Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Operating Room Technicians”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 289 records · Page 16Linked to original sources
PubMed1978

Cigarette smoking during pregnancy and the occurrence of spontaneous abortion and congenital abnormality.

A multiple logistic regression analysis of 12,914 pregnancies and 10,523 live births, based on a mail survey of professional women in medicine, was carried out to determine the relationship between maternal cigarette smoking, and spontaneous abortion and congenital abnormality. After controlling for interfering variables (age, exposure to trace anesthetic gases, pregnancy history, and mailing response), a statistically significant increase in risk associated with maternal cigarette smoking was found for spontaneous abortions and congenital abnormalities. The risk of spontaneous abortion for the heavy smoker is estimated to be as much as 1.7 times that of the nonsmoker in certain risk groups. The risk for congenital abnormality for babies born of smoking mothers is estimated to be as much as 2.3 times that of the nonsmoker, depending on age, pregnancy history, and other factors.

Abortion, Spontaneous↗
PubMed2004

Quantifying net staffing costs due to longer-than-average surgical case durations.

BACKGROUND: Anesthesiology departments incur staffing costs that are not covered by revenue because the operating room (OR) time allocation and case scheduling are not done to maximize OR efficiency and because surgical durations are longer than average. The purpose of this article is to demonstrate a method to quantify net anesthesia staffing costs due to longer-than-average surgical durations and evaluate the factors that influence staffing costs. METHODS: Data collected from two anesthesiology departments in academic hospitals for 1 yr included date of surgery, time that patients entered the OR, time that patients exited the OR, surgical service, and the Current Procedural Terminology code for the primary surgical procedure. Anesthesia care performed outside the main surgical suite and services not billed with American Society of Anesthesiologists units were excluded. National average surgical durations were determined from the Current Procedural Terminology code from the Centers for Medicare and Medicaid Services' database. Actual surgical durations were then used to determine staffing solutions to maximize OR efficiency; national average surgical durations were then used to determine a second solution. The difference in staffing costs between these two staffing solutions represented the staffing costs attributable to longer surgical durations. Costs were converted to dollar amounts using compensation values reported in a national compensation survey. The differences in revenue were determined by applying conversion factors to the differences in surgical durations. The annual net cost attributable to longer surgical durations equaled the staffing costs minus the revenue produced by longer durations. Net staffing costs were estimated for two hospitals using median staffing compensation and median payer mix. Net staffing costs were then recalculated by varying the parameters (conversion factors, limits on differences between actual and average surgical duration, levels of compensation, surgical service size of OR allocation). RESULTS: Using the median compensation of staff and an average conversion factor, the net annual staffing costs attributable to longer surgical durations were $672,100 for the first hospital. However, if staff members were highly compensated and the payer mix was unfavorable, the net staffing costs were $1,688,000. Reducing the difference between actual and average duration resulted in lower staffing costs. Net staffing costs were less in a second hospital studied that had many low-volume surgical services. CONCLUSIONS: Longer-than-average surgical durations can increase net staffing costs for anesthesiology groups. The increase is dependent on factors such as staffing compensation and payer mix.

Anesthesia Department, Hospital↗
PubMedDate not supplied

Intraoperative neurophysiological monitoring. Part 1: General overview.

Intraoperative electrophysiological recordings are gradually becoming part of standard medical practice, mainly because they offer an objective and effective way to assess the functional integrity of the nervous system of a patient during the course of an orthopedic, neurological, or vascular surgery. Continuous monitoring of spontaneous and triggered bioelectrical activity not only can avert damage of neurological structures that are at risk during certain surgical maneuvers, but also allows identification of specific neuronal structures and landmarks that cannot be easily recognized on anatomical grounds only. This series on neurophysiological monitoring will introduce various techniques of monitoring available today, the rationale for their intraoperative use, and the main principles on which they are based. Recommendations for proper implementation and troubleshooting will also be given. The present article gives a general overview of the procedures.

Cost-Benefit Analysis↗
PubMedDate not supplied

Assistants-at-surgery: recognition of the role of the registered nurse.

In the Omnibus Budget Reconciliation Act of 1989 (OBRA '89), Congress directed the Physician Payment Review Commission (PPRC or "the Commission") to make recommendations on payment policies for assistants-at-surgery, including physicians, physician assistants (PAs) and registered nurses (RNs). The National Association of Orthopaedic Nurses (NAON), via the Government Relations Committee and Executive Board, participated in the public hearing on this issue and submitted testimony on the role of the RN first assistant during orthopaedic surgery. In its 1991 report to Congress, the Commission recommended that inappropriate utilization of assistants-at-surgery could be reduced by implementing "profiling"--a variety of techniques to examine the use of assistants. PPRC failed to comment on policies related to non-physician providers, determining that this was a coverage issue, not a payment issue and thus outside the scope of their jurisdiction. However, as global surgical payment policy is further defined by the Health Care Financing Administration (HCFA) and Congress, consideration will again be given to incorporating payment for assistants-at-surgery into a comprehensive fee schedule. Recognition of the registered nurse as an assistant-at-surgery will continue to be a primary goal of NAON.

Health Policy↗
PubMed1994

Not just money: quality of working life as employment strategy.

Scarcities of qualified personnel are becoming a common phenomenon in The Netherlands. At the same time, increasing wages to secure an adequate workforce is not always possible or sufficiently effective, and other ways of retaining and recruiting personnel have to be found. Investigates the importance of various job characteristics for retaining and recruiting employees and presents the results from a survey among employees of a Dutch hospital experiencing a tight labour market. Job characteristics other than wages, such as labour relations and work content, were found to play a major role in individuals' choices to resign or stay. Discusses consequences for employment strategies in other organizations.

Attitude of Health Personnel↗
PubMed2004

A disputed occupational boundary: operating theatre nurses and Operating Department Practitioners.

Traditionally, surgeons (and to a lesser extent anaesthetists) have been assisted primarily by nurses. This role has been threatened in recent years, in the UK NHS (and elsewhere), by a relatively new profession, that of the Operating Department Practitioner (ODP). The ODP profession is still in the process of establishing itself as a 'full' profession within UK health care. While occupational boundary disputes between professions are common in health care, it is unusual for them to become as overt as the dispute we will analyse in this paper. Drawing on fieldwork observations and interviews conducted in operating theatres, as well as documentary sources, we will show how this dispute arose, how it is manifested at both the micro and the macro level, and how both groups involved justify their positions, drawing on surprisingly similar rhetorical strategies. A further unusual feature of this dispute is the fact that, unlike many attempts by managers to substitute one type of labour for another, issues of cost are relatively unimportant, as both theatre nurses and ODPs earn similar salaries.

Attitude of Health Personnel↗
PubMed1979

Training ODAs.

Explore the source record for details and available documents.

Operating Room Technicians↗
PubMed1984

Evaluation of two methods of rapid blood-glucose monitoring by unskilled personnel during surgery.

The accuracy of two rapid methods of blood-glucose monitoring without (Haemo-glucotest 1-44) and with a reflectance meter (Hypocount B) was compared using a laboratory method. The assessment was carried out by personnel with no previous experience in measuring blood glucose. Eighty-five percent of the 92 measurements obtained with the hypocount B were within +/- 20% of the laboratory glucose values. Using haemo-glucotest 1-44 strips, 74% of the readings were within +/- 20% of the reference laboratory values. For values below 5.5 mmol/l, there was a tendency for results to be too low, with 77% of the readings below laboratory values -20%. All situations with severe hypoglycaemia were detected with both strips. The study also demonstrates the ineffectiveness of s.c. insulin regimens during surgery. Only 47% of the measured blood glucose values were within the range of 5.5-10 mmol/l and two of ten patients had hypoglycaemia with values below 2.5 mmol/l. Therefore glucose monitoring during surgery in diabetics seems justified. This monitoring can be performed adequately with strips.

Adult↗