries.</div></div><div><h3>Patients and Methods</h3><div>Sixty female patients underwent modified radical mastectomy surgeries under general anesthesia, and then they were divided into two equal groups that received ESPB either with bupivacaine alone or with fentanyl.</div></div><div><h3>Results</h3><div>The total nalpubhine consumption and visual analogue scale score(VAS) were lower in Group 2 than in Group 1. Additionally, patients in Group 2 underwent a longer period of time without requiring the first dose of rescue analgesia. With regard to hemodynamics, Group 2 patients showed lower mean arterial blood pressure (MAP) and heart rate (HR) than group 1 at the 6th and 12th hours postoperatively.</div></div><div><h3>Conclusion</h3><div>The findings of our study revealed that incorporating fentanyl into local anesthetics in ESBP prolonged postoperative analgesia, reduced pain scores, and decreased postoperative opioid consumption.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139265","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}
Pub Date : 2024-12-01DOI: 10.1016/j.pcorm.2024.100444
Lilibeth Acero , Mandy Spitzer
{"title":"Corrigendum to “The Acero perioperative skin bundle: An intuitive perioperative pressure injury prevention bundle” [Perioperative Care and Operating Room Management 37C, (2024), 100436]","authors":"Lilibeth Acero , Mandy Spitzer","doi":"10.1016/j.pcorm.2024.100444","DOIUrl":"10.1016/j.pcorm.2024.100444","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100444"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159643","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}
Pub Date : 2024-12-01DOI: 10.1016/j.pcorm.2024.100430
Tayebeh Arabzadeh , Ahmad Badeenezhad , Nima Daneshi , Zargham Faramarzinia , Mostafa Moazamfard , Jahanbakhsh Vahdatnejad
Background
Hand hygiene compliance among hospital staff has always been recognized as an effective method in controlling and reducing hospital-acquired infections. Since the outbreak of the COVID-19 pandemic, hand hygiene has emerged as one of the effective preventive measures against this disease, leading to increased awareness and concerns. This study aims to examine the awareness, beliefs, and practices of operating room students regarding hand hygiene, by analyzing the microbial flora on their hands during the COVID-19 pandemic. The objective is to assess the level of hand hygiene compliance among students, who will be future hospital employees.
Aim
This study aimed to investigate the correlation between the level of awareness, belief, and performance of operating room students regarding hand hygiene with the analysis of microbial hand flora during the COVID-19 pandemic. The purpose was to examine the compliance with hand hygiene among students, who will be future hospital employees, during this pandemic.
Methodology
The present study included a sample of 92 students majoring in Operating Room who were enrolled in the research through a census. The data collection tool consisted of a questionnaire to assess the students' awareness, beliefs, and performance regarding hand hygiene and analysis of microbial flora on hands. Standard culture media including Blood Agar, Brilliant Green Agar, and Eosin Methylene Blue were used for isolating microorganisms. Microorganism identification was performed using biochemical tests.
Results
The results of this study indicate that out of the participants, 65 were girls and 27 were boys with an average age of 21.9 ± 2.3 years. The mean scores for awareness, belief, and performance were 8.9, 72.3, and 64.2, respectively. Analysis of microbiological flora also revealed that the highest growth microorganisms were epidermidis bacteria (26.6 %), coagulase-negative staphylococci bacteria (22.9 %), and streptococcus bacteria (21.2 %).
Discussion and Conclusion
Based on the results of this study, operating room students have shown a high level of awareness, belief, and performance during the COVID-19 pandemic. Furthermore, the minimal growth of bacteria in the conducted culture samples confirms this finding. Due to the limited availability of studies, it is recommended that further research be conducted in this area.
{"title":"Investigating the relationship between awareness, beliefs, and performance of operating room students in hand hygiene with analysis of microbial flora on hands during the COVID-19 pandemic","authors":"Tayebeh Arabzadeh , Ahmad Badeenezhad , Nima Daneshi , Zargham Faramarzinia , Mostafa Moazamfard , Jahanbakhsh Vahdatnejad","doi":"10.1016/j.pcorm.2024.100430","DOIUrl":"10.1016/j.pcorm.2024.100430","url":null,"abstract":"<div><h3>Background</h3><div>Hand hygiene compliance among hospital staff has always been recognized as an effective method in controlling and reducing hospital-acquired infections. Since the outbreak of the COVID-19 pandemic, hand hygiene has emerged as one of the effective preventive measures against this disease, leading to increased awareness and concerns. This study aims to examine the awareness, beliefs, and practices of operating room students regarding hand hygiene, by analyzing the microbial flora on their hands during the COVID-19 pandemic. The objective is to assess the level of hand hygiene compliance among students, who will be future hospital employees.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the correlation between the level of awareness, belief, and performance of operating room students regarding hand hygiene with the analysis of microbial hand flora during the COVID-19 pandemic. The purpose was to examine the compliance with hand hygiene among students, who will be future hospital employees, during this pandemic.</div></div><div><h3>Methodology</h3><div>The present study included a sample of 92 students majoring in Operating Room who were enrolled in the research through a census. The data collection tool consisted of a questionnaire to assess the students' awareness, beliefs, and performance regarding hand hygiene and analysis of microbial flora on hands. Standard culture media including Blood Agar, Brilliant Green Agar, and Eosin Methylene Blue were used for isolating microorganisms. Microorganism identification was performed using biochemical tests.</div></div><div><h3>Results</h3><div>The results of this study indicate that out of the participants, 65 were girls and 27 were boys with an average age of 21.9 ± 2.3 years. The mean scores for awareness, belief, and performance were 8.9, 72.3, and 64.2, respectively. Analysis of microbiological flora also revealed that the highest growth microorganisms were epidermidis bacteria (26.6 %), coagulase-negative staphylococci bacteria (22.9 %), and streptococcus bacteria (21.2 %).</div></div><div><h3>Discussion and Conclusion</h3><div>Based on the results of this study, operating room students have shown a high level of awareness, belief, and performance during the COVID-19 pandemic. Furthermore, the minimal growth of bacteria in the conducted culture samples confirms this finding. Due to the limited availability of studies, it is recommended that further research be conducted in this area.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100430"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159642","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}
This study, conducted at a major regional hospital in Australia, aims to enhance operating theatre performance by developing a two-step forecasting method for emergency case arrivals. By analysing data from 2018 to 2022, the study seeks to improve operating room efficiency and reduce cancellations through accurate predictions of emergency surgery demands.
Methods
In the first step, several forecasting models, including Prophet, ARIMA, SARIMAX, LSTM, and Agent-Based Simulation, were evaluated for their effectiveness in predicting daily emergency case arrivals. Each model was trained on 80 % and tested on 20 % of data to replicate real-world forecasting conditions. Performance was assessed using error metrics such as Mean Absolute Error (MAE), Mean Squared Error (MSE), and Root Mean Squared Error (RMSE), along with the model's ability to capture monthly seasonality, general trends, and day-of-week patterns. The second step involved using a non-homogeneous Poisson process to provide more precise hourly forecasts for each day.
Results
The SARIMAX model emerged as the most accurate, with the lowest error metrics (MAE: 1.01, MSE: 2.21, RMSE: 1.48), excelling in capturing seasonality, trends, and weekly patterns. It also demonstrated high robustness and scalability, making it the most reliable model. The non-homogeneous Poisson process provided precise hourly forecasts, further improving resource allocation and operating room scheduling.
Conclusions
The two-step forecasting approach, particularly the use of SARIMAX and the non-homogeneous Poisson process, has the potential to significantly enhance operating room performance by reducing cancellations and improving efficiency. This research lays the groundwork for future advancements in operating theatre emergency management through data-driven decision-making.
{"title":"Advanced forecasting of emergency surgical case arrivals: Enhancing operating room performance","authors":"Hajar Sadegh Zadeh , Lele Zhang , Mark Fackrell , Hamideh Anjomshoa","doi":"10.1016/j.pcorm.2024.100451","DOIUrl":"10.1016/j.pcorm.2024.100451","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>This study, conducted at a major regional hospital in Australia, aims to enhance operating theatre performance by developing a two-step forecasting method for emergency case arrivals. By analysing data from 2018 to 2022, the study seeks to improve operating room efficiency and reduce cancellations through accurate predictions of emergency surgery demands.</div></div><div><h3>Methods</h3><div>In the first step, several forecasting models, including Prophet, ARIMA, SARIMAX, LSTM, and Agent-Based Simulation, were evaluated for their effectiveness in predicting daily emergency case arrivals. Each model was trained on 80 % and tested on 20 % of data to replicate real-world forecasting conditions. Performance was assessed using error metrics such as Mean Absolute Error (MAE), Mean Squared Error (MSE), and Root Mean Squared Error (RMSE), along with the model's ability to capture monthly seasonality, general trends, and day-of-week patterns. The second step involved using a non-homogeneous Poisson process to provide more precise hourly forecasts for each day.</div></div><div><h3>Results</h3><div>The SARIMAX model emerged as the most accurate, with the lowest error metrics (MAE: 1.01, MSE: 2.21, RMSE: 1.48), excelling in capturing seasonality, trends, and weekly patterns. It also demonstrated high robustness and scalability, making it the most reliable model. The non-homogeneous Poisson process provided precise hourly forecasts, further improving resource allocation and operating room scheduling.</div></div><div><h3>Conclusions</h3><div>The two-step forecasting approach, particularly the use of SARIMAX and the non-homogeneous Poisson process, has the potential to significantly enhance operating room performance by reducing cancellations and improving efficiency. This research lays the groundwork for future advancements in operating theatre emergency management through data-driven decision-making.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100451"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-29DOI: 10.1016/j.pcorm.2024.100448
Sara Cohen , Mor Saban , Rami Mosheiff , Yair Shapira , Yoram A. Weil
Background
Effective communication and collaborative care models are essential for optimizing trauma patient outcomes. However, traditional learning methods can hinder the development of interprofessional care approaches in the operating room (OR).
Objective
This study evaluated an innovative nursing education program aimed at enhancing trauma care through interprofessional group discussions.
Methods
A prospective evaluation was conducted of 268 OR nurses who participated in the Advances in Trauma Care curriculum. The intervention group (n = 147) completed preparatory eLearning and attended group-based sessions as part of the basic trauma care course. The control group (n = 121) did not participate. Trauma care approaches were assessed before and after the program using a 5-item observational scale.
Results
Pre-program baseline scores on the 5-item observational scale ranged from low to medium for both the control and intervention groups. However, post-program, the intervention group showed a significant improvement, with scores rising to the medium to high range. When comparing the two groups, the intervention group scored significantly higher than the control group (t(265)=6.14, p < 0.01). Additionally, scores within the intervention group increased significantly from pre- to post-program (t(146)=-24.93, p < 0.01). Scores improved notably in each participating country after the intervention. Paired t-tests further confirmed a significant difference in the intervention group's score before and after the educational program (t(33)= -11.20, p < 0.01).
Conclusions
Preliminary evidence suggests incorporating interprofessional group discussions within trauma education may positively impact nurses' application of trauma-informed care. This approach could enhance the quality of nursing care, promote evidence-based practice, and support continuous professional development—not only in operating rooms but across various departments. Further research is needed to evaluate the effectiveness and sustainability of collaborative learning models for advancing multidisciplinary trauma care on a global scale.
{"title":"Do the group discussions of the AOTrauma ORP basic course influence operating-room personnel's care approaches?","authors":"Sara Cohen , Mor Saban , Rami Mosheiff , Yair Shapira , Yoram A. Weil","doi":"10.1016/j.pcorm.2024.100448","DOIUrl":"10.1016/j.pcorm.2024.100448","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication and collaborative care models are essential for optimizing trauma patient outcomes. However, traditional learning methods can hinder the development of interprofessional care approaches in the operating room (OR).</div></div><div><h3>Objective</h3><div>This study evaluated an innovative nursing education program aimed at enhancing trauma care through interprofessional group discussions.</div></div><div><h3>Methods</h3><div>A prospective evaluation was conducted of 268 OR nurses who participated in the Advances in Trauma Care curriculum. The intervention group (<em>n</em> = 147) completed preparatory eLearning and attended group-based sessions as part of the basic trauma care course. The control group (<em>n</em> = 121) did not participate. Trauma care approaches were assessed before and after the program using a 5-item observational scale.</div></div><div><h3>Results</h3><div>Pre-program baseline scores on the 5-item observational scale ranged from low to medium for both the control and intervention groups. However, post-program, the intervention group showed a significant improvement, with scores rising to the medium to high range. When comparing the two groups, the intervention group scored significantly higher than the control group (t(265)=6.14, <em>p</em> < 0.01). Additionally, scores within the intervention group increased significantly from pre- to post-program (t(146)=-24.93, <em>p</em> < 0.01). Scores improved notably in each participating country after the intervention. Paired <em>t</em>-tests further confirmed a significant difference in the intervention group's score before and after the educational program (t(33)= -11.20, <em>p</em> < 0.01).</div></div><div><h3>Conclusions</h3><div>Preliminary evidence suggests incorporating interprofessional group discussions within trauma education may positively impact nurses' application of trauma-informed care. This approach could enhance the quality of nursing care, promote evidence-based practice, and support continuous professional development—not only in operating rooms but across various departments. Further research is needed to evaluate the effectiveness and sustainability of collaborative learning models for advancing multidisciplinary trauma care on a global scale.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100448"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139423","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}
Pub Date : 2024-11-27DOI: 10.1016/j.pcorm.2024.100449
Shereen E. Abd Ellatif, Asmaa M. Galal Eldin, Rehab A. Wahdan
Background
A desirable combination of smooth extubation, even with prolonged extubation, and an easy maneuver to apply is difficult to achieve. This study aimed to evaluate the efficacy of 0.5% topical bupivacaine for reducing cough, postoperative sore throat, and hemodynamic fluctuations during extubation in patients undergoing thyroidectomy.
Methods
Forty-eight patients scheduled for thyroidectomy were randomly assigned to two equal groups (24 each): group (C) patients received 5 ml of 0.9% normal saline topically, and group (B) patients received 5 ml of 0.5% bupivacaine topically 15 min, around the tracheal tube, before the expected end of surgery, followed by manual ventilation to obtain air bubbles distributed throughout the entire airway mucosa. The primary outcomes were the incidence and grade of cough. The secondary outcomes were the incidence and degree of postoperative sore throat, extubation time, hemodynamic changes during extubation, and side effects.
Results
There was a statistically significant decrease in the incidence and the severity of cough in the bupivacaine group compared to the control group. Moreover, the severity of sore throat, as assessed by the VAS score, was lower in the bupivacaine group up to 12 hours postoperatively. The hemodynamic parameters significantly increased in the control group in the peri-extubation period compared to the bupivacaine group, with no difference in extubation time or side effects.
Conclusion
The use of topical bupivacaine around the ETT significantly reduced the incidence and severity of cough and postoperative sore throat with less hemodynamic fluctuations during the periextubation period in patients undergoing thyroidectomy.
{"title":"Topical bupivacaine effect on the response to awake extubation during emergence from general anesthesia in patients undergoing elective thyroidectomy. A randomized controlled study","authors":"Shereen E. Abd Ellatif, Asmaa M. Galal Eldin, Rehab A. Wahdan","doi":"10.1016/j.pcorm.2024.100449","DOIUrl":"10.1016/j.pcorm.2024.100449","url":null,"abstract":"<div><h3>Background</h3><div>A desirable combination of smooth extubation, even with prolonged extubation, and an easy maneuver to apply is difficult to achieve. This study aimed to evaluate the efficacy of 0.5% topical bupivacaine for reducing cough, postoperative sore throat, and hemodynamic fluctuations during extubation in patients undergoing thyroidectomy.</div></div><div><h3>Methods</h3><div>Forty-eight patients scheduled for thyroidectomy were randomly assigned to two equal groups (24 each): group (C) patients received 5 ml of 0.9% normal saline topically, and group (B) patients received 5 ml of 0.5% bupivacaine topically 15 min, around the tracheal tube, before the expected end of surgery, followed by manual ventilation to obtain air bubbles distributed throughout the entire airway mucosa. The primary outcomes were the incidence and grade of cough. The secondary outcomes were the incidence and degree of postoperative sore throat, extubation time, hemodynamic changes during extubation, and side effects.</div></div><div><h3>Results</h3><div>There was a statistically significant decrease in the incidence and the severity of cough in the bupivacaine group compared to the control group. Moreover, the severity of sore throat, as assessed by the VAS score, was lower in the bupivacaine group up to 12 hours postoperatively. The hemodynamic parameters significantly increased in the control group in the peri-extubation period compared to the bupivacaine group, with no difference in extubation time or side effects.</div></div><div><h3>Conclusion</h3><div>The use of topical bupivacaine around the ETT significantly reduced the incidence and severity of cough and postoperative sore throat with less hemodynamic fluctuations during the periextubation period in patients undergoing thyroidectomy.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100449"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139270","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}
Healthcare personnel's professional autonomy and professional quality of life can influence the quality of care provided to patients. However, there is scarce and contradictory information available about the relationship between these two factors. The present study aims to investigate the relationship between professional autonomy and professional quality of life among operating room personnel.
Methods
This cross-sectional study was conducted in teaching hospitals in the south of Iran in 2023. The sample consisted of 464 operating room personnel who were selected by quota sampling. Data were collected using Dempster Professional Autonomy Scale and Stamm's Professional Quality of Life Scale. The collected data were analyzed in SPSS v. 24. Level of significance was set at 0.05.
Results
The participants’ professional autonomy mean score was found to be average (92.6 ± 73.32). Among the subscales of professional quality of life, the participants’ highest and lowest mean scores were for compassion satisfaction (35.3 ± 3.75) and secondary traumatic stress (31.2 ± 9.94) respectively. Also, the researchers found a significant inverse correlation between professional autonomy on the one hand and the professional quality of life subscales of burnout (p = 0.017, r = -0.111) and secondary traumatic stress (p = 0.005, r = -0.131) on the other. Moreover, there was a significant correlation between the operating room personnel's employment status on the one hand and professional autonomy (p = 0.004, r = -0.133) and burnout (p = 0.034, r = -0.099) on the other. The results also showed a significant inverse correlation between the subscale of burnout on the one hand and the variables of age (p = 0.021, r = -0.107) and work experience (p = 0.027, r = -0.103) on the other.
Conclusion
In view of the findings of the study, the healthcare system administrators are recommended to adopt effective policies and strategies to promote operating room personnel's professional autonomy and professional quality of life.
{"title":"A study of the relationship between professional autonomy and professional quality of life among operating room personnel: A cross-sectional study","authors":"Fatemeh Hasanfard , Camellia Torabizadeh , Zahra Khademian","doi":"10.1016/j.pcorm.2024.100447","DOIUrl":"10.1016/j.pcorm.2024.100447","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare personnel's professional autonomy and professional quality of life can influence the quality of care provided to patients. However, there is scarce and contradictory information available about the relationship between these two factors. The present study aims to investigate the relationship between professional autonomy and professional quality of life among operating room personnel.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in teaching hospitals in the south of Iran in 2023. The sample consisted of 464 operating room personnel who were selected by quota sampling. Data were collected using Dempster Professional Autonomy Scale and Stamm's Professional Quality of Life Scale. The collected data were analyzed in SPSS v. 24. Level of significance was set at 0.05.</div></div><div><h3>Results</h3><div>The participants’ professional autonomy mean score was found to be average (92.6 ± 73.32). Among the subscales of professional quality of life, the participants’ highest and lowest mean scores were for compassion satisfaction (35.3 ± 3.75) and secondary traumatic stress (31.2 ± 9.94) respectively. Also, the researchers found a significant inverse correlation between professional autonomy on the one hand and the professional quality of life subscales of burnout (<em>p</em> = 0.017, <em>r</em> = -0.111) and secondary traumatic stress (<em>p</em> = 0.005, <em>r</em> = -0.131) on the other. Moreover, there was a significant correlation between the operating room personnel's employment status on the one hand and professional autonomy (<em>p</em> = 0.004, <em>r</em> = -0.133) and burnout (<em>p</em> = 0.034, <em>r</em> = -0.099) on the other. The results also showed a significant inverse correlation between the subscale of burnout on the one hand and the variables of age (<em>p</em> = 0.021, <em>r</em> = -0.107) and work experience (<em>p</em> = 0.027, <em>r</em> = -0.103) on the other.</div></div><div><h3>Conclusion</h3><div>In view of the findings of the study, the healthcare system administrators are recommended to adopt effective policies and strategies to promote operating room personnel's professional autonomy and professional quality of life.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100447"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699498","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}