Perioperative Care and Operating Room Management最新文献

{"title":"The incidence of postoperative atelectasis following gastrointestinal procedures in pediatric population","authors":"Emi Yuki ,&nbsp;Sulpicio G. Soriano ,&nbsp;Miho Shibamura-Fujiogi ,&nbsp;Koichi Yuki","doi":"10.1016/j.pcorm.2025.100510","DOIUrl":"10.1016/j.pcorm.2025.100510","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative pulmonary complications including atelectasis are common complications after surgery. However, the incidence of postoperative atelectasis in pediatric surgical population is not yet well delineated.</div></div><div><h3>Methods</h3><div>Using electronic medical record, we identified pediatric patients who underwent gastrointestinal surgery from January 2016 to September 2019 and determined the presence or absence of postoperative atelectasis by postoperative X-ray read. Risk factor analysis of postoperative atelectasis was performed using logistic regression analysis.</div></div><div><h3>Results</h3><div>We found that 25.6 % of patients had radiographic evidence of postoperative atelectasis. Univariate and multivariate analyses demonstrated that the risk factors included lower weight, higher ASA class, emergency surgery, the use of higher peak airway pressure, lower lung compliance, and the lack of neuromuscular relaxant reversal agent use. In patients who received muscle relaxants, the lack of neuromuscular relaxant reversal agent use was associated with an increased risk of postoperative atelectasis (odds ratio 0.421, 95 % confidence interval 0.235–0.723, <em>p</em> &lt; 0.001).</div></div><div><h3>Discussion</h3><div>Postoperative atelectasis was frequently observed in pediatric patients undergoing gastrointestinal surgery. For cases where neuromuscular blockade is used, adequate reversal is critical.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100510"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A consideration before rapid remimazolam administration","authors":"Qian Huang,&nbsp;Yi Zou","doi":"10.1016/j.pcorm.2025.100511","DOIUrl":"10.1016/j.pcorm.2025.100511","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100511"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of hopelessness, decision regret and desire for retransplantation in patients with graft loss after kidney transplantation","authors":"Naile Akıncı ,&nbsp;Çağla Toprak","doi":"10.1016/j.pcorm.2025.100508","DOIUrl":"10.1016/j.pcorm.2025.100508","url":null,"abstract":"<div><h3>Aim</h3><div>In this descriptive study, it was aimed to evaluate hopelessness, decision regret, and desire to be transplanted again in patients who developed graft loss after kidney transplantation.</div></div><div><h3>Material and Method</h3><div>The study sample consisted of all patients who developed graft loss after kidney transplantation between January 2017 and February 2021 in a private hospital in XXX, who met the inclusion criteria and volunteered for the study. “Patient Information Form”, ‘Beck Hopelessness Scale’ and ‘Decision Regret Scale’ were used as data collection tools in the study.</div></div><div><h3>Findings</h3><div>It was determined that participants experienced a moderate level of hopelessness after graft rejection (13.370 ± 4.379) while the average scores on the decision regret scale were generally high (66.435 ± 18.213). Regarding the desire to be transplanted again, it was observed that the majority of the participants (52.2 %) did not want to be transplanted again. According to the results of the correlation analysis, there was a significant correlation between hopelessness and decision regret scores (<em>p</em>* &lt; 0.05) while there was no significant correlation with the desire to be transplanted again (<em>p</em> &gt; 0.05). In addition, hopelessness (<em>p</em> = 0.034) scores of individuals who were not employed were significantly higher than those who were employed, and both hopelessness (<em>p</em> = 0.000) and decision regret (<em>p</em> = 0.048) scores of those without religious belief were significantly higher than those with religious belief.</div></div><div><h3>Conclusion</h3><div>The findings of the study emphasize the critical importance of monitoring and psychological support processes before and after kidney transplantation. Understanding the emotional processes individuals experience after kidney transplant graft loss is important for the development of psychological support and intervention strategies.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100508"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A structured educational model to improve the education of nurses: Case-based learning","authors":"Aydanur Aydın","doi":"10.1016/j.pcorm.2025.100504","DOIUrl":"10.1016/j.pcorm.2025.100504","url":null,"abstract":"<div><h3>Background</h3><div>Case-based training is a crucial component of nursing education, providing students with opportunities to enhance clinical reasoning, critical thinking, and professional behavior. However, few studies integrate these constructs into measurable educational outcomes.</div></div><div><h3>Methods</h3><div>This study aims to look at the influence of online care training, which is based on case studies in surgical illnesses nursing, on students' care behaviors and self-efficacy levels. Participants were randomly assigned to undergo case-based education or traditional instruction. One hundred and four undergraduate nursing students from one university were chosen to participate. The structure is logical, with causal relationships between claims and a clear order of information. The researcher used an online platform to collect data from students in both groups before and three months after training. The introduction features form comprised the caring behavior scale (CBS) and questions to assess nursing students' self-efficacy.</div></div><div><h3>Results</h3><div>Before the training, there was no discernible difference in the levels of care exhibited by the participants or in their self-efficacy. Nevertheless, a notable alteration was observed in the CBS scores of the intervention group students following the training period. Their CBS and self-efficacy scores surpassed those of the control group. The results of the regression analysis indicated that age, gender, place of residence, and caring assessment scores did not exert a significant influence on the total score of the Caring Behavior Scale.</div></div><div><h3>Conclusion</h3><div>The findings of the research indicated that structured case-based nursing education was an effective method for fostering the development of caring behaviors among students.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100504"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An audit of theatre operating efficiency at a central hospital in South Africa","authors":"S. Nair ,&nbsp;F. Cotwall ,&nbsp;D. Basu ,&nbsp;K. Tshabalala","doi":"10.1016/j.pcorm.2025.100506","DOIUrl":"10.1016/j.pcorm.2025.100506","url":null,"abstract":"<div><h3>Background</h3><div>The South African health system functions within a resource-constraint environment. By improving the efficiency of theatre services, costs can be reduced alongside improvement in service delivery. This study aimed to assess theatre operating efficiency at a central hospital in Gauteng Province, South Africa.</div></div><div><h3>Objectives</h3><div>To assess theatre efficiency by determining the theatre utilization rate, theatre cancellation rate, and determining the causes of inefficiency.</div></div><div><h3>Methods</h3><div>An audit was conducted from 15 May 2023 to 19 May 2023, between the hours of 08h00 and 16h00, in 7 operating rooms. The 5-day audit was conducted to capture a snapshot of theatre efficiency to inform operational management decision making. Times were collected for each surgical case including the anaesthesia start and finish time, surgical start and finish time, and turnover time. Cancellations of cases were documented with reasons, additional delays observed were recorded.</div></div><div><h3>Results</h3><div>A total of 16 320 min were available for utilization for elective and emergency cases. A total of 63 elective and 6 emergency cases were performed. The theatre utilization rate accounted for 67,7 % (11 047 min) of block time. Surgical time was 40 % of the block time. Non-surgical time accounted for 60 % and included anaesthetic time (25 %), time lost due to early finish (10 %), turnover time (3 %), time lost due to late starts (4 %) and post-surgical time (3 %). The day of surgery cancellation rate was 39 %, with 40 elective cases cancelled of 103 elective cases booked. Hospital-related factors accounted for 90 % of all cases and 10 % were secondary to patient-related factors, illustrating a greater need to address hospital related factors to reduce day of surgery cancellations.</div></div><div><h3>Conclusions</h3><div>The theatre utilization rate did not meet standards reflected in literature. The day-of-surgery cancellation rates were higher than what is recommended. Causes of inefficiency need to be addressed to optimize theatre functions.</div></div><div><h3>Recommendations</h3><div>Key strategies include realistic scheduling of elective theatre cases, maximizing theatre availability, implementing staff rotations, enhancing professional communication and performing continuous theatre audits. These interventions aim to improve theatre utilization and reduce day of surgery cancellations, which will ultimately enhance patient outcomes.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100506"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute kidney injury amid a national shortage of intravenous fluids: A before-and-after study","authors":"Daniel A. Zapata-Pena ,&nbsp;Andres Zorrilla-Vaca,&nbsp;Angel E. Armas-Vazquez,&nbsp;Angela M Bader,&nbsp;Alexander Stone,&nbsp;Sergey Karamnov","doi":"10.1016/j.pcorm.2025.100505","DOIUrl":"10.1016/j.pcorm.2025.100505","url":null,"abstract":"<div><h3>Introduction</h3><div>Hurricane Helene in 2024 resulted in a sudden shortage of intravenous (IV) fluids across the US, activating hospital strategies to limit fluid utilization. The clinical impact of this shortage remains unclear. This study aims to describe the effect of fluid conservation strategies on acute kidney injury (AKI) rates during a hospital response.</div></div><div><h3>Methods</h3><div>This is a single-center retrospective study of patients undergoing major surgery during five weeks of IV fluid shortage from September to October 2024. Patients were categorized into groups per week, using the week before the IV fluid shortage as the control group (T1). The primary outcome was acute kidney injury (AKI) within seven days post-surgery, defined by KDIGO criteria. A multivariable logistic regression assessed the association between each phase and AKI, adjusting for confounders.</div></div><div><h3>Results</h3><div>The study had 503 patients in 5 weeks (T1: 108, T2: 127, T3: 92, T4: 99, T5:77). Baseline characteristics were similar across groups. AKI occurred in 2.8 % of T1, 3.9 % of T2 (OR 1.88, 95 % CI 0.40–8.89, <em>P</em> = 0.424), 6.5 % of T3 (OR 3.53, 95 % CI 0.77–16.3, <em>P</em> = 0.105), 5.1 % of T4 (OR 1.45, 95 % CI 0.31–6.84, <em>P</em> = 0.638), and 3.9 % of T5 (OR 1.36, 95 % CI 0.25–7.35, <em>P</em> = 0.720). All groups had a higher AKI rate than T1, suggesting a possible clinical difference without reaching statistical significance.</div></div><div><h3>Conclusions</h3><div>Emergency reduction strategies were associated with maintaining patient safety. While findings suggest an impact of fluid conservation measures on AKI incidence, it was not statistically significant. Extensive studies are needed to confirm these findings.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100505"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing perioperative nurses' retention and turnover decisions: A qualitative analysis","authors":"Ada Xie ,&nbsp;Hui (Grace) Xu ,&nbsp;Jed Duff","doi":"10.1016/j.pcorm.2025.100503","DOIUrl":"10.1016/j.pcorm.2025.100503","url":null,"abstract":"<div><h3>Aim</h3><div>This study explored the factors influencing perioperative nurses' decisions to leave, stay, actual departure, or remain reluctantly.</div></div><div><h3>Background</h3><div>The perioperative nursing sector is crucial to surgical care and patient safety, yet its unique staffing dynamics remain underexplored. There is a noticeable gap in research addressing the staffing challenges within this sector. While many studies focus on either intention to leave or turnover, few have examined the broader staffing issues in perioperative nursing.</div></div><div><h3>Methods</h3><div>This qualitative analysis draws on open-ended responses from a nationwide online survey of perioperative nurses across Australia. Snowball sampling was conducted through relevant specialty associations. Data were analysed using both inductive and deductive thematic analysis, and the study adhered to the Standards for Reporting Qualitative Research (SRQR).</div></div><div><h3>Results</h3><div>This study found that workplace factors, rather than personal or family reasons, were the primary drivers of turnover intention and departure among perioperative nurses. A range of workplace issues—including excessive workload, staffing shortages, inflexible working schedules, poor collegial relationships, and lack of professional development opportunities—contributed to turnover intentions, but dysfunctional nursing management was the most influential factor. Factors influencing nurses to stay included strong collegial relationships, value of perioperative nursing work and patient care, and access to flexible schedules. Some participants remained despite high turnover intentions due to financial security, collegial bonds, and fear of job change.</div></div><div><h3>Conclusions</h3><div>This qualitative analysis identified nursing managers, workplace environment, workload, nursing shortages, scheduling, and professional growth as key factors influencing turnover decisions among perioperative nurses. It highlighted concerns about dysfunctional leadership styles and their limited efforts in retaining staff. Addressing these issues and promoting retention factors like the value of perioperative nursing and patient care, and positive collegial relationships are crucial for improving retention strategies.</div></div><div><h3>Implication for the organisation</h3><div>The study highlights the need for the human resource department’s involvement in the training and performance monitoring of nursing managers.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100503"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative opioid use is not a risk factor for postoperative nausea and vomiting in patients receiving intravenous patient-controlled analgesia with H1 antihistamines: a retrospective analysis","authors":"Takehiko Nagaoka ,&nbsp;Yoshinori Nakata ,&nbsp;Toshiya Shiga","doi":"10.1016/j.pcorm.2025.100502","DOIUrl":"10.1016/j.pcorm.2025.100502","url":null,"abstract":"<div><h3>Background</h3><div><strong>:</strong> Opioids are generally considered a risk factor for postoperative nausea and vomiting (PONV). However, our clinical experience suggests that intraoperative fentanyl and remifentanil dosages, as well as tramadol use, were not risks of PONV in patients receiving intravenous patient-controlled analgesia (IVPCA) containing fentanyl and an H₁ antihistamine (PCA-H). Additionally, intraoperative use of an H₁ antihistamine does not appear to reduce the incidence of PONV in patients receiving PCA-H. We hypothesized that neither opioid use nor intraoperative H₁ antihistamine use would be associated with PONV in patients receiving PCA-H, and we investigated the incidence of and risk factors for PONV in these patients followng laparoscopic gynecological surgery.</div></div><div><h3>Methods</h3><div><strong>:</strong> We examined the incidence of PONV in patients receiving PCA-H after laparoscopic gynecological surgery under general anesthesia. Patient characteristics, anesthetic factors, and intraoperative prophylactic antiemetics were analyzed through multiple logistic regression to assess their relationships with PONV.</div></div><div><h3>Results</h3><div><strong>:</strong> A total of 1,778 patients were included, with 1,767 (99.4 %) receiving propofol-based anesthesia and 1,719 (96.7 %) received an intraoperative prophylactic antiemetic. Overall incidences of nausea, vomiting, and postoperative antiemetic use were 26.5 %, 8.7 %, 11.0 %, respectively. Intraoperative opioid use (fentanyl, remifentanil dose, or tramadol use) was not a risk factor for PONV. Additionally, intraoperative antihistamine use was ineffective.</div></div><div><h3>Conclusion</h3><div><strong>:</strong> Intraoperative doses of fentanyl, remifentanil, and the tramadol use were not PONV risk factors in patients receiving PCA-H under propofol-based anesthesia. Concurrent use of an intraoperative antihistamine was not associated with a further reduction in PONV among patients receiving PCA-H.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100502"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The place of enhanced recovery after surgery (ERAS) protocol in nursing research: A bibliometric analysis from past to present","authors":"Ayşegül KAYA İMREK ,&nbsp;Meryem YİLMAZ","doi":"10.1016/j.pcorm.2025.100501","DOIUrl":"10.1016/j.pcorm.2025.100501","url":null,"abstract":"<div><h3>Background</h3><div>The ERAS protocol consists of evidence-based interventions designed to accelerate postoperative recovery. Given their active role in surgical care, nurses play a crucial part in the adoption and implementation of this protocol, thereby positively influencing patient outcomes.</div></div><div><h3>Aim</h3><div>This bibliometric study provides a comprehensive and integrative review of global literature on the use of the postsurgical Enhanced Recovery After Surgery (ERAS) protocol in nursing research.</div></div><div><h3>Design</h3><div>Bibliometric analysis.</div></div><div><h3>Methods</h3><div>Data were retrieved from the Web of Science and Scopus databases on December 31, 2024. No time restrictions were applied, and all available records up to the search date were included. Analysis was conducted using the Biblioshiny application within the Bibliometrix R package.</div></div><div><h3>Results</h3><div>The search identified 201 publications in Web of Science (first in 2001) and 201 in Scopus (first in 1979). In Web of Science, the most productive country was the United States, the leading institution was Linköping University, the most prolific author was A. Broström, and the most cited article (94 citations) was Silver JK’s 2015 study on cancer prehabilitation. The most frequent keywords were “enhanced recovery,” “surgery,” and “care.” In Scopus, China was the most productive country, The University of Texas was the leading institution, J. Burch was the most prolific author, and Aasa A.’s 2013 study (71 citations) on preoperative information ranked highest.</div></div><div><h3>Conclusion</h3><div>This study serves as a valuable resource for understanding the evolution of ERAS in nursing and provides a foundational reference for future research.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100501"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving surgical efficiency: Insights from turnover time analysis in a tertiary care center in Puerto Rico","authors":"Abner Limardo-Irizarry ,&nbsp;Adariana Feliciano-Quiñones ,&nbsp;Javier Torres ,&nbsp;Fabian Ramírez","doi":"10.1016/j.pcorm.2025.100499","DOIUrl":"10.1016/j.pcorm.2025.100499","url":null,"abstract":"<div><h3>Introduction</h3><div>Operating room (OR) turnover time (TOT) significantly impacts hospital efficiency, patient care, and revenue. Delays in TOT are associated with increased operational costs, patient waiting times, and staff burden. While much of the existing literature focuses on high-resource settings, there is limited research on OR efficiency in low-resource environments. This study aims to evaluate OR turnover times in a tertiary care hospital in Puerto Rico, examining the causes of delays and their impact on departmental efficiency across various operating rooms.</div></div><div><h3>Results</h3><div>A total of 1036 elective surgeries were reviewed across four surgical departments. Mean turnover time (TOT) varied significantly by department, with the cardiac catheterization OR having the lowest mean TOT of 26 min, and the ObGyn OR having the highest at 56 min. The rate of delays also varied, with the general OR having the highest percentage of delayed cases at 17.7 %, and the catheterization lab the lowest at 6.6 %. Overall, delayed cases had a significantly longer TOT (mean 1 h 11 min) compared to non-delayed cases (mean 31 min, <em>p</em> &lt; 0.001). The causes of delays varied by department and included surgeon unavailability, inadequate staffing, cleanup inefficiencies, among others.</div></div><div><h3>Discussion</h3><div>Our findings highlight key factors contributing to TOT delays, which vary across different surgical departments. Strategies such as implementing dedicated turnover teams, optimizing surgeon scheduling, and improving communication with task-specific checklists could reduce delays and improve OR efficiency. While the study's scope is limited to a single institution in Puerto Rico, it provides insights for improving OR efficiency in similar low-resource settings.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100499"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}