Door Opening Affects Operating Room Pressure During Joint Arthroplasty.

  title={Door Opening Affects Operating Room Pressure During Joint Arthroplasty.},
  author={Simon C. Mears and Renee Blanding and Stephen M. Belkoff},
  volume={38 11},
Many resources are expended to ensure a sterile operating room environment. Efforts are made to prevent exposure of patients to personnel and to achieve positive room pressure to keep out airborne contaminants. Foot traffic into and out of the operating room during surgery can undermine these efforts. The authors investigated the number and duration of operating room door openings during hip and knee arthroplasty procedures and the effect of the door openings on room pressure. They tested the… 

The Effect of Door Opening on Positive Pressure and Airflow in Operating Rooms

Single door opening does not defeat OR positive pressure, but simultaneous opening of two doors allows contaminated air to flow into the OR, so OR traffic should continue to be limited during surgical procedures.

The Effect of a Door Alarm on Operating Room Traffic During Total Joint Arthroplasty.

It is indicated that the use of a door alarm can decrease door openings and potentially the risk for surgical site infection, however, the effect is subject to tolerance and may not result in the elimination of unnecessary operating room traffic long term.

Preincision versus postincision frequent door openings during total joint arthroplasty

Understanding the reasons for door openings in the preincision and postincision periods is sought to provide insight on how to best develop interventions for these 2 periods.

Motion-capture system to assess intraoperative staff movements and door openings: Impact on surrogates of the infectious risk in surgery

This study has demonstrated a previously missing association between intraoperative staff movements and surrogates of the exogenous risk of surgical site infection, and should be considered for the control of the intraoperative exogenous infectious risk.

Operating Room Traffic in Total Joint Arthroplasty

It is demonstrated that the simple addition of “restricted access” signs on the outside and inside of OR doors produced a significant reduction (p < 0.001) in OR traffic during primary TJA.

Decreasing Room Traffic in Orthopedic Surgery: A Quality Improvement Initiative

Behavioral interventions that focus on education, awareness, and efficiency strategies can decrease overall OR traffic for orthopedic cases.



Measurement of Foot Traffic in the Operating Room: Implications for Infection Control

  • R. LynchM. Englesbe D. Campbell
  • Medicine
    American journal of medical quality : the official journal of the American College of Medical Quality
  • 2009
There is a high rate of traffic across all specialties, compromising the sterile environment of the operating room, and door openings increase in direct proportion to case length, but have an exponential relationship with the number of persons in the Operating room.

Operating Room Traffic is a Major Concern During Total Joint Arthroplasty

The incidence of door opening during primary and revision TJA is defined, providing a comparison between the two types of procedures, and the causes of doorOpening are identified in order to develop a strategy to reduce traffic in the operating room.

Operating Room Traffic: Is There Any Role of Monitoring It?

To achieve any change in the OR traffic pattern, monitoring alone may not be sufficient; other novel techniques or incentives may need to be considered.

Cardiac surgical theatre traffic: time for traffic calming measures?

Current levels of traffic in a UK cardiac centre are unacceptably high and represent a modifiable risk factor for SSI and error, and there is a trend towards increased opening.

Current Concepts for Clean Air and Total Joint Arthroplasty: Laminar Airflow and Ultraviolet Radiation: A Systematic Review

  • R. P. Evans
  • Medicine
    Clinical orthopaedics and related research
  • 2011
High-level data demonstrating substantial PJI reduction of any infection control method may not be feasible as a result of the relatively low rates of occurrence and the expense and difficulty of conducting a large enough study with adequate power.

Identification of systems failures in successful paediatric cardiac surgery

A direct observation methodology is described, based on a threat and error model, prospectively to identify types and sources of systems failures in paediatric cardiac surgery to lead to improved surgical standards and enhanced patient safety.

The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospective survey.

The results set a benchmark and importantly emphasise that only 64% of peri-prosthetic infections arise within one year of surgery, and illustrate the advantages of conducting joint replacement surgery in the isolation of a specialist hospital.

Incidence and risk factors for surgical infection after total knee replacement

Correctment of independent risk factors for infection following TKR led to a decrease in SSI rate, and infection control guidelines were rehearsed.