The "six sigma approach" to the operating room environment and

Best Pract Res Clin Anaesthesiol · Sep 2008

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The "six sigma approach" to the operating room environment and infection.

The patient's external environment plays a significant, and in some cases dominant, role in his or her infection risk. The use of ultraclean air for certain procedures, as well as avoidance of hypothermia have been proven to reduce the risk of infection. ⋯ More research needs to be done in order to determine whether OR design changes, in addition to increasing OR efficiency and thus reducing case times, can also reduce infection rates. Further research is also needed to determine whether or not double gloves and/or the use of antiseptic scrubbing in addition to painting are efficacious.

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- Robert H Thiele, Julie L Huffmyer, and Edward C Nemergut.
- Department of Anesthesiology, University of Virginia Health Sciences Center, Charlottesville, VA 22908, USA.
- Best Pract Res Clin Anaesthesiol. 2008 Sep 1; 22 (3): 537-52.
AbstractThe patient's external environment plays a significant, and in some cases dominant, role in his or her infection risk. The use of ultraclean air for certain procedures, as well as avoidance of hypothermia have been proven to reduce the risk of infection. There is no data to support the routine use of surgical masks (by surgeons or staff), ventilating helmets, or routine cleaning of all environmental surfaces in between cases. More research needs to be done in order to determine whether OR design changes, in addition to increasing OR efficiency and thus reducing case times, can also reduce infection rates. Further research is also needed to determine whether or not double gloves and/or the use of antiseptic scrubbing in addition to painting are efficacious.

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The "six sigma approach" to the operating room environment and infection.

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