Impact of Implementing of Custom Surgical Tray (CST) in Anterior Cruciate Ligament Reconstruction Procedure on Sustainable Development.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Preparation time of the trolley
研究概览
简要总结
In the Toulouse University Hospital, the Custom Surgical Tray (CST) were not referenced. The nurse had to prepare and open all the components of the procedure separately. This is a long and wasteful process.
CST brings together all the single-use medical devices necessary for an intervention, including draping and dressing elements, in the same single packaging.
Following the new local call for tenders on draping kits, and with the aim of standardizing and rationalizing practices, the implementation of CST within the requesting blocks whose orthopedic and traumatology block has been validated.
The hypothesis is that the CST would save time on preparing the trolley and on opening single-use equipment in the room while limiting the amount of waste.
详细描述
To determine the social impact, the study assess the quality of life at work by measuring the difference, after implementing CST, in time needed for preparation of the trolley before entering the OR, for opening the instruments necessary by the surgical and circulating certified perioperative nurse (CNOR) in the Operating Room (OR), and for sorting the waste derived from the instrument's packages between plastic and paper after the intervention. In addition, the study assessed the biomechanical risk factors related to musculoskeletal disorders by evaluating the number of movements made by the CNOR when opening the instruments and sorting the waste, with and without CST. Finally, the study evaluate CNOR and surgeon's satisfaction after the implementation of CST.
To determine the ecologic impact, the difference in the number and weight of waste due to packaging of the disposable instruments, with and without CST was evaluated.
To determine the economic impact, the difference in cost of the instruments used, with and without CST was evaluated.
The hypothesis is that the use of CST enhances Sustainable Development (SD) by maintaining social development and environment protection, despite a possible additional cost.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years old patients
- •patient necessitating a Anterior Cruciate Ligament reconstruction
排除标准
- •patient refusing to participate.
结局指标
主要结局
Preparation time of the trolley
时间窗: 1 day
Compared the number of minutes to prepare the trolley between control and experimental group
Opening time of the instruments
时间窗: 1 day
Compared the number of minutes to open all the instrument between control and experimental group
Sorting time of the waste
时间窗: 1 day
Compared the number of minutes to sorting of the waste between control and experimental group
次要结局
- weight of trash packages(1 day)
- Number of TRASH packages(1 day)