OR Design Toolkit

STERILE ZONE

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OR Design Toolkit / Sterile Zone

Sterile Zone

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Sufficient space at the foot of the OR table minimizes crowding and disruptions during the procedure, and allows for unobstructed flow of equipment and people.

DESIRED OUTCOMES/CITATIONS

Improve movement and flow              

Peer-reviewed (best practice, design guidelines, or literature review report)

Bayramzadeh et al., 2018
Bayramzadeh, S., Joseph, A., San, D., Khoshkenar, A., Taaffe, K., Jafarifiroozabadi, R., ... & RIPCHD. OR Study Group. (2018). The impact of operating room layout on circulating nurse’s work patterns and flow disruptions: A behavioral mapping study. HERD: Health Environments Research & Design Journal, 11(3), 124-138.
Reduce disruptions              

Peer-reviewed (best practice, design guidelines, or literature review report)

Bayramzadeh et al., 2018
Bayramzadeh, S., Joseph, A., San, D., Khoshkenar, A., Taaffe, K., Jafarifiroozabadi, R., ... & RIPCHD. OR Study Group. (2018). The impact of operating room layout on circulating nurse’s work patterns and flow disruptions: A behavioral mapping study. HERD: Health Environments Research & Design Journal, 11(3), 124-138.

TYPE OF STRATEGY

People Technology Built Environment

Orienting the surgical table in the OR to minimize the amount of repositioning supports surgical team members in efficiently and easily accommodating different surgical procedures with minimal disruption.

DESIRED OUTCOMES/CITATIONS

Improve efficiency              

PSLL (case studies, RIPCHD.OR books)

PSLL High Fidelity Mock-up Simulations, December 2018
PSLL High Fidelity Mock-up Simulations (December 2018). Orthopedic High Fidelity Mock-up Simulations Focus Group. Charleston, SC.
Reduce disruptions              

PSLL (case studies, RIPCHD.OR books)

PSLL High Fidelity Mock-up Simulations, December 2018
PSLL High Fidelity Mock-up Simulations (December 2018). Orthopedic High Fidelity Mock-up Simulations Focus Group. Charleston, SC.
Improve workplace ergonomics              

PSLL (case studies, RIPCHD.OR books)

PSLL High Fidelity Mock-up Simulations, December 2018
PSLL High Fidelity Mock-up Simulations (December 2018). Orthopedic High Fidelity Mock-up Simulations Focus Group. Charleston, SC.

TYPE OF STRATEGY

Task Built Environment

Sufficient space on either side of the surgical table supports increased flexibility to perform surgical procedures on either side of the patient without encroaching onto the anesthesia and circulation zones.

DESIRED OUTCOMES/CITATIONS

Improve workplace ergonomics              

PSLL (case studies, RIPCHD.OR books)

PSLL High Fidelity Mock-up Simulations, December 2018
PSLL High Fidelity Mock-up Simulations (December 2018). Orthopedic High Fidelity Mock-up Simulations Focus Group. Charleston, SC.

TYPE OF STRATEGY

People Task Technology Built Environment

Locating the sterile zone to avoid encroachment of unrelated circulation into the sterile field reduces the potential for contamination of the sterile zone and supports movement within the OR without disruption and interference between surgical team members.

DESIRED OUTCOMES/CITATIONS

Reduce disruptions              

Peer-reviewed (best practice, design guidelines, or literature review report)

Rostenberg & Barach, 2011
Rostenberg, B., & Barach, P. R. (2011). Design of cardiovascular operating rooms for tomorrow's technology and clinical practice—Part one. Progress in Pediatric Cardiology, 32(2), 121-128.
Reduce risk of contamination              

Peer-reviewed (best practice, design guidelines, or literature review report)

Rostenberg & Barach, 2011
Rostenberg, B., & Barach, P. R. (2011). Design of cardiovascular operating rooms for tomorrow's technology and clinical practice—Part one. Progress in Pediatric Cardiology, 32(2), 121-128.
Improve movement and flow              

Peer-reviewed (best practice, design guidelines, or literature review report)

Rostenberg & Barach, 2012
Rostenberg, B., & Barach, P. R. (2012). Design of cardiovascular operating rooms for tomorrow's technology and clinical practice—Part 2. Progress in Pediatric Cardiology, 33(1), 57-65.

TYPE OF STRATEGY

Task Built Environment

Access to the sterile field, unobstructed by equipment or cords, supports reduced potential for hazards such as slips, trips, and falls and increased access to the patient during the surgical procedure.

DESIRED OUTCOMES/CITATIONS

Improve movement and flow              

Peer-reviewed (best practice, design guidelines, or literature review report)

Brogmus et al., 2007
Brogmus, G., Leone, W., Butler, L., & Hernandez, E. (2007). Best practices in OR suite layout and equipment choices to reduce slips, trips, and falls. AORN journal, 86(3), 384-398.

TYPE OF STRATEGY

Task Built Environment
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