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Stäng dörren tack: En observationsstudie om dörröppningar på operationssal
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2013 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Close the door please : An observational study of door openings in the operating room (English)
Abstract [sv]

Bakgrund: Flera studier beskriver vikten av att minimera dörröppningsfrekvensen på operationssalarna. Högre frekvens av dörröppningar leder till försämrad ventilation på operationssalen, vilket i sin tur kan leda till vårdrelaterade infektioner.

Syfte: Syftet med denna studie var att på en operationsavdelning observera frekvensen av dörröppningar under pågående operation, varför och av vem de öppnades.

Metod: Metoden var en kvantitativ deskriptiv observationsstudie med tvärsnittsdesign. Personalen på en operationsavdelning i Mellansverige observerades under pågående operationer. Observationerna utfördes sex vardagar i januari 2013 och valdes från operationsprogrammet.

Resultat och slutsats: 22 observationstillfällen observerades, 11 från vardera konventionell respektive infektionskänslig kirurgi. Studien visade att dörröppningsfrekvensen var högre vid konventionell kirurgi jämfört med infektionskänslig. Dörröppningsfrekvensen varierade från en gång per minut till var 10:e minut vid konventionell kirurgi. Vid infektionskänslig kirurgi varierade dörröppningsfrekvensen från var 3:e minut till var 19:e minut. Den yrkesgrupp som utförde de flesta dörröppningarna var den cirkulerande personalen. Den största anledningen till dörröppningarna var hämtning av utrustning/material/instrument.

Klinisk betydelse: Studien visar att dörröppningsfrekvensen vid konventionell kirurgi är högre än vid infektionskänslig kirurgi. För infektionskänslig kirurgi finns lokala riktlinjer. Däremot finns det inte vid konventionell kirurgi, där de kunde ha betydelse för att sänka dörröppningsfrekvensen. 

Abstract [en]

Background: Several studies describe the importance of minimizing the frequency of door openings to the operating room. Higher frequency of door openings leads to impaired ventilation in the operating room, which in turn can lead to surgical site infections.

Aim: The aim of this study was that in a surgical department observing the frequency of door openings during surgery, why and by whom they were opened.

Method: The method was a quantitative descriptive observational study with cross-sectional design. The personnel in a surgical department in central Sweden were observed during operations. The observations were performed six weekdays in January 2013 and were selected from the surgical program.

Results and conclusion: 22 observations were observed, 11 each from conventional and implant surgery. The study indicated that door openings were more frequent when comparing conventional surgery with implant surgery. The frequency of door openings varied from once per minute to every 10 minutes for conventional surgery. In implant surgery the frequency of door openings varied from every 3 minutes to every 19 minutes. The profession who carried out most door openings was the circulating staff. The main reason for the door openings was retrieval of equipment / materials / instruments.

Clinical relevance: This study shows that the frequency of door openings was higher at conventional surgery than at implant surgery. For implant surgery there are local guidelines. However, there are none for conventional surgery, where they could play a role in lowering the frequencies of door openings.

Place, publisher, year, edition, pages
2013. , 31 p.
Keyword [en]
door openings, ventilation, surgical site infections, guidelines
Keyword [sv]
dörröppningar, ventilation, vårdrelaterade infektioner, riktlinjer
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-669OAI: oai:DiVA.org:rkh-669DiVA: diva2:622585
Educational program
Postgraduate Program in Specialist Nursing
Uppsok
Medicine
Available from: 2013-05-27 Created: 2013-05-22 Last updated: 2017-07-07Bibliographically approved

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