Evidence map›Paper›PMID 32727737›Full record

ArticleBMJ open2020

Implementation of integrated operating rooms: how much time is saved and how do medical staff experience the upgrading? A mixed methods study in Denmark.

Kathrine Carstensen, Emma Kejser Jensen, Mads Lænsø Madsen, Anne Marie Ladehoff Thomsen, Claus Løvschall, Nasrin Tayyari Dehbarez, Bettina Wulff Risør

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Kathrine CarstensenDEFACTUM, Central Denmark Region, Aarhus N, Denmark.
Emma Kejser JensenDEFACTUM, Central Denmark Region, Aarhus N, Denmark.
Mads Lænsø MadsenDepartment of Procurement & Clinical Engineering, Central Denmark Region, Aarhus, Denmark.
Anne Marie Ladehoff ThomsenDEFACTUM, Central Denmark Region, Aarhus N, Denmark.
Claus LøvschallDEFACTUM, Central Denmark Region, Aarhus N, Denmark.
Nasrin Tayyari DehbarezDEFACTUM, Central Denmark Region, Aarhus N, Denmark.
Bettina Wulff RisørDEFACTUM, Central Denmark Region, Aarhus N, Denmark bettriso@rm.dk.ORCID 0000-0003-3701-074X
Central Denmark Region · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate staff experiences of the implementation and use of integrated operating rooms (IORs) in comparison to conventional operating rooms (CORs) in Denmark.

designThis study used a mixed methods approach by combining quantitative (registry-based analysis of surgical time) and qualitative (interviews with experienced surgical staff) perspectives.

settingHospitals in Denmark.

methodsThe quantitative component compared the time consumption of patients between the integrated and CORs in two hospital departments at Aarhus University Hospital. Data were extracted from the administrative system in the hospital. Independent t-tests were used to estimate the statistical differences in the mean time spent on patients between the two operating rooms (ORs), and linear regression was applied to adjust for the potential influence of the surgeon. The explorative qualitative research component involved interviews with 20 informants from 10 hospital departments across seven Danish hospitals, all of whom participated between February and April 2019. Data were analysed using thematic analysis.

resultsThe quantitative analyses showed that preparation time for lobectomy was significantly lower and completion time for cholecystectomy significantly higher in the integrated compared with CORs. No other statistically significant differences were found. The qualitative analysis showed that some nurses experienced better cooperation with the surgeon and that non-sterile nurses experienced an improved working environment in the integrated compared with CORs. Surgical staff experienced that the IORs led to improved workflow during surgery.

conclusionsThis study identified no disadvantages regarding the use of IORs compared with CORs. The quantitative component of the research did not identify convincing statistically significant differences in the time consumption per patient between the ORs and according to the qualitative analyses IORs were not experienced by study participants to lead to major improvements among staff.

Indexed as

Medical StaffOperating RoomsDenmarkHumansSurveys and QuestionnairesWorkflowintegrated operating roomminimally invasive surgerysurgical workflowtechnical equipment

Identifiers

PMID32727737
PMCPMC7394299
OpenAlexW3046241402

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.