OR Design Toolkit

STORAGE

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OR Design Toolkit / Storage

Storage

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Storage for essential supplies inside the OR supports reduced door openings by minimizing the number of times surgical team members need to leave the OR to retrieve necessary supplies.

DESIRED OUTCOMES/CITATIONS

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.
Reduce bacterial load              

Peer-reviewed (empirical study)

Panahi et al., 2012
Panahi P., Stroh M., Casper D. S., Parvizi J., Austin M. Operating room traffic is a major concern during total joint arthroplasty. Clin Orthop Relat Res. 2012; 470(10): 2690-2694.

TYPE OF STRATEGY

Organization Built Environment

Essential supply storage that is within close proximity to related anesthesia and circulating nurse tasks supports improved workflow by reducing travel distance and potential circulation pathway hazards.

DESIRED OUTCOMES/CITATIONS

Improve movement and flow              

Peer-reviewed (empirical study)

Ahmad et al., 2016
Ahmad, N., Hussein, A. A., Cavuoto, L., Sharif, M., Allers, J. C., Hinata, N., ... & Guru, K. A. (2016). Ambulatory movements, team dynamics and interactions during robot‐assisted surgery. BJU international, 118(1), 132-139.

Peer-reviewed (empirical study)

Joseph et al., 2018
Joseph, A., Khoshkenar, A., Taaffe, K. M., Catchpole, K., Machry, H., & Bayramzadeh, S. (2018). Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. BMJ Qual Saf, bmjqs-2018.

Peer-reviewed (empirical study)

Bayramzadeh et al., 2018Bayramzadeh 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 clutter              

Peer-reviewed (empirical study)

Bayramzadeh et al., 2018
Bayramzadeh, S., Joseph, A., Allison, D., Shultz, J., Abernathy, J., & Group, R. O. S. (2018). Using an integrative mock-up simulation approach for evidence-based evaluation of operating room design prototypes. Applied ergonomics, 70, 288-299.
Reduce disruptions              

Peer-reviewed (empirical study)

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.

Peer-reviewed (empirical study)

Gurses et al., 2012
Gurses, A. P., Kim, G., Martinez, E. A., Marsteller, J., Bauer, L., Lubomski, L. H., ... & Thompson, D. (2012). Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. BMJ Qual Saf, 21(10), 810-818.
Improve job satisfaction              

Peer-reviewed (empirical study)

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 staff injury              

Peer-reviewed (empirical study)

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.
Improve workplace ergonomics              

Peer-reviewed (empirical study)

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 Task Built Environment

A designated area to position the anesthesia cart during the surgical process improves workflow by reducing pathway obstructions.

DESIRED OUTCOMES/CITATIONS

Improve movement and flow              

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 Technology Built Environment

Having a designated area to keep movable furniture and equipment when not in use during the surgical procedure supports improved workflow by reducing pathway obstructions.

DESIRED OUTCOMES/CITATIONS

Improve movement and flow              

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 Technology Built Environment

A recessed design for built-in storage supports improved workflow by minimizing hazards related to clutter and reducing horizontal surfaces.

DESIRED OUTCOMES/CITATIONS

Improve movement and flow              

Best Practice report (non peer-reviewed)

Joseph & Allison, 2018
Joseph, A. & Allison, D. (2018). Designing A Safer OR. Healthcare Design Magazine. Available at https://www.healthcaredesignmagazine.com/trends/research-theory/designing-a-safer-or/
Reduce clutter              

Best Practice report (non peer-reviewed)

Joseph & Allison, 2018
Joseph, A. & Allison, D. (2018). Designing A Safer OR. Healthcare Design Magazine. Available at https://www.healthcaredesignmagazine.com/trends/research-theory/designing-a-safer-or/
Reduce slips, trips, and falls              

Best Practice report (non peer-reviewed)

Joseph & Allison, 2018
Joseph, A. & Allison, D. (2018). Designing A Safer OR. Healthcare Design Magazine. Available at https://www.healthcaredesignmagazine.com/trends/research-theory/designing-a-safer-or/
Reduce risk of contamination              

Best Practice report (non peer-reviewed)

Joseph & Allison, 2018
Joseph, A. & Allison, D. (2018). Designing A Safer OR. Healthcare Design Magazine. Available at https://www.healthcaredesignmagazine.com/trends/research-theory/designing-a-safer-or/

TYPE OF STRATEGY

Organization Built Environment
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