ArticleBMC medical informatics and decision making2020
Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery.
Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Operating Room Performance Optimization Metrics: a Systematic Review.Journal of medical systems · 2023Pooled it
- Curettage of bone is more efficient with a vacuum-assisted bone harvester than with traditional curettes.BMC musculoskeletal disorders · 2026Trial
- Role of Intelligent Management Systems in Surgical Punctuality and Quality of Care.Computational intelligence and neuroscience · 2022Trial
- Robotic-Assisted Total Hip Arthroplasty: Implications for Surgical Practice and Operating Theatre Design.Medicina (Kaunas, Lithuania) · 2026Review
- Optimizing Patient Positioning to Improve Orientation, Ergonomics, and Standardization in Percutaneous Forefoot Surgery: A Technical Tip.Foot & ankle orthopaedics · 2026Article
- Leveraging the potential of the German operating room benchmarking initiative for planning: A ready-to-use surgical process data set.Health care management science · 2024Article
- Neural digital twins: reconstructing complex medical environments for spatial planning in virtual reality.International journal of computer assisted radiology and surgery · 2024Article
- Fractured systems: a literature review of OR/MS methods applied to orthopaedic care settings and treatments.Health systems (Basingstoke, England) · 2024Review
- Optimizing the Operating Room Setup for Minimally Invasive Forefoot Surgery: Technical Tip.Foot & ankle orthopaedics · 2023Article
- The anesthesia management of totally thoracoscopic cardiac surgery: A single-center retrospective study.Heliyon · 2023Article
- Optimising Complex Surgical Trays Based on PDSA Cycles.Journal of multidisciplinary healthcare · 2023Article
- Evaluation of the Effectiveness of the Separate Anesthesia Induction Rooms on Multidisciplinary Work Flow in Operating Rooms.Journal of multidisciplinary healthcare · 2023Article
- Letter to the Editor: "Same-day discharge to home is feasible and safe in up to seventy five percent of unselected total hip and knee arthroplasty".International orthopaedics · 2022Article
- Resource management framework using simulation modeling and multi-objective optimization: a case study of a front-end department of a public hospital in Thailand.BMC medical informatics and decision making · 2022Article
- Increasing efficiency by optimizing table position for elective primary THA and TKA: a prospective monocentric pilot study.Arthroplasty (London, England) · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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