Abstract
BackgroundThe design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Yet, there is no objective method for the assessment and design of operating room setups for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty.MethodsWith the help of computer simulation, a method for the design and assessment of enhanced OR setups was developed. New OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Thereby, a 3D graphical simulation representation enabled the strong involvement of clinical stakeholders in all phases of the design and decision-making process of the new setup alternatives.ResultsThe implementation of improved OR setups reduces the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortens the procedure duration. Additionally, the ergonomics of the OR staff were improved.ConclusionThe developed simulation method was evaluated in the actual intraoperative setting and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.
Highlights
The design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially
The surgical department is in the focus of continuous optimization to create an efficient and safe environment for optimal patient treatment
A methodology was presented for the design, analysis, simulation, and evaluation to determine improved OR setups tailored to a specific surgical intervention
Summary
The design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. There is no objective method for the assessment and design of operating room setups for different surgical disciplines and intervention types available. Many efforts were put into the improvement of the operating room (OR) design and layout efficiency [1, 2]. There is no method for the assessment and design of operating room setups for different surgical disciplines and intervention types available. The OR setup is influencing the team’s collaboration and communication [17], ergonomics, as well as intraoperative hygiene substantially, the table layout is set up mostly based on the subjective preference of the lead surgeon or based on institutional practices
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