Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery

Abstract Background The design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Yet, there is no objective method for the assessment and design of operating room setups...

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Main Authors: Juliane Neumann, Christine Angrick, Celina Höhn, Dirk Zajonz, Mohamed Ghanem, Andreas Roth, Thomas Neumuth
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12911-020-1086-3
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spelling doaj-1cc0efef70d348cfbc715d04bc03ed672020-11-25T03:35:32ZengBMCBMC Medical Informatics and Decision Making1472-69472020-07-0120112010.1186/s12911-020-1086-3Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgeryJuliane Neumann0Christine Angrick1Celina Höhn2Dirk Zajonz3Mohamed Ghanem4Andreas Roth5Thomas Neumuth6Innovation Center Computer Assisted Surgery (ICCAS), Leipzig UniversityInnovation Center Computer Assisted Surgery (ICCAS), Leipzig UniversityInnovation Center Computer Assisted Surgery (ICCAS), Leipzig UniversityDepartment of Orthopaedic, Trauma and Plastic Surgery, Division of Endoprothetic Joint Surgery and General Orthopaedics, University of Leipzig Medical CenterDepartment of Orthopaedic, Trauma and Plastic Surgery, Division of Endoprothetic Joint Surgery and General Orthopaedics, University of Leipzig Medical CenterDepartment of Orthopaedic, Trauma and Plastic Surgery, Division of Endoprothetic Joint Surgery and General Orthopaedics, University of Leipzig Medical CenterInnovation Center Computer Assisted Surgery (ICCAS), Leipzig UniversityAbstract Background The design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Yet, there is no objective method for the assessment and design of operating room setups for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty. Methods With the help of computer simulation, a method for the design and assessment of enhanced OR setups was developed. New OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Thereby, a 3D graphical simulation representation enabled the strong involvement of clinical stakeholders in all phases of the design and decision-making process of the new setup alternatives. Results The implementation of improved OR setups reduces the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortens the procedure duration. Additionally, the ergonomics of the OR staff were improved. Conclusion The developed simulation method was evaluated in the actual intraoperative setting and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.http://link.springer.com/article/10.1186/s12911-020-1086-3Surgical workflow simulationDiscrete event simulationOperating room managementSurgical process optimization
collection DOAJ
language English
format Article
sources DOAJ
author Juliane Neumann
Christine Angrick
Celina Höhn
Dirk Zajonz
Mohamed Ghanem
Andreas Roth
Thomas Neumuth
spellingShingle Juliane Neumann
Christine Angrick
Celina Höhn
Dirk Zajonz
Mohamed Ghanem
Andreas Roth
Thomas Neumuth
Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery
BMC Medical Informatics and Decision Making
Surgical workflow simulation
Discrete event simulation
Operating room management
Surgical process optimization
author_facet Juliane Neumann
Christine Angrick
Celina Höhn
Dirk Zajonz
Mohamed Ghanem
Andreas Roth
Thomas Neumuth
author_sort Juliane Neumann
title Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery
title_short Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery
title_full Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery
title_fullStr Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery
title_full_unstemmed Surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery
title_sort surgical workflow simulation for the design and assessment of operating room setups in orthopedic surgery
publisher BMC
series BMC Medical Informatics and Decision Making
issn 1472-6947
publishDate 2020-07-01
description Abstract Background The design and internal layout of modern operating rooms (OR) are influencing the surgical team’s collaboration and communication, ergonomics, as well as intraoperative hygiene substantially. Yet, there is no objective method for the assessment and design of operating room setups for different surgical disciplines and intervention types available. The aim of this work is to establish an improved OR setup for common procedures in arthroplasty. Methods With the help of computer simulation, a method for the design and assessment of enhanced OR setups was developed. New OR setups were designed, analyzed in a computer simulation environment and evaluated in the actual intraoperative setting. Thereby, a 3D graphical simulation representation enabled the strong involvement of clinical stakeholders in all phases of the design and decision-making process of the new setup alternatives. Results The implementation of improved OR setups reduces the instrument handover time between the surgeon and the scrub nurse, the travel paths of the OR team as well as shortens the procedure duration. Additionally, the ergonomics of the OR staff were improved. Conclusion The developed simulation method was evaluated in the actual intraoperative setting and proved its benefit for the design and optimization of OR setups for different surgical intervention types. As a clinical result, enhanced setups for total knee arthroplasty and total hip arthroplasty surgeries were established in daily clinical routine and the OR efficiency was improved.
topic Surgical workflow simulation
Discrete event simulation
Operating room management
Surgical process optimization
url http://link.springer.com/article/10.1186/s12911-020-1086-3
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