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Implementing Medical Technological Equipment in the OR: Factors for Successful Implementations

机译:在俄勒冈州实施医疗技术设备:成功实施的因素

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摘要

Operating rooms (ORs) more and more evolve into high-tech environments with increasing pressure on finances, logistics, and a not be neglected impact on patient safety. Safe and cost-effective implementation of technological equipment in ORs is notoriously difficult to manage, specifically as generic implementation activities omit as hospitals have implemented local policies for implementations of technological equipment. The purpose of this study is to identify success factors for effective implementations of new technologies and technological equipment in ORs, based on a systematic literature review. We accessed ten databases and reviewed included articles. The search resulted in 1592 titles for review, and finally 37 articles were included in this review. We distinguish influencing factors and resulting factors based on the outcomes of this research. Six main categories of influencing factors on successful implementations of medical equipment in ORs were identified: “processes and activities,” “staff,” “communication,” “project management,” “technology,” and “training.” We identified a seventh category “performance” referring to resulting factors during implementations. We argue that aligning the identified influencing factors during implementation impacts the success, adaptation, and safe use of new technological equipment in the OR and thus the outcome of an implementation. The identified categories in literature are considered to be a baseline, to identify factors as elements of a generic holistic implementation model or protocol for new technological equipment in ORs.
机译:手术室(OR)越来越多地发展成为高科技环境,对财务,物流的压力越来越大,并且对患者安全的影响不容忽视。众所周知,在外科手术室中安全,经济地实施技术设备非常困难,特别是由于医院已经实施了实施技术设备的地方政策,因此通用实施活动被忽略了。这项研究的目的是基于系统的文献综述,确定在OR中有效实施新技术和工艺设备的成功因素。我们访问了十个数据库并查看了其中的文章。搜索结果找到1592个标题供审阅,最终本评论包含37篇文章。我们根据这项研究的结果来区分影响因素和结果因素。确定了影响手术室医疗设备成功实施的六个主要因素:“过程和活动”,“人员”,“沟通”,“项目管理”,“技术”和“培训”。我们确定了第七类“性能”,指的是实施过程中产生的因素。我们认为,在实施过程中调整已确定的影响因素会影响OR中新技术设备的成功,适应和安全使用,从而影响实施的结果。文献中确定的类别被视为基准,以将因素识别为OR中新技术设备的通用整体实施模型或协议的要素。

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