OR Design Toolkit


Doors

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Wide doors support unrestricted movement in and out of the OR for the patient bed, equipment, and transport staff.

DESIRED OUTCOMES/CITATIONS

Improve movement and flow              

Peer-reviewed (empirical study)

Patkin, 2003
Patkin, M. (2003). What surgeons want in operating rooms. Minimally invasive therapy & allied technologies, 12(6), 256-262.

Improve workplace ergonomics              

Peer-reviewed (empirical study)

Patkin, 2003
Patkin, M. (2003). What surgeons want in operating rooms. Minimally invasive therapy & allied technologies, 12(6), 256-262.

Improve staff experience              

Peer-reviewed (empirical study)

Patkin, 2003
Patkin, M. (2003). What surgeons want in operating rooms. Minimally invasive therapy & allied technologies, 12(6), 256-262.

TYPE OF STRATEGY

Task Built Environment

Clearly visible signage to discourage door openings preserves the boundary between the OR and adjacent areas and supports reduced potential for bacterial contamination.

DESIRED OUTCOMES/CITATIONS

Reduce bacterial load              

Peer-reviewed (empirical study)

DiBartola et al., 2017
DiBartola A. C., Patel P. G., Scharschmidt T. J., et al. Operating room team member role affects room traffic in orthopedic surgery: A prospective observational study. Curr Orthop Pract. 2017; 28(3): 281-286.

Peer-reviewed (empirical study)

Rovaldi & King, 2015
Rovaldi C. J., King P. J. The effect of an interdisciplinary QI project to reduce OR foot traffic. AORN J. 2015; 101(6): 666-681.

Peer-reviewed (empirical study)

Esser, Shrinski, Cady, & Belew, 2016
Esser J. M. N., Shrinski K., Cady R., Belew J. Reducing OR traffic using education, policy development, and communication technology. AORN J. 2016; 103(1): 82-83.

TYPE OF STRATEGY

People Organization Built Environment

Doors with mechanisms that control the duration of door openings minimize excess duration for door openings that could cause airflow disturbances and contamination in the OR.

DESIRED OUTCOMES/CITATIONS

Reduce bacterial load              

Peer-reviewed (empirical study)

Weiser et al., 2018
Weiser, M.C., Shemesh, S., Chen, D.D., Bronson, M.J. and Moucha, C.S. (2018). The Effect of Door Opening on Positive Pressure and Airflow in Operating Rooms. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 26(5), pp.e105-e113.

Improve movement and flow              

Peer-reviewed (empirical study)

Mousavi et al., 2018
Mousavi, E. S., Jafarifiroozabadi, R., Bayramzadeh, S., Joseph, A., & San, D. (2018). An observational study of door motion in operating rooms. Building and Environment, 144, 502-507.

TYPE OF STRATEGY

Technology Built Environment
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