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A1263
October 25, 2005 2:00:00 PM - 4:00:00 PM Hall C4 |
| Utilization of Status Monitoring Video for OR Management |
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Timothy B. Gilbert, M.D., M.B.A., M.I.S., Peter F. Hu, M.S., C.N.E., Douglas G. Martz, M.D., John Jacobs, R.N., Yan Xiao, Ph.D. Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland, United States |
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Background Previously it was demonstrated that staff would accept status monitoring video in operating rooms (OR) if implemented properly [1], but little data exist on how OR videos would be used, by whom, and from where. We tested the hypothesis that OR video would be useful to a variety of OR personnel, perhaps for coordination, even if patient in/out status was displayed. Method A status monitoring video system was installed in a 19 OR surgical unit of a teaching hospital with four viewing stations: OR control desk, pediatric post anesthesia care unit (PEDS-PACU), anesthesia staff lounge, and physician staff lounge. Viewing stations displayed continually estimated patient in/out status and times obtained automatically based on connection status of OR patient monitors (Figure 1a). With ID badges, staff could access low resolution (64x48) OR videos for 2 min at a time, after which black-and-white outlines of OR video would be displayed to protect privacy After 4 months of trial use, access logs on weekdays over 6 months were analyzed to compare daily accesses (DAs) by 4 stations and 6 user groups: anesthesiologists, surgeons, OR nurses, charge nurses, PEDS-PACU nurses, and others. Differences in numbers of daily accesses were assessed by Mann-Whitney tests. Results Over 131 consecutive weekdays, OR video was accessed 3141 times by 243 users (N=50, 35, 44, 3, 2, 109 for anesthesiologists, surgeons, OR nurses, charge nurses, PN, and others, respectively). The median number of DAs was 23. DA numbers varied from 16 at 25 percentile to 30 at 75 percentile. OR video was accessed every day (DA minimum=3). Three access peak periods were 7-8AM, 1-2PM, and 4-5PM. Top five users were two charge nurses, a PEDS-PACU nurse, and two anesthesiologists, and they accounted for 31% of the all accesses. The OR control desk station was accessed most frequently (40%), followed by the one at anesthesia staff lounge (30%). Anesthesiologists as a group accessed OR video significantly more frequently than other groups (p<0.001), with a median 8 DAs (Figure 1b). Most (77%) of the accesses by anesthesiologists were in anesthesia staff lounge. Discussion Even with continually displayed patient in/out status, there were times when video was needed. Status monitoring video was used widely by all studied OR personnel, perhaps for different purposes, such as confirming room readiness and patient arrival during 7-8AM, arranging staff breaks during 1-2PM, and shutting down rooms during 4-5PM. Although charge nurses used OR video the most as expected, many anesthesiologists used the video repeatedly everyday, perhaps an indication of supervising activities by most. The accesses by PACU nurses supported distribution of OR videos to multiple locations. Acknowledgment The work was supported in part by a contract from Department of Defense (DAMD-17-03-2-001). [1] Dutton R. et al. Anesth. 101:A1389, 2004[figure1] Anesthesiology 2005; 103: A1263 |
Figure 1
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