Evidence map›Paper›PMID 38281684›Full record

ArticleAmerican journal of infection control2024

Automated traffic monitoring of neurosurgical operating room.

Mathea Schafer, Heather Dixon, Katie Palladino, Sara Baumann, Jeremy Martinson, Monica Bolland, Marilyn Lakdawala, Mohamed Yassin

Abstract read
In one paragraph

Article in American journal of infection control, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Mathea SchaferUniversity of Pittsburgh Medical Center Mercy Hospital, Infection Prevention, Surgery and Anesthesia Departments, Pittsburgh, PA; University of Pittsburgh School of Public Health, Infectious Diseases, Microbiology, Behavioral and Community Health Sciences Departments, Pittsburgh, PA.
Heather DixonUniversity of Pittsburgh Medical Center Mercy Hospital, Infection Prevention, Surgery and Anesthesia Departments, Pittsburgh, PA.
Katie PalladinoUniversity of Pittsburgh Medical Center Mercy Hospital, Infection Prevention, Surgery and Anesthesia Departments, Pittsburgh, PA.
Sara BaumannUniversity of Pittsburgh School of Public Health, Infectious Diseases, Microbiology, Behavioral and Community Health Sciences Departments, Pittsburgh, PA.
Jeremy MartinsonUniversity of Pittsburgh School of Public Health, Infectious Diseases, Microbiology, Behavioral and Community Health Sciences Departments, Pittsburgh, PA.
Monica BollandUniversity of Pittsburgh Medical Center Mercy Hospital, Infection Prevention, Surgery and Anesthesia Departments, Pittsburgh, PA; University of Pittsburgh School of Medicine, Anesthesiology and Perioperative Medicine Department and Division of Infectious Disease, Pittsburgh, PA.
Marilyn LakdawalaUniversity of Pittsburgh Medical Center Mercy Hospital, Infection Prevention, Surgery and Anesthesia Departments, Pittsburgh, PA.
Mohamed YassinUniversity of Pittsburgh Medical Center Mercy Hospital, Infection Prevention, Surgery and Anesthesia Departments, Pittsburgh, PA; University of Pittsburgh School of Public Health, Infectious Diseases, Microbiology, Behavioral and Community Health Sciences Departments, Pittsburgh, PA; University of Pittsburgh School of Medicine, Anesthesiology and Perioperative Medicine Department and Division of Infectious Disease, Pittsburgh, PA. Electronic address: mhy8@pitt.edu.

Funding

Improving Menstrual Health Among Women and Girls Using Community Engaged Intervention Development in NepalK01TW012424 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Sara Elizabeth Baumann · 2023 to 2026
$673k
FIC NIH HHS K01 TW012424
6 · The paper itself

Abstract

backgroundOperating room (OR) traffic disrupts airflow and increases particle count, which predisposes patients to surgical site infections, particularly in longer surgeries with hardware placement. The aim of this study is to evaluate the rate of traffic during neurosurgical procedures, as well as reasons for and perceptions of OR traffic.

methodsThis is a single-center, multimethod study monitoring neurosurgical OR traffic through direct observation, automated monitoring, and interviews. Traffic was observed between the skin incision and closure. Personal interviews with OR teams including surgeons, anesthesia, and nurses were conducted to evaluate their perceptions of the frequency of OR traffic and reasons for OR traffic.

resultsDirect observation reported OR door opening an average of 18 times, with 20 people entering or exiting per hour. The exact reason for traffic was not verified in all traffic cases and was able to be confirmed in only a third of the cases. Automated monitoring resulted in an average of 31 people entering or exiting the OR per hour. The procedure length was significantly associated with the number of people entering or exiting the OR per hour (P < .0001). Interviews highlighted that OR teams reported traffic to be significantly lower than observed and automated monitoring results, with approximately <6 people entering or exiting per hour.

conclusionsOR traffic is higher than staff expected, and updated processes are required to reduce the number of times the OR door opens. Implementing automated observation of OR traffic could reduce the OR traffic and the risk for surgical site infection.

Indexed as

Neurosurgical ProceduresOperating RoomsHumansSurgical Wound InfectionAutomated monitoringOR trafficSurgical site infection (SSI)

Identifiers

PMID38281684
PMCPMC11223673

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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.