Measuring and Improving the Design Quality of Operating Rooms

Surgical Infections
Sarah A BrownleeAndrew M Ibrahim

Abstract

Existing research regarding design improvements to the operating room (OR) is scarce and emphasizes the compelling need to measure and test new design strategies and interventions. We propose a conceptual framework for measuring and improving OR physical space design by outlining how two existing measurement schemes can be adapted for ORs. The structure, process, outcomes model described by Donabedian in 1966 is used to show how each of these three measurement approaches can be used to evaluate OR design. In addition, we describe a common design framework that focuses on the end-user experience to highlight the impact different OR stakeholders can have on the prioritization of improvements. The structure, process, outcomes model has both benefits and drawbacks for measuring OR design quality. For example, these components are easy to measure, highly actionable when deficient, and have high validity as the bottom line. However, they may not necessarily reflect better quality or correlate to better care, and some need risk adjustment to make comparisons fair. The end-user experience model should account for the needs of patients, OR nurses, anesthesiologists, surgeons, facilities managers, hospital administrators, infection contr...Continue Reading

References

Nov 11, 2005·The Milbank Quarterly·Avedis Donabedian
Oct 12, 2013·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Farrokh R FarrokhiChristopher Craig Blackmore
Apr 16, 2014·British Journal of Nursing : BJN·Alaa Ayyadhah Alanazi
Aug 12, 2014·JAMA Surgery·Thomas M ScaleaSushruta S Nagarkatti
Mar 17, 2015·American Journal of Surgery·Jeffrey S BenderWilliam J Ertl
May 11, 2016·Annals of Surgery·Andrew M IbrahimAnjali Joseph
Jul 22, 2018·Journal of Medical Systems·Usman A HalimAdam M Ali

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Citations

May 12, 2021·Worldviews on Evidence-based Nursing·Ashley WhitehornCraig Lockwood
Jun 30, 2021·Scientific Reports·Thorsten JentzschMazda Farshad

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