Presentation
HE16 - Using Integrated Operating Rooms to Improve Workflow: Mapping Review
DescriptionIntroduction
Integrated Operating Rooms are being marketed as a solution to streamlining the surgical workflow and improving communication and collaboration within the operating environment. Hospitals are opting to invest in and install integrative systems consisting of device management towers, cameras, monitors, and communication systems in order to share data and collaborate with other medical personnel outside of the operating room. This paper serves to gather relevant literature and analyze the findings related to Integrated Operating Rooms (IORs) and their impact on workflow and patient outcomes. For the purpose of this review, an IOR is defined as an operating room that has been retrofitted with the appropriate hardware and associated software to support data transfer, device registration, and/or display patient/procedural information all within one electronic system.
The objective is to understand if integrated operating rooms improve workflow and reduce treatment time in the operating room, or if the burden of technology slows down medical professionals.
Methods
In order to address the determined question, a mapping review was conducted. The team started the process by screening papers from two databases, PubMed and Google Scholar to obtain a wide range of relative content. Mesh terms were selected in order to define and narrow down the search. This screening process consisted of reading the titles, abstracts, and keywords of the papers. Inclusion and exclusion criteria were chosen in order to further narrow down the search to more relevant and eligible papers. The team decided that only papers written in the English language between 2013 and 2023 were included. These papers must also address Integrated Operating Rooms research. Previous systematic reviews of similar results were excluded, but they were used as a resource for finding more relevant work.
Mapping questions were selected to provide a method to define relevant literature about IORs in the chosen databases (i.e. “who is the target audience for IOR research”, “what are the needs addressed in IOR research”). In the initial search, a total number of 1033 papers were identified. After the initial screening process, this number was brought down to 25. Finally, after skimming through the full paper, 11 articles were chosen. An intensive reading of the 11 papers was completed leading to 8 papers being fully eligible for the mapping review after a full screen.
Results
The final 8 papers were used to address our five mapping questions. The findings are as followed:
The most common research type of studies addressing Integrated Operating Rooms are Qualitative Analysis studies (37.5%) while feasibility studies, conference papers, exploratory impact study, validation research, and solution proposals are tied at 12.5%. Journals that have included papers on IORs include BMJ Open, Journal of Patient Safety, International Journal of Computer Assisted Radiology and Surgery (2 IOR papers), ACI Open, Springer Link, European PMC, Journal – Current Directions in Biomedical Engineering. Some of the papers had multiple target audiences, and we found that the majority of the papers were focused on reaching professionals in hospital (46.2%) and medical device manufacturers (30.8%). IOR research addresses the following needs: time spent on patient, analysis from staff on IORs, system developed to monitor maintenance and device requirements in conjunction with IORs, review of a system architecture, method to meet international standards, IOR hardware integration, patient safety, and data collection from integrated devices/hardware/IOR software. From taking notes of the publication dates of these papers, while the team was collecting papers dating back from 2013, we have seen that the majority of the eligible papers were written within the past 5 years.
Conclusion
IOR research has shown that there is increasing interest in the implementation of Integrated Operating Rooms and their impact. Current research is being performed as a method to encourage hospitals to adapt this newer technology, as well as to reinforce the use of these integrated models to Medical Device manufacturers- both manufacturers of IOR services as well as devices that can be compatible with intraoperative imaging systems. Based on this mapping review it is evident that IORs offer a method to help healthcare workers provide the best of patient care with minimal added stress.
Integrated Operating Rooms are being marketed as a solution to streamlining the surgical workflow and improving communication and collaboration within the operating environment. Hospitals are opting to invest in and install integrative systems consisting of device management towers, cameras, monitors, and communication systems in order to share data and collaborate with other medical personnel outside of the operating room. This paper serves to gather relevant literature and analyze the findings related to Integrated Operating Rooms (IORs) and their impact on workflow and patient outcomes. For the purpose of this review, an IOR is defined as an operating room that has been retrofitted with the appropriate hardware and associated software to support data transfer, device registration, and/or display patient/procedural information all within one electronic system.
The objective is to understand if integrated operating rooms improve workflow and reduce treatment time in the operating room, or if the burden of technology slows down medical professionals.
Methods
In order to address the determined question, a mapping review was conducted. The team started the process by screening papers from two databases, PubMed and Google Scholar to obtain a wide range of relative content. Mesh terms were selected in order to define and narrow down the search. This screening process consisted of reading the titles, abstracts, and keywords of the papers. Inclusion and exclusion criteria were chosen in order to further narrow down the search to more relevant and eligible papers. The team decided that only papers written in the English language between 2013 and 2023 were included. These papers must also address Integrated Operating Rooms research. Previous systematic reviews of similar results were excluded, but they were used as a resource for finding more relevant work.
Mapping questions were selected to provide a method to define relevant literature about IORs in the chosen databases (i.e. “who is the target audience for IOR research”, “what are the needs addressed in IOR research”). In the initial search, a total number of 1033 papers were identified. After the initial screening process, this number was brought down to 25. Finally, after skimming through the full paper, 11 articles were chosen. An intensive reading of the 11 papers was completed leading to 8 papers being fully eligible for the mapping review after a full screen.
Results
The final 8 papers were used to address our five mapping questions. The findings are as followed:
The most common research type of studies addressing Integrated Operating Rooms are Qualitative Analysis studies (37.5%) while feasibility studies, conference papers, exploratory impact study, validation research, and solution proposals are tied at 12.5%. Journals that have included papers on IORs include BMJ Open, Journal of Patient Safety, International Journal of Computer Assisted Radiology and Surgery (2 IOR papers), ACI Open, Springer Link, European PMC, Journal – Current Directions in Biomedical Engineering. Some of the papers had multiple target audiences, and we found that the majority of the papers were focused on reaching professionals in hospital (46.2%) and medical device manufacturers (30.8%). IOR research addresses the following needs: time spent on patient, analysis from staff on IORs, system developed to monitor maintenance and device requirements in conjunction with IORs, review of a system architecture, method to meet international standards, IOR hardware integration, patient safety, and data collection from integrated devices/hardware/IOR software. From taking notes of the publication dates of these papers, while the team was collecting papers dating back from 2013, we have seen that the majority of the eligible papers were written within the past 5 years.
Conclusion
IOR research has shown that there is increasing interest in the implementation of Integrated Operating Rooms and their impact. Current research is being performed as a method to encourage hospitals to adapt this newer technology, as well as to reinforce the use of these integrated models to Medical Device manufacturers- both manufacturers of IOR services as well as devices that can be compatible with intraoperative imaging systems. Based on this mapping review it is evident that IORs offer a method to help healthcare workers provide the best of patient care with minimal added stress.
Event Type
Poster Presentation
TimeMonday, March 254:45pm - 6:15pm CDT
LocationSalon C
Digital Health
Simulation and Education
Hospital Environments
Medical and Drug Delivery Devices
Patient Safety Research and Initiatives