Desenvolvimento e implementação de sistema de gerenciamento de cirurgias voltado a um hospital universitário / Development and implementation of a surgery management system aimed at a university hospital / Desarrollo e implementación de um sistema de gestión de cirugías dirigido a un hospital universitario

Objetivo: desenvolver e implementar o sistema de gerenciamento de cirurgias contendo a Lista Cirúrgica e Mapa Cirúrgico. Método: este estudo é de natureza exploratória e descritiva do tipo pesquisa metodológica aplicada. A metodologia utilizada baseia-se no processo de desenvolvimento de software fundamentada no modelo de ciclo de vida de desenvolvimento de sistemas de Pressman. Resultados: o sistema foi desenvolvido e disponibilizado em todos os computadores do hospital em sua rede interna. Implementado em todos as áreas cirúrgicas e Centro Cirúrgico. Conclusão: o sistema de gerenciamento de cirurgias disponibiliza informações em tempo real de informações dos pacientes cirúrgicos a todos setores envolvidos com pacientes cirúrgicos

Objectives: to develop and implement the surgical management system containing the Surgical List and Surgical Map. Method: this study is of exploratory and descriptive nature of the applied methodological research type. The methodology used is based on the software development process based on the Pressman system development life cycle model. Results: the system was developed and made available on all hospital computers on its internal network. Implemented in all surgical areas and Surgical Center. Conclusion: the surgical management system provides real-time information on surgical patient information to all departments involved with surgical patients

Objetivos: desarrollar e implementar el sistema de gestión de cirugías que contenga la Lista Quirúrgica y el Mapa Quirúrgico. Método: este estudio es de naturaleza exploratoria y descriptiva del tipo investigación metodológica aplicada. La metodología utilizada se basa en el proceso de desarrollo de software fundamentada en el modelo de ciclo de vida de desarrollo de sistemas de Pressman. Resultados: el sistema fue desarrollado y puesto a disposición en todas las computadoras del hospital en su red interna. Implementado en todas las áreas quirúrgicas y el Centro Quirúrgico. Conclusión: el sistema de gestión de cirugías proporciona información en tiempo real de los pacientes quirúrgicos a todos los sectores involucrados con pacientes quirúrgicos

Descripción de las herramientas de comunicación utilizadas en el área quirúrgica y la perspectiva de los instrumentadores quirúrgicos / Description of communication tools practices in the surgical area and the perspective of surgical instrumenters

La comunicación efectiva dentro de las organizaciones es uno de los factores más importantes para lograr un trabajo positivo y eficaz. Se realizó una investigación cuyo objetivo fue identificar y describir las herramientas de comunicación en el área de Quirófano Central del Hospital Italiano de Buenos Aires y las distintas perspectivas de los instrumentadores quirúrgicos respecto de su utilización. Métodos: se realizó un estudio de corte transversal con un componente de observación participativa de los medios de comunicación y una encuesta a los instrumentadores quirúrgicos de la institución. Resultados: se identificaron ocho tipos de herramientas de comunicación en el área quirúrgica. El correo electrónico (e-mail) como herramienta de comunicación es muy utilizado según los instrumentadores quirúrgicos, pero estos sugirieron otras herramientas más directas, como reuniones y capacitaciones solas o en combinación para determinados tipos de información. Conclusiones: los instrumentadores quirúrgicos utilizan una amplia gama de medios de comunicación en el área quirúrgica. La distribución de preferencias según el tipo de información indica que la elección de estos medios debería ser personalizada. (AU)

Effective communication within organizations is one of the most important factors to achieve a positive and effective work. An investigation was carried out and its objective was to identify and describe the communication tools in the surgical area of the Hospital Italiano de Buenos Aires and the different perspectives of the surgical nurses regarding its use. Methods: a cross-sectional study was carried out with a component of participative observation of the communication tools and a survey of the surgical nurses of the institution. Results: eight types of communication tools were identified in the surgical area. The implementation of email as a communication tool is widely used by surgical nurses, but they suggested other more direct tools such as meetings and training sessions alone or in combination for certain types of information. Conclusions: Surgical nurses use a wide range of communication tools in the surgical area. The distribution of preferences according to the type of information indicates that the choice of these tools should be personalized. (AU)

Implementação de um modelo de triagem cirúrgica para casos urgentes em um hospital terciário / Implementation of a surgical screening system for urgent and emergent cases in a tertiary hospital

RESUMO Objetivo: avaliar a aplicabilidade do sistema de classificação de cores "Timing of Acute Care Surgery" (TACS) em um hospital público terciário de um país em desenvolvimento. Métodos: estudo longitudinal, retrospectivo, de um único centro, de março a agosto de 2016 e o mesmo período em 2017. Optou-se pela seleção de quatro especialidades cirúrgicas com alta demanda de urgências, as quais foram previamente treinadas sobre o sistema TACS. Para comparação com as classificações prévias de urgência e emergência, emergências foram consideradas como vermelhas e laranjas e urgências como amarelas, com intervalo de tempo ideal para cirurgia de uma hora e de seis horas, respectivamente. Resultados: os procedimentos não eletivos representaram 61% do número total de cirurgias. As classificações vermelha, laranja e amarela foram predominantes. Houve melhora significativa do tempo para a cirurgia na cor amarela após o sistema TACS. Períodos diurnos e noturnos influenciaram os resultados, com melhores resultados durante o período noturno. Conclusão: este é o primeiro estudo que usou o sistema TACS no dia a dia de um centro cirúrgico, e demonstrou que o sistema TACS melhorou o tempo de atendimento das cirurgias classificadas como amarelas.

ABSTRACT Objective: to evaluate the applicability of the "Timing of Acute Care Surgery" (TACS) color classification system in a tertiary public hospital of a developing country. Methods: we conducted a longitudinal, retrospective study in a single center, from March to August 2016 and the same period in 2017. We opted for the selection of four surgical specialties with high demand for emergencies, previously trained on the TACS system. For comparisons with the previous classifications, we considered emergencies as reds and oranges and urgencies, as yellow, with an ideal time interval for surgery of one hour and six hours, respectively. Results: non-elective procedures accounted for 61% of the total number of surgeries. The red, orange and yellow classifications were predominant. There was a significant improvement in the time before surgery in the yellow color after the TACS system. Day and night periods influenced the results, with better ones during the night. Conclusion: this is the first study to use the TACS system in the daily routine of an operating room. The TACS system improved the time of attendance of surgeries classified as yellow.

Design of an anesthesia and micro-environment information management system in mobile operating room / 生物医学工程学杂志

We have designed a mobile operating room information management system. The system is composed of a client and a server. A client, consisting of a PC, medical equipments, PLC and sensors, provides the acquisition and processing of anesthesia and micro-environment data. A server is a powerful computer that stores the data of the system. The client gathers the medical device data by using the C/S mode, and analyzes the obtained HL7 messages through the class library call. The client collects the micro-environment information with PLC, and finishes the data reading with the OPC technology. Experiment results showed that the designed system could manage the patient anesthesia and micro-environment information well, and improve the efficiency of the doctors' works and the digital level of the mobile operating room.

Boletim eletrônico de anestesia: a anestesiologia na era digital / Electronic report of anesthesia: the anaesthesiology in the digital age

A sociedade, assim como a Medicina, esteve, nas últimas décadas, questionando condutas e priorizando ações que melhor se adaptassem ao conceito de ser ecologicamente correto. Com isso, renderam-se às facilidades do mundo digital, trazendo à rotina hospitalar, entre tantas outras novidades, prontuários e boletins eletrônicos. O boletim de anestesia é um dos instrumentos de trabalho do anestesiologista, sendo um documento de relevante importância por conter todas as informações relativas ao paciente e acontecimentos ocorridos na sala cirúrgica. Seu uso está fortemente vinculado à defesa do profissional em casos jurídicos, à avaliação das técnicas anestésicas utilizadas, às pesquisas epidemiológicas e ao ensino e aprendizagem de médicos especializados. Atingir a meta de uma documentação clara e completa em cada boletim de anestesia é um desafio, especialmente em situações em que o anestesiologista é responsável pelo cuidado de múltiplos pacientes e seu foco primário de atenção está no cuidado ao paciente e no ensino a médicos especializandos. Frente a esta realidade, a era digital na anestesiologia tem apresentado promissoras soluções...

The society, as well as medicine, has been challenging behaviors and prioritizing actions that would be better adapted to the concept of being environmentally friendly in recent decades, with facilities that haue surrendered to the digital world, bringing to the hospital routine, among many other innovations, electronic records and newsletters. The report of anesthesia is one of the working tools of the anesthesiologist and a document of great significance because it contains ali information relating to patients and events in the operating room. Its use is strongly linked to the defense of professional legal cases, evaluation of anesthetic techniques used, the epidemiological research and teaching and learning of medical trainees. Achieving the goal of a complete and clear documentation of anesthesia in each report is a challenge, especially in situations where the anesthesiologist is responsible for the care of multiple patients and their primary focus of attention is on patient care and education for medical trainees. Faced with this reality, the digital age has made anesthesia promising solutions...

Interface interconnection and data integration in implementing of digital operating room / 生物医学工程学杂志

The digital operating-room, with highly integrated clinical information, is very important for rescuing lives of patients and improving quality of operations. Since equipments in domestic operating-rooms have diversified interface and nonstandard communication protocols, designing and implementing an integrated data sharing program for different kinds of diagnosing, monitoring, and treatment equipments become a key point in construction of digital operating room. This paper addresses interface interconnection and data integration for commonly used clinical equipments from aspects of hardware interface, interface connection and communication protocol, and offers a solution for interconnection and integration of clinical equipments in heterogeneous environment. Based on the solution, a case of an optimal digital operating-room is presented in this paper. Comparing with the international solution for digital operating-room, the solution proposed in this paper is more economical and effective. And finally, this paper provides a proposal for the platform construction of digital perating-room as well as a viewpoint for standardization of domestic clinical equipments.

Guía técnica de implementación de la lista de verificación de la seguridad de la cirugía (R.M. Nº 1021-2010/MINSA) / Technical Guide for implementing the checklist of the security of surgery (RM No. 1021-2010/MINSA)

La presente publicación desarrolla la metodología de estandarización del proceso de implementación de la lista de verificación de la seguridad de la cirugía en los establecimientos de salud, a fin de evitar la ocurrencia de eventos adversos durante las intervenciones quirúrgicas; pretendiendo reforzar las prácticas de seguridad establecidas y fomentar la comunicación y el trabajo en equipo entre las disciplinas clínicas para mejorar la seguridad de sus operaciones y reducir el número de complicaciones y de defunciones quirúrgicas innecesarias ya que su uso permanente se asocia a una reducción significativa de las tasas de complicaciones y muertes en diversos hospitales y entornos y a un mejor cumplimiento de las normas de atención básicas

Development of operation patient security detection system / 中国医疗器械杂志

This paper describes a patient security detection system developed with two dimensional bar codes, wireless communication and removal storage technique. Based on the system, nurses and correlative personnel check code wait operation patient to prevent the defaults. The tests show the system is effective. Its objectivity and currency are more scientific and sophisticated than current traditional method in domestic hospital.

Automated anesthesia record system / 生物医学工程学杂志

Based on Client/Server architecture, a software of automated anesthesia record system running under Windows operation system and networks has been developed and programmed with Microsoft Visual C++ 6.0, Visual Basic 6.0 and SQL Server. The system can deal with patient's information throughout the anesthesia. It can collect and integrate the data from several kinds of medical equipment such as monitor, infusion pump and anesthesia machine automatically and real-time. After that, the system presents the anesthesia sheets automatically. The record system makes the anesthesia record more accurate and integral and can raise the anesthesiologist's working efficiency.