Operating room black box:Scrutinizer of theatre practices
作者机构：Department of General Surgery.Victoria HospitalBangalore Medical College and Research InstituteBungaloreBengauru560002india
出 版 物：《Laparoscopic, Endoscopic and Robotic Surgery》 (腔镜、内镜与机器人外科（英文）)
年 卷 期：2023年第6卷第4期
页 面：142-146页
学科分类：1002[医学-临床医学] 08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）]
主 题：Interruption Black box Camera Surgical audit Operation theatre
摘 要：Objective:Adverse surgical events are a major cause of morbidity,mortality,and disability worldw *** cause of many such events can be attributed to interruptions in the operating room(OR),muli-tasking by surgeons,*** objective of this study was to observe the types and frequency of intra-operative wor kflow interruptions in our ***:This ccoss-sectional study was conducted from March Do April of *** observational approach using an audio-video recording device was employed to record OR flow disr *** elective OR and one emergency OR under the Department of General Surgery were selected for the *** open and laparoscopic surger ies conducted in the selected ORs were *** Internet Protocol camera was installed in the selec ted ORS with a view of the entire room,including the anesthesia ***-video recording was started after the first indsion and stopped after closure of the surgical ***:Of the 51 cases that were studied,45(88.2%)were elective,and 18(35.3%)were laparoscopic *** could be classified into 8 types of open procedures and 4 types of lapar oscopic *** mean maximum headcount inside the OR was 15.5土3.6 and doors opened on average of 15.8土6.0 times during a *** interruptions were surgeons attending phone calls(24,47.1%),leaving the sterile area(21,41.2%),technical disturbances(32,62.7%),anesthetic interruptions(18,35.3%),and faulty instruments(29,56.9%)Elective procedures had a signifcandy higher average number of in-terruptions per operating hour than emergency procedures(175±8.6vs.7.1±2.9,p0.01).Condusion:Preventable factors such as faulty instruments,anesthetic interruption,and attending phone calls by the surgeon are commonly observed in *** need to be addressed by timely surgical audits or the adoption of continued sureillance methods that can help take measures to minimize their occurrence.
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