Bibliografie tematiche / Operating Room Management

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Letteratura scientifica selezionata sul tema "Operating Room Management"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 25 maggio 2024

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Articoli di riviste sul tema "Operating Room Management"

Ann Kapur, Patricia. "Operating Room Management". Anesthesiology 90, n. 3 (1 marzo 1999): 933–34. http://dx.doi.org/10.1097/00000542-199903000-00057.

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Dexter, Franklin, e James C. Eisenach. "Operating Room Management." Anesthesiology 93, n. 1 (1 luglio 2000): 312–13. http://dx.doi.org/10.1097/00000542-200007000-00069.

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Allo, Maria D., e Maureen Tedesco. "Operating Room Management: Operative Suite Considerations, Infection Control". Surgical Clinics of North America 85, n. 6 (dicembre 2005): 1291–97. http://dx.doi.org/10.1016/j.suc.2005.09.001.

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Muñoz Alameda, L. E., e A. Macario. "Advances in operating room management. The role of operating room director". Revista Española de Anestesiología y Reanimación (English Edition) 64, n. 3 (marzo 2017): 121–24. http://dx.doi.org/10.1016/j.redare.2017.01.005.

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Berry, Maresi, Thomas Berry-Stölzle e Alexander Schleppers. "Operating room management and operating room productivity: the case of Germany". Health Care Management Science 11, n. 3 (16 gennaio 2008): 228–39. http://dx.doi.org/10.1007/s10729-007-9042-7.

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Chakraborty, Indranil. "Operating Room Leadership and Management". Anesthesiology 120, n. 3 (1 marzo 2014): 783–84. http://dx.doi.org/10.1097/aln.0000000000000114.

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LEE, MARCIA G. "Operating Room Management in '88". Nursing Management (Springhouse) 19, n. 9 (settembre 1988): 64L. http://dx.doi.org/10.1097/00006247-198809000-00020.

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Macario, Alex. "Implementing operating room management science". European Journal of Anaesthesiology 31, n. 7 (luglio 2014): 355–60. http://dx.doi.org/10.1097/eja.0000000000000026.

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Glenn, D. M., e Alex Macario. "MANAGEMENT OF THE OPERATING ROOM". Anesthesiology Clinics of North America 17, n. 2 (giugno 1999): 365–94. http://dx.doi.org/10.1016/s0889-8537(05)70102-4.

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Showan, Ann M., e Sean K. Kennedy. "Management of the operating room". Seminars in Anesthesia, Perioperative Medicine and Pain 18, n. 2 (giugno 1999): 117–24. http://dx.doi.org/10.1016/s0277-0326(99)80043-9.

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Tesi sul tema "Operating Room Management"

Eakin, Sherri. "Operating room nurses and surgical technologists perceptions of job satisfaction in the operating room environment". Thesis, University of Phoenix, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10024192.

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The predicted future operating room nurse and surgical technologist shortages may have significant implications for the healthcare industry. Improving the job satisfaction of operating room personnel could promote retention and provide adequate staffing in operating rooms. The job satisfaction of operating room nurses and surgical technologists can result in positive or negative work environments. The purpose of the qualitative phenomenological study was to explore the perceptions of job satisfaction of operating room nurses and surgical technologists to discover how job satisfaction influences the intent to leave or remain in the work environment of the operating room. A purposive selection was made of 12 registered nurses and 12 surgical technologists who had varying degrees of experience in the healthcare field, and were working part time or full time in the operating room of a pediatric medical center in North, Texas. Interviews were audio-recorded and the seven steps were used from Moustakas van Kaam analysis to reveal themes and patterns from the research data. Six themes emerged from the research study that included teamwork, recognition from surgeon, working with pediatric patients and their families, staff appreciation, work environment, and executive leadership. Based on the findings, further research is needed to ascertain strategies that would improve operating room registered nurses and surgical technologists’ job satisfaction and retention.

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Ben-Zvi, Noa. "(OR)² : operations research applied to operating room supply chain". Thesis, Massachusetts Institute of Technology, 2014. http://hdl.handle.net/1721.1/91096.

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Thesis: S.M., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2014. In conjunction with the Leaders for Global Operations Program at MIT.
Thesis: M.B.A., Massachusetts Institute of Technology, Sloan School of Management, 2014. In conjunction with the Leaders for Global Operations Program at MIT.
Cataloged from PDF version of thesis.
Includes bibliographical references (page 63).
Massachusetts General Hospital (MGH) is ranked as the top hospital in New England and second nation-wide. It is also the largest hospital in New England; it uses an average of 58 operating rooms, where approximately 150 surgical procedures are performed daily. Management of surgical supplies is a critical component of the processes supporting this infrastructure. Specifically, ensuring the right equipment and supplies are available at the right time is critical for the efficiency and quality outcomes of each of the procedures. The materials management group handles over 10,000 unique items, purchased from more than 400 vendors. The majority (60-70%) of disposable supplies are ordered through Owens & Minor, a medical and surgical supplies distributor. The supplies are stored in multiple locations throughout the hospital, including two central locations as well as carts and cabinets on the surgical floors and in the operating rooms. The work described in this thesis focuses on the inventory management of disposable surgical supplies, where the current system design has inefficiencies in the inventory levels and location of items. Using a data-driven approach, based on historical demand, we calculate base stock levels by item that maintain three days of inventory at a 99 percent service level. In addition, we suggest a methodology to support decisions on inventory locations of the different items. Implementation of the recommended changes is estimated to result in savings of 30-40% in inventory levels (and space), corresponding to a one time saving of $700,000-$900,000, depending on the implementation scenario. In addition, the reduction in inventory levels can be translated to future savings in inventory holding costs at an estimated 40% rate, leading to a saving of roughly $300,000 annually.
by Noa Ben-Zvi.
S.M.
M.B.A.

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Neveling, Christoffel Hermanus. "Battlefords Union Hospital operating room suite efficiency review". Thesis, Stellenbosch : University of Stellenbosch, 2007. http://hdl.handle.net/10019.1/883.

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Thesis (MBA (Business Management))--University of Stellenbosch, 2007.
ENGLISH ABSTRACT: Given the increase in the cost of health care, economic considerations have drawn more and more interest over the last decade. Facilities are faced with the challenge to reduce costs while maintaining productivity. The Operating Room (OR) represents a significant opportunity to reduce expenses and improve efficiency. With the development of ambulatory or day surgery, minimally invasive procedures and the decline in admissions to hospitals the management of the OR suite needs re-evaluation. The Battlefords Union Hospital has a four room OR suite that performs a mixture of both inhospital and day surgeries. The current OR suite efficiency is determined by its adherence to the annual budget. A literature study was conducted with the focus on OR efficiency and in particular Patient Outcome and OR Management. Other issues included Perioperative Information systems and OR design. A survey was conducted in the OR suite and responses obtained from OR staff were evaluated. The survey included questions on patient experiences, procedural times, case scheduling, support, communication, quality measures and OR efficiency. The goals of this project was not to do an extensive statistical analysis of OR data. A limited study of OR suite data was presented to highlight relevant OR efficiency indicators. A summary of the findings and recommendations for improvement of the Battlefords Union Hospital OR suite’s efficiency, concludes the report.
AFIKAANSE OPSOMMING: Na aanleiding van die verhoging in koste van gesondheidsorg die laaste dekade, is ekonomiese aspekte meer op die voorgrond. Inrigtings word deur uitdagings in die gesig gestaar om kostes te verminder, terwyl produktiwiteit gehandhaaf moet word. Die operasie suite bied ‘n aansienlike geleentheid om kostes te verminder en effektiwiteit te verhoog. Met die ontwikkeling van dagchirurgie, “minimal invasive” prosedures en die afname in hospitaal opnames, behoort die bestuur van operasie suites herevalueer te word. Die Battlefords Union Hospitaal het ‘n vier teater operasie suite waar ‘n verskeidenheid van dagchirurgie en in-hospitaal prosedures uitgevoer word. Die operasie suite se effektiwiteit word huidiglik slegs gemeet aan die mate van hoe dit binne die jaarlikse begroting bly. ‘n Literatuurstudie is uitgevoer met die fokus op operasie suite effektiwiteit, met die klem op pasient uitkoms en operasie suite bestuur. Ander items wat ook ondersoek is, sluit in perioperatiewe informasie stelsels en teater ontwerp. ‘n Empiriese studie, gebaseer op ‘n vraelys, is uitgevoer onder die staflede van die operasie suite by die Battlefords Union Hopitaal. Die vraelys het vrae ingesluit oor pasient ervarings, prosedure tye, geval skedulering, kommunikasie, kwaliteitsversekering en operasie suite effektiwiteit. Die doel van die projek was nie om ‘n uitgebreide statistiese analise van die operasie suite data te doen nie. 'n Beperkte studie van die beskikbare data is gedoen en relevante effektiwiteits indikators is uitgewys. Die verslag word afgeëindig deur bevindinge, gevolgtrekkings en aanbevelings oor hoe die Battlefords Union Hospitaal die operasie suite se effektiwiteit moontlik kan verhoog.

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Tanaka, Masayuki. "Development of efficiency indicators of operating room management for multi-institutional comparisons". 京都大学 (Kyoto University), 2013. http://hdl.handle.net/2433/175184.

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Jay, Rita A. "Relationship of organizational work climate to nurse turnover in operating room settings". Thesis, Capella University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3724927.

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Organizational work climates in healthcare organizations were described in the literature using a social framework of structured interactions, defined roles, and behavioral responses between team members of physicians and nurses. It was hypothesized that the characteristics of physician-nurse collaboration, physician dominance, and nurse autonomy in socially complex work settings have relationships to turnover intent in nurses who work in operating room settings. In an era of nursing shortages the challenge of nurse retention and the evidence of challenging work climate become even more critical for healthcare organizations. This research study examined a gap in knowledge regarding the extent to which aspects of organizational work climate predict nurse turnover in operating room work settings. A quantitative correlational study using three work climate characteristics of physician-nurse collaboration, physician dominance, and nurse autonomy was conducted using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (Hojat & Herman, 1985, Developing an Instrument to Measure Attitudes toward Nurses: Preliminary Psychometric Findings) and the Anticipated Turnover Scale (Hinshaw & Atwood, 1983, Nursing Staff Turnover, Stress, and Satisfaction: Models, Measures, and Management). Responses from 322 Operating Room staff nurses who were members of a national professional nursing organization were examined in the analyses. The study concluded that the independent variables of collaboration, dominance, and autonomy were not significant in predicting turnover among nurses in the operating room setting.

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Sham, Gregory C. (Gregory Chi-Keung). "Developing a data-driven approach for improving operating room scheduling processes". Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/73397.

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Thesis (M.B.A.)--Massachusetts Institute of Technology, Sloan School of Management; and, (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division; in conjunction with the Leaders for Global Operations Program at MIT, 2012.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 52).
In the current healthcare environment, the cost of delivering patient care is an important concern for hospitals. As a result, healthcare organizations are being driven to maximize their existing resources, both in terms of infrastructure and human capital. Using a data-driven approach with analytical techniques from operations management can contribute towards this goal. More specifically, this thesis shows, drawing from a recent project at Beth Israel Deaconess Medical Center (BIDMC), that predictive modeling can be applied to operating room (OR) scheduling in order to effectively increase capacity. By examining the current usage of the existing block schedule system at BIDMC and developing a linear regression model, OR time that is expected to go unused can be instead identified in advance and freed for use. Sample model results show that it is expected to be operationally effective by capturing a large enough portion of OR time for a pooled set of blocks to be useful for advanced scheduling purposes. This analytically determined free time represents an improvement in how the current block system is employed, especially in terms of the nominal block release time. This thesis makes the argument that such a model can integrate into a scheduling system with more efficient and flexible processes, ultimately resulting in more effective usage of existing resources.
by Gregory C. Sham.
S.M.
M.B.A.

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Vasoya, Miteshkumar Mahendrabhai. "Improve Operating Room Utilization through Distributed Scheduling Workflow and Automation". Wright State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=wright155917866666766.

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Dang, Feidi. "AN EFFICIENT HEURISTIC TO BALANCE TRADE-OFFS BETWEEN UTILIZATION AND PATIENT FLOWTIME IN OPERATING ROOM MANAGEMENT". UKnowledge, 2017. https://uknowledge.uky.edu/me_etds/103.

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Balancing trade-offs between production cost and holding cost is critical for production and operations management. Utilization of an operating room affects production cost, which relates to makespan, and patient flowtime affects holding cost. There are trade-offs between two objectives, to minimize makespan and to minimize flowtime. However, most existing constructive heuristics focus only on single-objective optimization. In the current literature, NEH is the best constructive heuristic to minimize makespan, and LR heuristic is the best to minimize flowtime. In this thesis, we propose a current and future deviation (CFD) heuristic to balance trade-offs between makespan and flowtime minimizations. Based on 5400 randomly generated instances and 120 instances in Taillard’s benchmarks, our CFD heuristic outperforms NEH and LR heuristics on trade-off balancing, and achieves the most stable performances from the perspective of statistical process control.

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Escat, Alexandre. "Conception and development of a preliminary analysis of the operating room performance". Thesis, KTH, Skolan för kemi, bioteknologi och hälsa (CBH), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-228016.

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Operating room performance is becoming more and more important for the hospital’s finance and the patient’s well-being. Thus, hospitals need to develop dashboards that can assess the actual performance of its core service, to be able to decide how to improve it. The point of this thesis is to build a common audit tool which can be used in regular hospitals. To build so, a literature review has been made, gathering all the relevant organizational and performance indicators. Since only a few of them need to be selected, a group of experts has been gathered via the Delphi method to decide which indicators to keep and which ones to reject, for the implementation in the tool. Out of forty-two indicators found in the literature, only fifteen will be considered and implemented into graphs. These graphs will form the preliminary audit from which hospital and consultants can base their performance assessment of the operating room, by pinpointing what their analysis should focus on. This tool has been tested in a real hospital to identify a few improvements that the tool requires and the few technical mistakes the tool possessed. The tool can save time for the consultants and for the hospital. Saving time in the healthcare sector ultimately means having more time for the patients, which, in the end, enhances their experience and well-being. It allows some flexibility as well and can be adapted even more to the needs of the studied hospitals. Moreover, compared to simple dashboards, this tool will give more useful indicators and help hospital’s management to take some decisions and reconsider others - again, for the best outcome for the patients
Operationssalens prestation blir mer och mer viktig för sjukhusets ekonomi och patienternas välmående. Därför behöver sjukhusen utveckla instrumentbrädor som kan utvärdera hur denna huvudtjänst presterar, för att sedan kunna bestämma hur man bäst förbättrar den. För att skapa ett sådant hjälpmedel har en litteraturöversikt gjorts för att samla alla relevanta indikatorer från organisationen och dess prestationer. Eftersom endast en bråkdel av dessa behövs så har en grupp med experter sållats ut genom Delphi-metoden; denna bestämde vilka indikatorer som borde behållas respektive avslås, för implementering i hjälpmedlet. Av fyrtiotvå indikatorer kommer endast femton att övervägas och implementeras i grafer. Dessa grafer kommer att skapa den preliminära revision från vilken sjukhus och konsulter kan basera sin prestationsutvärdering av operationssalarna; hjälpmedlet sätter fingret på vad analysen bör fokusera på. Detta hjälpmedel har prövats i ett riktigt sjukhus för att identifiera ett fåtal nödvändiga förbättringar, samt de få tekniska problem som hjälpmedlet hade. Detta hjälpmedel kan spara tid för sjukhus och konsulter. Visserligen skulle man kunna skapa en egen instrumentbräda, noga anpassad till det studerade sjukhuset, men då lär hjälpmedlet inte kunna användas i andra kontexter; man kan också använda ett mer komplext men detaljerat hjälpmedel, men detta kräver mer tid för att förstå hur den bör användas. I sjukvården innebär sparad tid att mer tid kan läggas på patienterna, vilket i slutändan förbättrar deras upplevelser och välmående. Dessutom kommer detta hjälpmedel, i jämförelse med enkla instrumentbrädor, att bidra med mer användbara indikatorer och hjälpa sjukhusets ledning att ta somliga beslut och omvärdera andra – än en gång för patienternas bästa.

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Radulovic, Igor, e Timmie Abrahamsson. "The Impact Of Optimized Scheduling Within The Swedish Operating Theatre". Thesis, Blekinge Tekniska Högskola, Institutionen för industriell ekonomi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-18265.

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Improved utilization of scarce resources such as health care personnel is necessary to address well-known problem of long waiting times within the health care. Implementing mathematically modeled scheduling in the operating theatre has the potential to result in more efficient allocation of resources and financial gains. Despite the promising results, the adoption rate of such models is low. This thesis examines the impact of a mixed-integer linear programming model using an overlapping strategy. We perform a computational experiment where both sequential and parallel schedules are produced with real surgery data from an orthopedic department at a Swedish university hospital. The generated schedules are compared against each other in measurements of cost productivity. Statistical analysis shows that there is a statistical significant difference between the two schedules, favoring the optimized schedule. The results further suggest that three operating rooms and four surgery teams is the most optimal combination of the 18 combinations analyzed, where operating rooms and surgery teams varies between 1-4 and 1-6, respectively.

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Libri sul tema "Operating Room Management"

P, Harris Andrew, e Zitzmann William G, a cura di. Operating room management: Structure, strategies & economics. St. Louis: Mosby, 1998.

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A, Malangoni Mark, a cura di. Critical issues in operating room management. Philadelphia: Lippincott-Raven, 1997.

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Kaye, Alan, Charles Fox e Richard Urman, a cura di. Operating Room Leadership and Management. Cambridge: Cambridge University Press, 2012. http://dx.doi.org/10.1017/cbo9781139084277.

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Operating room leadership and management. Cambridge: Cambridge University Press, 2012.

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Cynthia, Spry, a cura di. The Manual of operating room management: An administrative and patient care resource. Rockville, Md: Aspen Publishers, 1990.

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Brunt, Barbara A. Evidence-based competency management for the operating room. 2^a ed. Marblehead, MA: HCPro, 2008.

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Brunt, Barbara A. Evidence-based competency management for the operating room. 2^a ed. Marblehead, MA: HCPro, 2008.

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Brunt, Barbara A. Evidence-based competency management for the operating room. 2^a ed. Marblehead, MA: HCPro, 2008.

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Evidence-based competency management for the operating room. 2^a ed. Marblehead, MA: HCPro, 2008.

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International, AVSC. Emergency management for the operating and recovery rooms: Reference manual. New York, NY: AVSC International, 2000.

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Capitoli di libri sul tema "Operating Room Management"

DeChancie, Sean M., e Mark E. Hudson. "Operating Room Management". In Basic Clinical Anesthesia, 667–70. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-1737-2_56.

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Forsberg, Daniel. "Trauma Operating Room Management". In Encyclopedia of Trauma Care, 1652–53. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-29613-0_359.

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Mueller, Kyle, Daniel Felbaum, Randy Bell e Rocco Armonda. "The Hybrid Operating Room". In Management of Cerebrovascular Disorders, 47–56. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99016-3_4.

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Chang, Leon. "Operating Room Management Case Scenarios". In Clinical Anesthesiology, 369–79. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8696-1_44.

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de Lanzac, Kraig S., e Joseph R. Koveleskie. "Burns in the Operating Room". In Catastrophic Perioperative Complications and Management, 177–95. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-96125-5_13.

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Demeulemeester, Erik, Jeroen Beliën, Brecht Cardoen e Michael Samudra. "Operating Room Planning and Scheduling". In Handbook of Healthcare Operations Management, 121–52. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-5885-2_5.

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Scheinker, David, e Margaret L. Brandeau. "Analytical Approaches to Operating Room Management". In Springer Proceedings in Mathematics & Statistics, 17–26. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-66146-9_2.

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Larson, C. Philip, e Richard A. Jaffe. "An Incendiary Issue: Avoiding Operating Room Fires". In Practical Anesthetic Management, 129–37. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-42866-6_16.

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Rice, L. J. "Pediatric Sedation Challenges Outside the Operating Room". In Pain Management and Anesthesiology, 205–16. Dordrecht: Springer Netherlands, 1998. http://dx.doi.org/10.1007/978-94-011-5145-0_18.

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Perger, P., M. Buccioli, V. Agnoletti, E. Padovani e G. Gambale. "Operating Room Efficiency Improving through Data Management". In IFMBE Proceedings, 1310–13. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-00846-2_324.

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Atti di convegni sul tema "Operating Room Management"

Saleh, Bilal Bou, Abdallah El Moudni, Mohammad Hajjar, Oussama Barakat e Ghazi Bou Saleh. "Towards an Integral Operating Room Management System". In 2018 5th International Conference on Control, Decision and Information Technologies (CoDIT). IEEE, 2018. http://dx.doi.org/10.1109/codit.2018.8394877.

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Andam, Arian, e Hossein Hashemi Doulabi. "Operating room planning with multiple downstream units". In 2021 IEEE International Conference on Prognostics and Health Management (ICPHM). IEEE, 2021. http://dx.doi.org/10.1109/icphm51084.2021.9486631.

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Linlin, Li, Zhang Yanqiu, Zhao Feng e Su Zhen Bo. "Analysis of Problems and Solutions in Integrated Management of Operating Room Supply Room". In 2019 11th International Conference on Measuring Technology and Mechatronics Automation (ICMTMA). IEEE, 2019. http://dx.doi.org/10.1109/icmtma.2019.00097.

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Stanciu, Alia, Luis Vargas e Jerrold May. "A revenue management approach for managing operating room capacity". In 2010 Winter Simulation Conference - (WSC 2010). IEEE, 2010. http://dx.doi.org/10.1109/wsc.2010.5678940.

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Burattini, Samuele, Sara Montagna, Angelo Croatti, Nicola Gentili, Alessandro Ricci, Laura Leonardi, Serafino Pandolfini e Sofia Tosi. "An Ecosystem of Digital Twins for Operating Room Management". In 2023 IEEE 36th International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2023. http://dx.doi.org/10.1109/cbms58004.2023.00317.

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Lin, Qinglian, Long Liu, Duojin Wang e Yan Li. "Process optimization for operating room base on pro-model". In 2015 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM). IEEE, 2015. http://dx.doi.org/10.1109/ieem.2015.7385864.

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Yang, Dandan. "Research on Problems of Hospital Infections after Operation and Nursing Management in Operating Room". In 2016 2nd International Conference on Education, Social Science, Management and Sports (ICESSMS 2016). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/icessms-16.2017.33.

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"Study on the Operating Room Occupational Safety and Radiation Protection Management". In 2018 International Conference on Social Sciences, Education and Management. Francis Academic Press, 2018. http://dx.doi.org/10.25236/socsem.2018.78.

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Xueying, Zhou, Zhao Jing, Cheng Changxia e Su Zhenbo. "Research on the Digital Teaching Management System in the Operating Room". In 2018 International Conference on Engineering Simulation and Intelligent Control (ESAIC). IEEE, 2018. http://dx.doi.org/10.1109/esaic.2018.00101.

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"Study on the Operating Room Occupational Safety and Radiation Protection Management". In 2019 International Conference on Advanced Education, Service and Management. The Academy of Engineering and Education (AEE), 2019. http://dx.doi.org/10.35532/jsss.v3.056.

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Rapporti di organizzazioni sul tema "Operating Room Management"

Nikkola, Rachael J. Prevalence of Visible and Occult Blood on Airway Management Equipment Used Outside the Operating Room. Fort Belvoir, VA: Defense Technical Information Center, settembre 1999. http://dx.doi.org/10.21236/ad1012163.

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Trubac, Kathryn, Randall Reynolds, Timothy Cooke, Caylin Hartshorn, Douglas Punt, Christopher Donnelly e Caitlin Callaghan,. Cold regions vehicle start : next-generation lithium-ion battery technologies for Stryker vehicles. Engineer Research and Development Center (U.S.), novembre 2022. http://dx.doi.org/10.21079/11681/45921.

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Operating vehicles in extremely cold environments is a significant problem for not only the public but also the military. The Department of Defense has encountered issues when trying to reliably cold start large, heavy-duty military vehicles, specifically the M1126 Stryker Combat Vehicle, in cold regions. As noted in previous work, the issue stems from the current battery technology’s limited temperature range. This current project utilized the protocol established in the previous phase to evaluate next-generation lithium-ion battery technologies for use in cold regions. Selected battery technologies met necessary military specifications for use in large military combat vehicles and were evaluated using a mechanical load system developed in previous work to simulate the starting of a Stryker engine. This work also evaluated the performance of the existing battery technology of a Stryker under Alaskan winter temperatures, which will verify the accuracy of the simulated cold room testing on the mechanical load system. The results of the tests showed that while the system was able to reliably operate down to −20°C, the battery management system encountered challenges at the lower end of the temperature range. This technology has a potential to reliably support cold regions operations but needs further evaluation.

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Greaney, Carrie, e Peter Bullemer. PR-624-173901-WEB Human Factors Risk of Pipeline Damage. Chantilly, Virginia: Pipeline Research Council International, Inc. (PRCI), marzo 2019. http://dx.doi.org/10.55274/r0011563.

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Thursday, April 11, 2019 PRESENTER: Peter Bullemer, Human Centered Solutions MODERATOR: Carrie Greaney, PRCI CLICK THE DOWNLOAD/BUY BUTTON TO ACCESS THE WEBINAR REGISTRATION LINK Webinar Description: The overall purpose of this project was to extend our understanding of the impact of human and organizational factors (HOF) on pipeline process safety incidents. Six pipeline incident reports were systematically analyzed using a two-phased approach developed in the Abnormal Situation Management (ASM�) Consortium research program. The first phase of the incident analysis approach used the TapRoot methodology to chart the event sequence, identify contributing factors, including organizational practice failures, and identifying root causes of the organizational practice failures. The second phase of the analysis characterized the organizational failures as Common Failure Modes based on the HCS Effective Operations Practices and the specific expression of the root causes in terms of Common Root Cause Manifestations based on the Dirty Dozen human factors taxonomy. The Dirty Dozen taxonomy of human factors was found to have the potential to provide a tractable root cause framework for human and organizational factors. Specific limitations of the Dirty Dozen taxonomy as a HOF framework are discussed. Learning Outcomes: � Understand the potential impact of human and organizational factors on pipeline process safety incidents. � Understand the potential applicability of a human factors classification framework, the Dirty Dozen, developed in the aviation maintenance industry to the pipeline industry. Expected Benefits: � Increased awareness of the potential role and impact of human and organizational factors within the pipeline industry � Catalyst for ideas on how to improve the incident reporting system within your organization to better characterize the impact of human and organizational factors. Target Audience: � Risk engineers � Pipeline design engineers � Pipeline construction, operations and maintenance management and personnel Related report: PR-624-173901-R01 Human Organizational Factors in Pipeline Incidents

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Alsanea, Hamad, Athary Saleem, Fahad Alhamadi e Mohammed Asad. Iatrogenic Abdominal Firm Lump: A Case Report of a Retained Surgical Item Detected 8 Years Post-Abdominoplasty. Science Repository, marzo 2024. http://dx.doi.org/10.31487/j.crss.2024.01.01.

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Introduction and Importance: Retained surgical body (RSB) is unusual life-threatening condition occurred postoperatively. Despite its rarity, multiple protective and management policies were documented by policymakers. Case Presentation: A 62-year-old female patient presented with a few months’ history of abdominal mass. She presented to our hospital 8 years post-abdominoplasty that was performed in a private sector. The underlying cause of the abdominal mass was identified by abdominal and pelvic computed tomography (CT) with IV contrast as a surgically retained foreign tubular object. Then, the decision was made to proceed with an open surgical technique to remove the RSB, which was defined as a missed drain tube. The postoperative period was uneventful. Clinical Discussion: Post-operative RSB, as a retained drain fragment, is a surgical challenge that necessitates standardization of error reporting strategies, awareness enhancement, and improvement of professional communication between surgical teams in the operation room. Conclusion: This case highlights the serious consequences of RSB and the radiologic tools in foreign materials identification. We report the case of a 62-year-old female patient with a long-standing history of abdominal mass, found to be caused by an unintentionally retained drain tube missed 8 years post-abdominoplasty.

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Bullemer, Peter, e Dal Vernon Reising. PR-624-173901-R01 Human Organizational Factors in Pipeline Incidents. Chantilly, Virginia: Pipeline Research Council International, Inc. (PRCI), febbraio 2019. http://dx.doi.org/10.55274/r0011559.

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The overall purpose of this project was to extend our understanding of the impact of human and organizational factors (HOF) on pipeline process safety incidents. Six pipeline incident reports were systematically analyzed using a two-phased approach developed in the Abnormal Situation Management (ASM�) Consortium research program [1]. The first phase of the incident analysis approach used the TapRoot methodology [2] to chart the event sequence, identify contributing factors including organizational practice failures, and identifying root causes of the organizational practice failures. The second phase of the analysis characterized the organizational failures as Common Failure Modes based on the HCS Effective Operations Practices and the specific expression of the root causes in terms of Common Root Cause Manifestations based on the Dirty Dozen human factors taxonomy [3]. The Dirty Dozen taxonomy of human factors was found to have the potential to provide a tractable root cause framework for human and organizational factors. Specific limitations of the Dirty Dozen taxonomy as a HOF framework are discussed. This report has a related webinar.

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Ke, Jian-yu, Fynnwin Prager, Jose Martinez e Chris Cagle. Achieving Excellence for California’s Freight System: Developing Competitiveness and Performance Metrics; Incorporating Sustainability, Resilience, and Workforce Development. Mineta Transportation Institute, dicembre 2021. http://dx.doi.org/10.31979/mti.2021.2023.

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This study explores the question of whether California's freight system is staying competitive with other US regions. A novel analytical framework compares supply chain performance metrics across multiple US states and regions for seaports, airports, highways, freight rail service, and distribution centers by combining the Performance Evaluation Matrix (PEM), Competitive Position Matrix (CPM), and Business Process Management (BPM) approaches. Analysis of industry data and responses from structured interviews with 30 freight industry experts across 5 transportation sectors suggests that California's freight system is competitive for seaports, airports, and freight rail; however, highways and distribution centers have room for improvement with respect to travel time reliability and operation costs, and California should prioritize infrastructure investments here. To stay competitive with the Texas and North East regions, state investments could also expand seaport container terminals and air cargo handling facilities, improve intermodal port connections and management of flows of chassis, container trucks, empty containers to ameliorate cargo backlogs and congestion on highways, at the ports, and at warehouses. The state could also invest in inland ports, transporting goods by rail directly from seaports to the Inland Empire or Central Valley.

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Phillips, Paul. The Adoption of Digital Twins in Integrated Vehicle Health Management. 400 Commonwealth Drive, Warrendale, PA, United States: SAE International, ottobre 2023. http://dx.doi.org/10.4271/epr2023024.

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<div class="section abstract"><div class="htmlview paragraph">To many, a digital twin offers “functionality,” or the ability to virtually rerun events that have happened on the real system and the ability to simulate future performance. However, this requires models based on the physics of the system to be built into the digital twin, links to data from sensors on the real live system, and sophisticated algorithms incorporating artificial intelligence (AI) and machine learning (ML). All of this can be used for integrated vehicle health management (IVHM) decisions, such as determining future failure, root cause analysis, and optimized energy performance. All of these can be used to make decisions to optimize the operation of an aircraft—these may even extend into safety-based decisions.</div><div class="htmlview paragraph"><b>The Adoption of Digital Twins in Integrated Vehicle Health Management</b>, however, still has a range of unsettled topics that cover technological reliability, data security and ownership, user presentation and interfaces, as well as certification of the digital twin’s system mechanics (i.e., AI, ML) for use in safety-critical applications.</div><div class="htmlview paragraph"><a href="https://www.sae.org/publications/edge-research-reports" target="_blank">Click here to access the full SAE EDGE</a><sup>TM</sup><a href="https://www.sae.org/publications/edge-research-reports" target="_blank"> Research Report portfolio.</a></div></div>

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Davies, Will. Improving the engagement of UK armed forces overseas. Royal Institute of International Affairs, gennaio 2022. http://dx.doi.org/10.55317/9781784135010.

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The UK government’s Integrated Review of security, defence, development and foreign policy, published in March 2021 alongside a supporting defence command paper, set a new course for UK national security and highlighted opportunities for an innovative approach to international engagement activity. The Integrated Review focused principally on the state threats posed by China’s increasing power and by competitors – including Russia – armed with nuclear, conventional and hybrid capabilities. It also stressed the continuing risks to global security and resilience due to conflict and instability in weakened and failed states. These threats have the potential to increase poverty and inequality, violent extremism, climate degradation and the forced displacement of people, while presenting authoritarian competitors with opportunities to enhance their geopolitical influence. There are moral, security and economic motives to foster durable peace in conflict-prone and weakened regions through a peacebuilding approach that promotes good governance, addresses the root causes of conflict and prevents violence, while denying opportunities to state competitors. The recent withdrawal from Afghanistan serves to emphasize the complexities and potential pitfalls associated with intervention operations in complex, unstable regions. Success in the future will require the full, sustained and coordinated integration of national, allied and regional levers of power underpinned by a sophisticated understanding of the operating environment. The UK armed forces, with their considerable resources and global network, will contribute to this effort through ‘persistent engagement’. This is a new approach to overseas operations below the threshold of conflict, designed as a pre-emptive complement to warfighting. To achieve this, the UK Ministry of Defence (MOD) must develop a capability that can operate effectively in weak, unstable and complex regions prone to violent conflict and crises, not least in the regions on the eastern and southern flanks of the Euro-Atlantic area. The first step must be the development of a cohort of military personnel with enhanced, tailored levels of knowledge, skills and experience. Engagement roles must be filled by operators with specialist knowledge, skills and experience forged beyond the mainstream discipline of combat and warfighting. Only then will individuals develop a genuinely sophisticated understanding of complex, politically driven and sensitive operating environments and be able to infuse the design and delivery of international activities with practical wisdom and insight. Engagement personnel need to be equipped with: An inherent understanding of the human and political dimensions of conflict, the underlying drivers such as inequality and scarcity, and the exacerbating factors such as climate change and migration; - A grounding in social sciences and conflict modelling in order to understand complex human terrain; - Regional expertise enabled by language skills, cultural intelligence and human networks; - Familiarity with a diverse range of partners, allies and local actors and their approaches; - Expertise in building partner capacity and applying defence capabilities to deliver stability and peace; - A grasp of emerging artificial intelligence technology as a tool to understand human terrain; - Reach and insight developed through ‘knowledge networks’ of external experts in academia, think-tanks and NGOs. Successful change will be dependent on strong and overt advocacy by the MOD’s senior leadership and a revised set of personnel policies and procedures for this cohort’s selection, education, training, career management, incentivization, sustainability and support.

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Seginer, Ido, Louis D. Albright e Robert W. Langhans. On-line Fault Detection and Diagnosis for Greenhouse Environmental Control. United States Department of Agriculture, febbraio 2001. http://dx.doi.org/10.32747/2001.7575271.bard.

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Background Early detection and identification of faulty greenhouse operation is essential, if losses are to be minimized by taking immediate corrective actions. Automatic detection and identification would also free the greenhouse manager to tend to his other business. Original objectives The general objective was to develop a method, or methods, for the detection, identification and accommodation of faults in the greenhouse. More specific objectives were as follows: 1. Develop accurate systems models, which will enable the detection of small deviations from normal behavior (of sensors, control, structure and crop). 2. Using these models, develop algorithms for an early detection of deviations from the normal. 3. Develop identifying procedures for the most important faults. 4. Develop accommodation procedures while awaiting a repair. The Technion team focused on the shoot environment and the Cornell University team focused on the root environment. Achievements Models: Accurate models were developed for both shoot and root environment in the greenhouse, utilizing neural networks, sometimes combined with robust physical models (hybrid models). Suitable adaptation methods were also successfully developed. The accuracy was sufficient to allow detection of frequently occurring sensor and equipment faults from common measurements. A large data base, covering a wide range of weather conditions, is required for best results. This data base can be created from in-situ routine measurements. Detection and isolation: A robust detection and isolation (formerly referred to as 'identification') method has been developed, which is capable of separating the effect of faults from model inaccuracies and disturbance effects. Sensor and equipment faults: Good detection capabilities have been demonstrated for sensor and equipment failures in both the shoot and root environment. Water stress detection: An excitation method of the shoot environment has been developed, which successfully detected water stress, as soon as the transpiration rate dropped from its normal level. Due to unavailability of suitable monitoring equipment for the root environment, crop faults could not be detected from measurements in the root zone. Dust: The effect of screen clogging by dust has been quantified. Implications Sensor and equipment fault detection and isolation is at a stage where it could be introduced into well equipped and maintained commercial greenhouses on a trial basis. Detection of crop problems requires further work. Dr. Peleg was primarily responsible for developing and implementing the innovative data analysis tools. The cooperation was particularly enhanced by Dr. Peleg's three summer sabbaticals at the ARS, Northem Plains Agricultural Research Laboratory, in Sidney, Montana. Switching from multi-band to hyperspectral remote sensing technology during the last 2 years of the project was advantageous by expanding the scope of detected plant growth attributes e.g. Yield, Leaf Nitrate, Biomass and Sugar Content of sugar beets. However, it disrupted the continuity of the project which was originally planned on a 2 year crop rotation cycle of sugar beets and multiple crops (com and wheat), as commonly planted in eastern Montana. Consequently, at the end of the second year we submitted a continuation BARD proposal which was turned down for funding. This severely hampered our ability to validate our findings as originally planned in a 4-year crop rotation cycle. Thankfully, BARD consented to our request for a one year extension of the project without additional funding. This enabled us to develop most of the methodology for implementing and running the hyperspectral remote sensing system and develop the new analytical tools for solving the non-repeatability problem and analyzing the huge hyperspectral image cube datasets. However, without validation of these tools over a ful14-year crop rotation cycle this project shall remain essentially unfinished. Should the findings of this report prompt the BARD management to encourage us to resubmit our continuation research proposal, we shall be happy to do so.

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White, Rickie, Carl Nordman, Lindsey Smart, Teresa Leibfreid, Bill Moore, Regan Smyth e Tom Govus. Forest vegetation monitoring protocol for the Cumberland Piedmont Network: Protocol Narrative?Version 2.1. National Park Service, 2024. http://dx.doi.org/10.36967/2302353.

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In 2003, ?vegetation communities? were selected as one of the highest priority vital signs of importance across the Cumberland Piedmont Network (CUPN) parks (Leibfreid et al. 2005). The protocol described in this document will address all aspects of monitoring this vital sign. The primary monitoring goal is to assess status and trends of ecological health for park forest vegetation communities, including key communities of management concern where possible. By assessing status and trends for key metrics, we can obtain a more complete picture of the status of forest vegetation communities in the parks and the trends in ecological health for these communities. For instance, by repeatedly measuring one key metric of plant species composition within the same plots over the years, we can determine how quickly and profoundly invasive plant species are affecting the native vegetation and whether specific species are appearing or disappearing from plots. This information can be critical in helping land managers detect trends before they are visible qualitatively and setup more specific studies to determine the root causes of such trends. This protocol is intended for use by the Cumberland Piedmont Network and was designed to efficiently collect, analyze, and disseminate scientifically credible information to help park managers and researchers understand how the forest vegetation communities of the parks are changing. To fully implement this protocol, read the entire document and all appendices, as well as the standard operating procedures (SOPs; published separately). The appendices and SOPs contain detailed information on implementation not provided in the main body of the document. Datasheets have been designed so data collection is sequential starting with SOP 3: Site Selection and Plot Establishment?Version 1.48 (CUPN 2023a) and ending with SOP 10: Soil Measurements?Version 1.1 (CUPN 2023b). The SOPs are intended to serve as a reference for field teams implementing this protocol. It is anticipated field teams will be knowledgeable of their content and maintain a copy for reference as part of the required field equipment.

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