Operating Room World: One Day Challenges and Interactions

Operating Room World: One Day Challenges and Interactions


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دانشگاه علوم پزشکی تبریز
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نویسندگان: مسعود پریش , هاله فرزین , مهدی خانبابایی گول , داود آقا محمدی

کلمات کلیدی: Operating Room -World- Challenges -Interactions

نشریه: 0 , 3 , 5 , 2018

اطلاعات کلی مقاله
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نویسنده ثبت کننده مقاله مسعود پریش
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 69853
عنوان فارسی مقاله Operating Room World: One Day Challenges and Interactions
عنوان لاتین مقاله Operating Room World: One Day Challenges and Interactions
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق) Crescent Journal of Medical and Biological Sciences
نوع مقاله Editorial Material
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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When sun rises, the hyperactive day begins in operation room (OR). Management of OR needs regular programs for human and material resources. For deciding about OR programs, there should be requirement to obtaining information of multidisciplinary stakeholders (1). It appears that we go to OR, we enter to new world in new time zone and time will stand here (2). It is well known that trained staff are required for coordination between OR and several departments and providing advanced patient care. The major duties of these personnel, especially surgery and anesthesia nursing included to keep patient safety and navigation of various type of surgery throughout their course. OR staff work in closed, relatively isolated environment and spent several hours of their life here! (3). I think that OR environment looks like fish aquarium, we swim in it and everyone has her or his responsibilities, move toward our unit. It seems crowd but substantially beautiful picture. Stress is a main challenge in OR, that is, the personnel must communicate with each other and patients (4), Raji et al concluded in their study that in academic areas is even more in personnel communication, practice, feelings and humiliating experience fields and they must determine priority in few times and coping with their stress (5). Surgeons and anesthesiologists complete this scenario. However, what are the final goal of these precise efforts? It is clear that improving of efficiency plays key role in OR, it can be achieved by increasing work or lowering costs. Parish et al suggested that to prevent delays in post-anesthesia care unit (PACU) and discharge time, it is important to select proper anesthetic techniques, especially because of growing number of outpatient surgery and anesthesia (6-8). Costs for maintenance of OR environment, numbered staff and different instruments. Start time is a cornerstone of OR (9). On the other hand, nurses of OR interpret efficiency as improvement of knowledge and training for patient care whereas OR manager understands efficiency as production per minute or completing programs (10). Although usage of simpler devices and dressing can help Dr. Sasani was born in Tabriz, Iran in 1963. He completed primary and high school educations in 1981. He went to Turkey for university education in 1984. He was accepted to Uludag University, School of Medicine at the same year, and graduated from Medicine faculty in 1991. He completed his Neurosurgery residency program in Marmara University School of Medicine between 1992 to 1997 years. He became associate professor of Neurosurgery in 2011 and Professor of Neurosurgery in 2017. He is currently working as a Neurosurgeon at the American Hospital Department of Neurosurgery, and acts as a trainer in Koc University School of Medicine from 2015. He focused on brain and spine minimally invasive surgery. Masoud Parish1ID, Haleh Farzin1, Mehdi Khanbabie Gol2*, Dawood Agamohammadi1, Mehdi Sasani3* Open Access Editorial Crescent Journal of Medical and Biological Sciences Received 4 April 2018, Accepted 26 May 2018, Available online 20 June 2018 1Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran. 2School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. 3Neurosurgery Department, American Hospital, Koc University School of Medicine, Istanbul, Turkey. *Corresponding Author: Mehdi Sasani, Tel: +90 2123112000, Email: sasanim@gmail.com http://www.cjmb.org eISSN 2148-9696 Vol. 5, No. 3, July 2018, 170–171 to save time, it means to compromise of any unnecessary parameters which do not affect results. “Eliminate and streamline” are OR mention (11). Oh, I forgot writing about cancellation and its consequences. Cancellation of planned operations is main and long- standing occurrence in OR. It has significant financial, psychological and social implication on patients and their families. The reasons for cancellation vary among between different countries such as lack of medically fitting for operation, lack of bed, unnecessary interventions and occasionally, patient turning up for surgery. Some of them are avoidable but remainder are not (12). So, we have very little knowledge about sound levels in OR environment (13). Now, this time is afternoon, all surgeries were terminated, patients were transported to their departments. You can sit and drink a cup of tea in your pavilion because emergency cases can arrive at any time.

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نویسنده نفر چندم مقاله
مسعود پریشاول
هاله فرزیندوم
مهدی خانبابایی گولسوم
داود آقا محمدیچهارم

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