Evidence map›Paper›PMID 37553817›Full record

ArticleHERD2024

Anesthesia Workspaces for Safe Medication Practices: Design Guidelines.

Soheyla MohammadiGorji, Anjali Joseph, Sahar Mihandoust, Seyedmohammad Ahmadshahi, David Allison, Ken Catchpole, David Neyens, James H Abernathy

Abstract read
In one paragraph

Article in HERD, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

8 authors.

Soheyla MohammadiGorjiInterior Design, FINA, College of Health & Social Sciences, San Francisco State University, CA, USA.ORCID 0000-0002-7340-9582
Anjali JosephCenter for Health Facilities Design and Testing, School of Architecture, College of Architecture, Arts and Humanities, Clemson University, SC, USA.ORCID 0000-0001-5958-7334
Sahar MihandoustCenter for Health Facilities Design and Testing, School of Architecture, College of Architecture, Arts and Humanities, Clemson University, SC, USA.ORCID 0000-0001-7485-4963
Seyedmohammad AhmadshahiCenter for Health Facilities Design and Testing, School of Architecture, College of Architecture, Arts and Humanities, Clemson University, SC, USA.
David AllisonCenter for Health Facilities Design and Testing, School of Architecture, College of Architecture, Arts and Humanities, Clemson University, SC, USA.
Ken CatchpoleCenter for Health Facilities Design and Testing, School of Architecture, College of Architecture, Arts and Humanities, Clemson University, SC, USA.
David NeyensDepartment of Industrial Engineering, College of Engineering, Computing and Applied Sciences, Clemson University, SC, USA.
James H AbernathyDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.

Funding

Identifying and Reducing Errors in Perioperative Anesthesia Medication DeliveryR18HS026625 · AHRQ · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ABERNATHY, JAMES, CATCHPOLE, KEN · 2018 to 2021
$2.4M
AHRQ HHS R18 HS026625
6 · The paper itself

Abstract

backgroundStudies show that workspace for the anesthesia providers is prone to interruptions and distractions. Anesthesia providers experience difficulties while performing critical medication tasks such as medication preparation and administration due to poor ergonomics and configurations of workspace, equipment clutter, and limited space which ultimately may impact patient safety, length of surgery, and cost of care delivery. Therefore, improving design of anesthesia workspace for supporting safe and efficient medication practices is paramount.

objectivesThe objective of this study was to develop a set of evidence-based design guidelines focusing on design of anesthesia workspace to support safer anesthesia medication tasks in operating rooms (ORs).

methodsData collection was based on literature review, observation, and coding of more than 30 prerecorded videos of outpatient surgical procedures to identify challenges experienced by anesthesia providers while performing medication tasks. Guidelines were then reviewed and validated using short survey.

resultsFindings are summarized into seven evidence-based design guidelines, including (1) locate critical tasks within a primary field of vision, (2) eliminate travel into and through the anesthesia zone (for other staff), (3) identify and demarcate a distinct anesthesia zone with adequate space for the anesthesia provider, (4) optimize the ability to reposition/reconfigure the anesthesia workspace, (5) minimize clutter from equipment, (6) provide adequate and appropriately positioned surfaces for medication preparation and administration, and (7) optimize task and surface lighting.

conclusionThis study finds many areas for improving design of ORs. Improvements of anesthesia work area will call for contribution and cooperation of entire surgical team.

Indexed as

AnesthesiaErgonomicsHumansPatient SafetySurveys and Questionnairesanesthesia workspaceevidence-based design guidelinesinterruptionsmedication tasksoperating room

Identifiers

PMID37553817
PMCPMC13196731

What OpenQuestion holds

Textmetadata
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.