Background: Defective, incorrect or missing procedural devices from the surgical set-up contribute to delay, interruption, cancellation and patient harm in the perioperative environment.
Objective: This scoping review aims to identify evidence to guide approaches to surgical set-up used by perioperative health service personnel, organisations or teams. In addition, the review aims to describe factors that hinder or support the surgical set-up, identify gaps in the literature and determine any issues impacting the quality of available evidence.
Methods: Empirical research and grey literature were retrieved from seven electronic databases. Titles and abstracts were screened before full text screening. A mixed method appraisal tool (MMAT) and quality improvement minimum quality criteria set (QI-MQCS) were used for critical appraisal. After data extraction from included studies, key concepts were synthesised, thematically analysed and reported.
Results: Forty-nine full texts were included. Evidence generated by nurses responsible for the surgical set-up is limited. The majority of studies were quality improvement studies to reduce inefficiencies through optimisation or mathematical modelling with outcomes measured in cost and time saved. There is limited evidence exploring how optimisation or mathematical modelling impacts the work of perioperative staff.
Conclusion: Technology will continue to influence work systems and processes of the surgical set-up. Implementing surgical set-up quality indicators within policy may aid waste and cost reduction of organisations. The impact of human factors upon the surgical set-up is relatively unaddressed. Nurse-led research on the surgical set-up would be valuable as nurses are key professionals contributing to delivery of, management of and policy about surgical set up.
Details
Title
Coordination of procedural equipment and supplies for the surgical set-up in the perioperative environment: A scoping review
Authors
Melanie Lang (Corresponding Author) - Queensland University of Technology
Jed Duff - Queensland University of Technology
Judy Munday - Queensland University of Technology
Publication details
Journal of Perioperative Nursing, Vol.37(4), pp.e-26-e-38
Publisher
Australian College of Perioperative Nurses
Date published
2024
DOI
10.26550/2209-1092.1353
ISSN
2209-1092; 2209-1084
Copyright note
This work is licensed under a Creative Commons Attribution 4.0 License.
Organisation Unit
School of Health - Nursing
Language
English
Record Identifier
991103724102621
Output Type
Journal article
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Coordination of procedural equipment and supplies for the surgical set-up in the perioperative environment_ A scoping review