Optimizing the operating theatre environment. 2010

Shing W Wong, and Richard Smith, and Phil Crowe
Department of Surgery, University of New South Wales, Prince of Wales Hospital, Randwick, New South Wales, Australia. sw.wong@unsw.edu.au

The operating theatre is a complex place. There are many potential factors which can interfere with surgery and predispose to errors. Optimizing the operating theatre environment can enhance surgeon performance, which can ultimately improve patient outcomes. These factors include the physical environment (such as noise and light), human factors (such as ergonomics), and surgeon-related factors (such as fatigue and stress). As individual factors, they may not affect surgical outcome but in combination, they may exert a significant influence. The evidence for some of these working environment factors are examined individually. Optimizing the operating environment may have a potentially more significant impact on overall surgical outcome than improving individual surgical skill.

UI MeSH Term Description Entries
D007400 Interprofessional Relations The reciprocal interaction of two or more professional individuals. Etiquette, Medical,Medical Etiquette,Relations, Interprofessional
D009873 Operating Rooms Facilities equipped for performing surgery. Operating Room,Room, Operating,Rooms, Operating
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D004780 Environment, Controlled A state in which the environs of hospitals, laboratories, domestic and animal housing, work places, spacecraft, and other surroundings are under technological control with regard to air conditioning, heating, lighting, humidity, ventilation, and other ambient features. The concept includes control of atmospheric composition. (From Jane's Aerospace Dictionary, 3d ed) Clean Rooms,Laminar Air-Flow Areas,Controlled Environment,Area, Laminar Air-Flow,Clean Room,Controlled Environments,Environments, Controlled,Laminar Air Flow Areas,Laminar Air-Flow Area,Room, Clean
D006272 Health Facility Environment Physical surroundings or conditions of a hospital or other health facility and influence of these factors on patients and staff. Environment, Health Facility,Family Planning, Environment,Environments, Health Facility,Facility Environment, Health,Health Facility Environments
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006804 Ergonomics The science of designing, building or equipping mechanical devices or artificial environments to the anthropometric, physiological, or psychological requirements of the people who will use them. Engineering Psychology,Human Engineering,Cognitive Ergonomics,Ergonomic Assessment,Human Factors Engineering,Human Factors and Ergonomics,Organizational Ergonomics,Physical Ergonomics,Psychology, Engineering,Visual Ergonomics,Cognitive Ergonomic,Ergonomic,Ergonomic Assessments,Ergonomic, Cognitive,Ergonomic, Organizational,Ergonomic, Physical,Ergonomic, Visual,Ergonomics, Cognitive,Ergonomics, Organizational,Ergonomics, Physical,Ergonomics, Visual,Human Factors Engineerings,Organizational Ergonomic,Physical Ergonomic,Visual Ergonomic
D013315 Stress, Psychological Stress wherein emotional factors predominate. Cumulative Stress, Psychological,Emotional Stress,Individual Stressors,Life Stress,Psychological Cumulative Stress,Psychological Stress Experience,Psychological Stress Overload,Psychologically Stressful Conditions,Stress Experience, Psychological,Stress Measurement, Psychological,Stress Overload, Psychological,Stress Processes, Psychological,Stress, Emotional,Stressful Conditions, Psychological,Psychological Stress,Stress, Psychologic,Stressor, Psychological,Condition, Psychological Stressful,Condition, Psychologically Stressful,Conditions, Psychologically Stressful,Cumulative Stresses, Psychological,Experience, Psychological Stress,Individual Stressor,Life Stresses,Measurement, Psychological Stress,Overload, Psychological Stress,Psychologic Stress,Psychological Cumulative Stresses,Psychological Stress Experiences,Psychological Stress Measurement,Psychological Stress Measurements,Psychological Stress Overloads,Psychological Stress Processe,Psychological Stress Processes,Psychological Stresses,Psychological Stressful Condition,Psychological Stressful Conditions,Psychological Stressor,Psychological Stressors,Psychologically Stressful Condition,Stress Experiences, Psychological,Stress Processe, Psychological,Stress, Life,Stress, Psychological Cumulative,Stressful Condition, Psychological,Stressful Condition, Psychologically,Stressor, Individual
D058257 Surgical Attire Sterile clothing worn during surgical procedures to protect the surgical site from sources of contamination. Surgical Gowns,Surgical Shoe Covers,Attire, Surgical,Attires, Surgical,Cover, Surgical Shoe,Covers, Surgical Shoe,Gown, Surgical,Gowns, Surgical,Shoe Cover, Surgical,Shoe Covers, Surgical,Surgical Attires,Surgical Gown,Surgical Shoe Cover

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