Remote Video Auditing in the Surgical Setting

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• 作者：Anne Pedersen ; MSN ; RN ; NEA-BCAuthor Vitae ; Elizabeth Getty Ritter ; MHA ; BSAuthor Vitae ; Megan Beaton ; BSN ; RN ; CNORAuthor Vitae ; David Gibbons ; MHAAuthor Vitae
• 关键词：remote video auditing ; efficiency ; turnover times ; OR cleaning ; Universal Protocol
• 刊名：AORN Journal
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：105
• 期：2
• 页码：159-169
• 全文大小：1725 K
• 卷排序：105

文摘

Remote video auditing, a method first adopted by the food preparation industry, was later introduced to the health care industry as a novel approach to improving hand hygiene practices. This strategy yielded tremendous and sustained improvement, causing leaders to consider the potential effects of such technology on the complex surgical environment. This article outlines the implementation of remote video auditing and the first year of activity, outcomes, and measurable successes in a busy surgery department in the eastern United States. A team of anesthesia care providers, surgeons, and OR personnel used low-resolution cameras, large-screen displays, and cell phone alerts to make significant progress in three domains: application of the Universal Protocol for preventing wrong site, wrong procedure, wrong person surgery; efficiency metrics; and cleaning compliance. The use of cameras with real-time auditing and results-sharing created an environment of continuous learning, compliance, and synergy, which has resulted in a safer, cleaner, and more efficient OR.