Operating Rooms - Science topic

Objectives This review aimed to explore the prevalence of burnout among health care professionals working in the operating room (OR) and its impact on patient safety and care quality. Methods A focused narrative review was conducted, utilizing PubMed, CINAHL, Semantic Scholar, WorldCat, Cochrane Library, and clinical trials registries. Full-text p...

Background Operating room fires, though rare, pose serious risks to patient and operator safety. Among the known ignition sources, light-emitting surgical devices—including fiberoptic cables, headlamps, and light boxes—are increasingly recognized contributors. However, the true prevalence and underlying causes remain under-characterized in national...

Developed nations maximize pharmacists, while developing nations underutilize them, especially in operating rooms (ORs), necessitating cost-effectiveness and feedback evaluations. We investigated the impact of pharmacist involvement in operating rooms (OR) at Muhimbili National Hospital. We contrasted a “before era” (BE) without pharmacists to an “...

The integration of Context-Aware Systems (CASs) in Future Operating Rooms (FORs) aims to enhance surgical workflows and outcomes through real-time data analysis. CASs require accurate classification of surgical tools, enabling the understanding of surgical actions. This study proposes a novel deep learning approach for surgical tool classification...

The biggest threat to global health in the 21st century is climate change. Greenhouse gas emissions, one of the biggest causes of climate change, originate 4 to 10% from healthcare services. These emissions cause negative environmental impacts by increasing the carbon footprint. Operating rooms, with their large share in energy and resource consump...

This study investigates the influence of personal factors - gender, age, education level, and occupation - on planning, task management, and innovation use in the context of operating room construction projects. It aims to evaluate how these variables affect service delivery quality and satisfaction among users and service providers. Quantitative a...

This quasi-experimental study evaluated the effects of waste segregation training on medical and recyclable waste generation in the operating theater of Ankara University Cebeci Hospital. Conducted between March and June 2024, the study included pre-training, post-training, and two-month follow-up waste measurements, alongside a survey assessing st...

Background: The impact of extubation location on perioperative efficiency and clinical outcomes remains inadequately characterized. This study investigated whether extubation in the Post-Anesthesia Care Unit (PACU) versus operating rooms (OR) independently associates with prolonged turnover intervals, postoperative complications, vasoactive drug re...

Robotic bariatric surgery (RBS) is increasingly adopted worldwide. This study aims to evaluate the implementation and evolution of RBS at a high volume center over five years, focusing on operative time (OT), operating room (OR) efficiency, and cost outcomes. A prospective analysis was conducted on patients undergoing elective RBS between July 2021...

In the realm of operating room management (ORM), several key challenges loom large, including the reduction of overtime and idle time for surgeons, avoiding overutilization and underutilization of ORs, and the equitable allocation of patients to surgeons to mitigate workload pressures. Moreover, the potential disruption risks associated with surgeo...

Introduction Sleep quality is a crucial aspect that can affect the health, job performance, and safety outcomes of operating room employees. However, the social and work-environmental factors that predict sleep quality remain unclear. This study aimed to determine the role of social relational quality and ethical climate as the predictors of sleep...

Background Operating rooms generate substantial waste and budget expenditure due to extensive material usage. Reusable instruments are often packaged in trays, which accumulate instruments over time. This review quantifies the advantages of tray optimization (removing redundant instruments), including reduced environmental impact, costs, operating...

Purpose of the Study This study aims to provide detailed information about the health demand encountered in disaster situations and the treatment processes from the disaster area to the hospital. Recent Findings Disasters are events where mass casualties or deaths occur, and the damage is excellent, requiring national or international assistance....

Scheduling operating rooms (ORs) is a critical aspect of managing surgical patients, especially in Level 1 trauma hospitals. The management of surgical patients, both in elective and emergency settings, relies on planning and scheduling procedures to reduce cancellations, delays, and negative outcomes. Some authors have found that reserving capacit...

Cataract disease increases with age. Anxiety is one of the most common problems before cataract surgery. Preoperative anxiety can negatively affect surgical outcomes, including hemodynamic instability and delayed recovery. Therefore, this study was conducted with the aim of comparing the effects of watching a video about cataract surgery and visiti...

Objective: The present study aimed to evaluate the feasibility and safety of performing extubation in the operating room following aortic valve replacement (AVR) via right anterior mini-thoracotomy (RAMT), as the safety profile of this approach has not been fully established. Methods: We conducted a retrospective analysis of patients who underwent...

In response to the ever-growing demand for real-time intraoperative intelligence in modern operating rooms, surgical instrument detection and tracking as a part of computer vision techniques for surgical instruments has made significant progress. These methods are applied as tool usage analysis and skill evaluation, autonomous assistance, and surgi...

Recent advancements in emerging technologies, such as robotics and artificial intelligence, have created unprecedented opportunities for their integration into the medical sciences. These innovations have improved the efficiency and accuracy of medical processes, paving the way for new developments in academic and research systems. However, the com...

Recent advancements in emerging technologies, such as robotics and artificial intelligence, have created unprecedented opportunities for their integration into the medical sciences. These innovations have improved the efficiency and accuracy of medical processes, paving the way for new developments in academic and research systems. However, the com...

Introduction: Operating rooms, often referred to as the "heart" of any hospital, demand a unique set of skills, knowledge, and personal attributes from healthcare professionals. Early exposure to healthcare settings is crucial for fostering student confidence and competence, providing them with the tools to manage complex patient situations. Studie...

The integration of Artificial Intelligence (AI) into robotic surgical systems represents a paradigm shift in modern medicine, promising unprecedented levels of precision, automation, and enhanced surgical outcomes. This abstract explores the current state and future potential of AI-powered robotic surgery, examining how AI algorithms are being leve...

Operating room nurses may experience occupational burnout brought by noise annoyance during which emotional labor may act as a moderating factor between the two. The aims of this study are: (1) to investigate the independent correlation between noise annoyance and burnout among operating room nurses; (2) to explore the relationship between noise an...

Introduction Strengthening the safety climate in surgical centres is essential for ensuring care and patient safety, which directly impacts the reduction in the occurrence of adverse events and complications. In this sense, used to strengthen the safety climate in the operating room. Methods and analysis A scoping review will be carried out on the...

Aim This study aimed to investigate the current status and influencing factors of medication safety behaviour of operating room nurses. Background Medication safety is an important safety issue recognised by health organisations all over the world, and the operating room has one of the highest rates of preventable medication-related injuries. Howe...

Background: Surgical procedures involve prolonged static postures. There is, therefore, a great risk of musculoskeletal disorders since the high-risk factors are two: the procedure and the static posture. It is important to note that ergonomic posture analysis remains one of the measures toward the risk of MSDs. Unfortunately, existing methods of e...

Purpose Total laryngectomy (TL) is a referral procedure useful in case of locally advanced laryngeal cancer but is difficult to train during residency. The objective of this work was to assess the dead porcine model for training in TL by studying its face, content, and construct validity. Methods Young residents (postgraduate year (PGY) 1 to 3), e...

Introduction: Implementation of the SWITCH handover method in the Operating Room has traditionally been conducted verbally, without standardized documentation. Effective handover is critical in perioperative settings, where detailed, timely, and accurate communication is essential. To address this issue, this study aimed to evaluate the effect of a...

The operating room (OR) is a high-stakes, resource-intensive environment where inefficiencies in scheduling, workflow, and resource allocation can significantly impact patient outcomes and healthcare costs. Emerging technologies such as natural language processing (NLP) and machine learning (ML) offer data-driven solutions to optimize surgical work...

Background Bariatric surgery is currently the most effective approach to addressing severe obesity and reducing related health issues. Laparoscopy remains the standard technique, whereas robotic-assisted surgery is increasingly adopted, although its role in bariatric surgery remains debated. The main criticism concerns its higher costs and the lack...

Operating rooms where surgical procedures are conducted involve hazards under various groups and potentially many health problems may arise from these hazards. The degree of the importance of the hazard in each risk group varies according to the groups and it is important to reflect this situation in the risk analyses. In the present study, the dan...

Introduction While ultrasound-guided breast biopsy (UGBB) performed by a radiologist is the standard of care in high-income countries for diagnosing breast cancer, blind or surgical biopsy has been the norm in low-and middle-income countries (LMIC) in part because LMIC radiologists lack the skill to perform UGBB. We present the study protocol of a...

Operating room scheduling faces persistent challenges in healthcare facilities worldwide, with inefficiencies leading to resource wastage, extended patient waiting times, and staff burnout. This study addresses these challenges through three methodologies: greedy algorithm, deep reinforcement learning (DRL), and a novel hybrid model. Analysis of 35...

When multiple patients are scheduled to receive regional blocks as part of their anesthetic, planning insufficient preoperative time can cause first-case operating room delays. Prediction of the time to perform multiple regional blocks depends on the probability distributions (e.g., 90th percentiles) of the procedure completion times. We tested hyp...

present. Erratum of The Heart Surgery Forum 2025, 28(2)

Introduction Surgical site infections (SSIs) after cardiac surgery poses a serious challenge. The foremost reason for contamination in operating rooms (OR) is airborne. Effective surveillance by air sampling or settle techniques is crucial in maintenance of air quality in cardiac OR. Methodology The air quality of two different cardiac OR (adult a...

Permukaan lingkungan merupakan salah satu sumber infeksi karena dapat bertindak sebagai reservoir patogen HAIs. Permukaan rumah sakit dapat terkontaminasi bakteri patogen HAIs, seperti Methicillin Resistant-Staphylococcus aureus (MRSA), Vancomycin Resistant Enterococcus (VRE), Carbapenem Resistant Enterobacteriaceae (CRE), Multi Drug Resistant-basi...

Background Transfers within operating rooms present significant risks to patient safety, with falls potentially leading to serious consequences for both patients and staff. The aim of this study is to explore the factors contributing to falls during transfers and strategies to enhance patient safety in operating rooms. Methods This is a qualitativ...

Introduction With the advent of virtual clerkships, the ability of medical students to be involved in direct patient care continues to be scrutinized. One such area that has come under scrutiny is the role medical students should play in the operating room. The major critiques brought up by OR staff and surgeons are potential increases in contamina...

Aims and background: The surgical site infection is a common occurrence in healthcare settings. Generally, there are ”surgical site infection checklists” in use in most hospitals; however, there is a lack of comprehensiveness in them. Here, the researchers aimed at developing and validating a checklist that contains items to be checked in the preop...

Development of A Surgery Related Pressure Injury Risk Assessment Scale (SURPIRAS): A Methodological Study Aim: To develop the Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS) and conduct validity and reliability analyses. Design: A methodological study. Methods: Data were collected from 200 patients with “Patient Identification Form...

Objective The study evaluates the clinical value of the operating room nursing safety management model based on Heinrich’s law. Methods A quasi-experimental design with a historical control group was conducted at Changzheng Hospital. A total of 240 surgical patients (pre-intervention: n = 120, December 2021–2022; post-intervention: n = 120, Januar...

Modern industrial plants are characterised by high level of automation, however, there are still numerous facilities which only partially benefit from it for various reasons. In this paper, the authors investigate existing training procedures for control rooms' operators in the old economy and analyse particular case study of Electric Arc Furnaces...

The Operating Room Scheduling Problem (ORSP) is a complex NP-hard optimization challenge that significantly impacts the efficiency and effectiveness of healthcare systems. This problem involves allocating surgical cases to available operating rooms while adhering to multiple constraints, such as the availability of surgeons, nurses, and facilities,...

Operating rooms generate more than 40% of a hospital’s total revenue, making effective surgery planning a highly relevant problem for many hospitals. Surgery planning is a challenging task that requires a decision maker to solve multiple interrelated (sub-)problems under uncertainty. An important source of uncertainty are surgery durations—their re...

Background Risks of re-operation in ventral hernias in non-American populations and recurrence have been studied extensively. However, data on early risk factors for reoperation in North America are still lacking. The most recent NSQIP study, analyzing risk factors for reoperation of ventral hernias was extracted from 2005–2008 data. Since then, th...

Introduction. In healthcare system management, managing operating rooms, which are characterized by a significant production focus and a correspondent high level of complexity, is one of the most current issues, to implement more efficient models, based on a balanced use of resources. Operating Room Management is an emerging model based on Operati...

Background Moral courage is crucial for nurses to act ethically despite professional risks. Operating room (OR) nurses frequently encounter ethical dilemmas, requiring a balance between personal convictions and institutional policies. This study investigates the current status of moral courage among OR nurses in Southwest China and explores key inf...

Introduction: Operating room personnel are involved with occupational physical activities such as repetitive bending, holding surgical tools and standing for long hours that can lead to musculoskeletal disorders (MSDs). Low back pain (LBP) is the most prevalent and costly problem among these disorders. The aim of this study was to determine the rel...

Background The operating room start time (ORST) for pediatric femoral fractures is a health-care quality metric used for hospital rankings and accreditation. Factors affecting ORST remain unclear. This study aimed to evaluate the demographic and clinical factors associated with gold-standard (early) ORST (<18 hours) versus delayed ORST (≥18 hours)...

In the operating theater, a large collection of data are collected at each surgical visit. Some of these data are patient information, some is related to resource management, which is linked to hospital finances. Poor quality data lead to poor decisions, impacting patient safety and the continuity of care. The study aimed at evaluating the complete...

Loading and unloading efficiency is a critical aspect of ship operations, which has a significant impact on operational costs, customer satisfaction, and the competitiveness of shipping companies. The Cargo Control Room (CCR) acts as a control center that optimizes the loading and unloading process through integrated technology and systems. However...

Analyzing operating room (OR) workflows to derive quantitative insights into OR efficiency is important for hospitals to maximize patient care and financial sustainability. Prior work on OR-level workflow analysis has relied on end-to-end deep neural networks. While these approaches work well in constrained settings, they are limited to the conditi...

OBJECTIVE: We studied the accuracy of nursing electronic health record (EHR) documentation during surgical procedures focusing on time stamping of events. In high-end manufacturing these tasks would be considered simple routine with error rates of 0.1% to 0.5%. MATERIALS AND METHODS: Documentation accuracy of six key events over 10 consecutive week...

OBJECTIVE To compare the effectiveness of Chinese Association of Operating Room Nurses (CORN)–based nursing care against that of routine nursing for reducing intraoperative pressure injury (PI) in patients undergoing neurosurgery. METHODS Convenience sampling was used to select patients who received neurosurgery between March 1, 2022, and June 30,...

Background Burnout is prevalent among nursing staff, especially in the operating room, which is a high-intensity, high-pressure and fast-paced work environment. As the prevalence of nurse burnout increases, reducing the burnout of operating room nurses helps to improve the physical and mental health of nurses. Thus, stabilising the nursing team can...

Background This study aims to synthesize existing evidence regarding the accuracy of different scales to assess the risk of intraoperative acquired pressure injury (IAPI), thus providing guidance for the accurate clinical screening of IAPI risk and helping to prevent and reduce the occurrence of IAPI. Methods We searched the following electronic d...

Nowadays, managing Operating Rooms (ORs) in healthcare systems presents a significant challenge, with underutilization of surgical facilities being a key concern. Several decision factors must be considered, including the number of ORs, operating hours, target utilization rates, and the possibility of patient transfers between surgical units (SUs)....

The International Health Facility Guidelines 2023 provide critical recommendations for operating room (OR) design and management, addressing layout, equipment specifications, and safety protocols. By adhering to these guidelines, healthcare facilities can ensure optimal conditions for surgical procedures, minimise risks to patients and staff, and e...

Surgical domain models improve workflow optimization through automated predictions of each staff member's surgical role. However, mounting evidence indicates that team familiarity and individuality impact surgical outcomes. We present a novel staff-centric modeling approach that characterizes individual team members through their distinctive moveme...

Background/Objectives: Cardiopulmonary resuscitation (CPR) in the prone position (P-CPR) is described in international guidelines for specific contexts but is not commonly included in operating room algorithms. This review aims to map P-CPR interventions in adult and pediatric patients experiencing cardiac arrest in the operating room while in the...

Introduction: One of the main problems in medical and paramedical fields is the lack of alignment and gaps between theoretical knowledge and practical competencies of the graduates. The gap between theoretical education and clinical performance has been an important issue of concern for professors, staff, and students. Therefore, the present study...

Background Alongside the numerous advantages of arthroplasty surgery, the extensive complications associated with bone cement contact remain serious chemical hazards in the operating room. The present study aims to investigate the challenges of using bone cement in orthopedic operating rooms. Method This is a cross-sectional study conducted from S...

Background Accurate and complete intraoperative documentation is crucial for maintaining consistency in patient care, facilitating handoffs between surgical teams, and evaluating outcomes. This integrative review aimed to investigate the challenges of intraoperative documentation and its role in patient safety. Materials and Methods A search of En...

A retained foreign object (RFO), also known as an unintentionally retained foreign object (URFO) or a retained surgical item (RSI), is an object retained after skin closure following an invasive procedure. After falls, it is the second most reported sentinel event (SE). Several factors increase the risk of RFO: intraoperative blood loss, longer dur...

This study analyzes the operational inefficiencies within a hospital emergency room (ER) and proposes strategic process improvements to enhance patient flow, reduce wait times, and optimize resource allocation. Using process mapping, bottleneck analysis, and capacity management techniques, the research highlights key operational challenges and offe...

Operating rooms (ORs) are complex, high-stakes environments requiring precise understanding of interactions among medical staff, tools, and equipment for enhancing surgical assistance, situational awareness, and patient safety. Current datasets fall short in scale, realism and do not capture the multimodal nature of OR scenes, limiting progress in...

Background Needle-stick injuries (NSIs) pose a substantial occupational hazard, exposing healthcare professionals to potentially infectious diseases. Nurses’ clinical competence plays a crucial role in preventing and mitigating the incidence of NSIs. This study aimed to investigate the relationship between clinical competence and the incidence of N...

Operating Rooms (ORs) are pivotal hospital resources, significantly impacting expenses and revenue. This paper introduces a stochastic bi-objective model for OR allocation and scheduling of elective surgeries, considering surgeons’ preferences for specific ORs and preferred start times, as well as the integration of collaborative surgeries (CSs)—wh...

Background Varicose vein treatments are increasingly using ambulatory endovenous procedures under local anesthesia. Despite their safety and feasibility, these procedures may induce significant psychological distress, a concern not currently addressed by exist guidelines. This study investigates the necessity for family presence (FP) during endoven...

Background: Spinal anesthesia is known to affect blood pressure by raising or lowering blood pressure levels, including MAP and pulse rate. While colloidal fluid therapy is indicated for the management of such variations, it remains longer in the intravascular space and supports blood pressure stabilization. Purpose: This study attempts to analyze...

BACKGROUND Academic procrastination is postponing the completion of educational assignments. Procrastination among students reduces the level of awareness, which can have irreparable consequences. Therefore, the present study was conducted with the aim of determining the relationship between spiritual and emotional intelligence with academic procra...

Background: In 2020, 234 million hospital clients made use of health facilities in the globe whereas Indonesia had recorded 1.2 million surgeons (World Health Organization, 2020). Sevoflurane is widely used in surgical procedures and its effect on the duration of recovery time needs further study. Purpose: It aims to conduct research on how sevoflu...

Purpose Hypoalbuminemia, which is indicative of protein-energy malnutrition, is linked to increased morbidity and mortality in acute surgical patients due to increased catabolism. This study evaluates the relationship between preoperative serum albumin levels and postoperative morbidity and mortality in patients who underwent open abdominal surgery...

present. Erratum published on 17 April 2025, see The Heart Surgery Forum 2025, 28(4)

Background and purpose: The standard method for controlling operating room (OR) air quality is measuring bacteria-carrying particles per volume unit of air: colony forming units (CFU/m3). The result takes at least 2 days after sampling. Another method is real-time measurements of fluorescing bioparticles per unit volume of air (FBP/dm3). We aimed t...

Sectio Caesarea is an increasingly common method of delivery, though it carries inherent risks, particularly intraoperative hypotension due to spinal block anesthesia. This research aims to examine the incidence of intraoperative hypotension in cesarean section patients with spinal block anesthesia at RSI Purwokerto. A descriptive quantitative rese...

Background In this study, an online Mobile-Learning (M-learning) application was developed based on the principles of mindtools and micro-learning strategy to educate surgical nursing students in laparoscopic surgical units. This study aimed to assess the effect of education using M-learning in laparoscopic surgical units on nursing students’ knowl...

Because the air conditioning systems in hospital operating rooms, which are among the most difficult work environments in the healthcare sector, require a certain level of quality in the settings, their installation, operation, maintenance, and design have become an important part of engineering applications. The main functions of these systems are...

Machine learning (ML) is a developing technology that enables the analysis and interpretation of large amounts of data. The purpose of this systematic review was to summarize the available literature on the role of ML in operating room (OR) management. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were f...

Purpose: Efficient scheduling in Operating Rooms (ORs) is essential for optimizing corresponding costs and enhancing customer satisfaction in healthcare systems. Design/methodology/approach: Conventional static scheduling methods rely on fixed historical surgery times and often lead to inefficient resource utilization and increased costs due to ina...

Understanding the workflow of surgical procedures in complex operating rooms requires a deep understanding of the interactions between clinicians and their environment. Surgical activity recognition (SAR) is a key computer vision task that detects activities or phases from multi-view camera recordings. Existing SAR models often fail to account for...

Sextant Foundation, in collaboration with the Association of PeriOperative Registered Nurses (AORN) and the Facility Guidelines Institute (FGI), sponsored a 2-day workshop at the AORN Global Surgical Conference & Expo in San Antonio, Texas, in April 2023. One hundred participants attended the workshop. Through a human-centered design and Lean impro...

Importance In patients with head and neck squamous cell carcinoma (HNSCC), the discovery of a second synchronous primary cancer of the aerodigestive tract (SSPCA) significantly impacts management and prognosis. Recent advances in imaging have increasingly allowed for identifying SSPCA before performing panendoscopy, raising questions about the latt...

Introduction: The use of multiple layers of Vibril under tourniquet cuffs is common. However, these layers can lead to complications. We designed a special waterproof curtain for use under tourniquet cuffs. Its effects on burns, postoperative pain, and operating room staff satisfaction were evaluated. Materials & Methods: In this randomized clinica...

Background: Effective pain management is essential to early extubation and recovery in living donor liver transplantation (LDLT). The subcostal transversus abdominis plane (TAP) block has emerged as a potential strategy to address postoperative pain while reducing opioid consumption. This study evaluated the effectiveness of the TAP block in facili...

Purpose: Surgical performance depends not only on surgeons' technical skills but also on team communication within and across the different professional groups present during the operation. Therefore, automatically identifying team communication in the OR is crucial for patient safety and advances in the development of computer-assisted surgical wo...

Background Revision total joint arthroplasties are physically demanding cases. Recent studies have shown increased cardiovascular stress in surgeons performing revision total knee arthroplasty (rTKA) and revision total hip arthroplasty (rTHA) compared with primary cases. To our knowledge, no study has compared surgeon ergonomics during these cases....