Till sidans topp

Sidansvarig: Webbredaktion
Sidan uppdaterades: 2012-09-11 15:12

Tipsa en vän
Utskriftsversion

The drama in the hybrid O… - Göteborgs universitet Till startsida
Webbkarta
Till innehåll Läs mer om hur kakor används på gu.se

The drama in the hybrid OR: Video observations of work processes and staff collaboration during endovascular aortic repair

Artikel i vetenskaplig tidskrift
Författare May Bazzi
Solveig M Lundgren
Mikael Hellström
I. Fridh
Karin Ahlberg
Ingegerd Bergbom
Publicerad i Journal of Multidisciplinary Healthcare
Volym 12
Sidor 453-464
ISSN 1178-2390
Publiceringsår 2019
Publicerad vid Institutionen för vårdvetenskap och hälsa
Institutionen för kliniska vetenskaper, Avdelningen för radiologi
Sidor 453-464
Språk en
Länkar dx.doi.org/10.2147/JMDH.S197727
Ämnesord Collaboration, Cross case analysis, Hybrid operating room, Tasks, Video recording, Work processes, anesthesiologist, Article, clinical practice, collaborative care team, endovascular aneurysm repair, health care delivery, human, job performance, nurse anesthetist, nursing staff, operating room personnel, patient care, radiographer, safety, surgical technique, videorecording
Ämneskategorier Annan medicin och hälsovetenskap

Sammanfattning

Introduction: A hybrid operating room (OR) is a surgical OR with integrated imaging equipment and the possibility to serve both open surgery and image-guided interventions. Aim: This study aimed to investigate the work processes and types of collaboration in a hybrid OR during endovascular aortic repair (EVAR). Methods: Data consisted of video recordings from nine procedures, with a total recording time of 48 hrs 39 mins. The procedures were divided into four episodes (Acts). A qualitative cross-case analysis was conducted, resulting in a typical case. The type of collaboration during specific tasks was discussed and determined based on Thylefors' team typology. Results: An extensive amount of safety activities occurred in the preparation phase (Acts 1 and 2), involving a number of staff categories. After the skin incision (Act 3), the main activities were performed by fewer staff categories, while some persons had a standby position and there were persons who were not at all involved in the procedure. Discussion: The different specialist staff in the hybrid OR worked through different types of collaboration: multi-, inter-and transprofessional. The level of needed collaboration depended on the activity performed, but it was largely multiprofessional and took place largely in separate groups of specialties: anesthesiology, surgery and radiology. Waiting time and overlapping tasks indicate that the procedures could be more efficient and safe for the patient. Conclusion: This study highlights that the three expertise specialties were required for safe treatment in the hybrid OR, but the extent of interprofessional activities was limited. Our results provide a basis for the development of more effective procedures with closer and more efficient interprofessional collaboration and reduction of overlapping roles. Considerable waiting times, traffic flow and presence of people who were not involved in the patient care are areas of further investigation. © 2019 Bazzi et al.

Sidansvarig: Webbredaktion|Sidan uppdaterades: 2012-09-11
Dela:

På Göteborgs universitet använder vi kakor (cookies) för att webbplatsen ska fungera på ett bra sätt för dig. Genom att surfa vidare godkänner du att vi använder kakor.  Vad är kakor?