Perioperative Care and Operating Room Management最新文献

{"title":"The roadblocks to success – Identifying challenges in implementing a surgery support E-health solution: A qualitative interview study","authors":"Cory James Williams ,&nbsp;Jed Duff","doi":"10.1016/j.pcorm.2024.100427","DOIUrl":"10.1016/j.pcorm.2024.100427","url":null,"abstract":"<div><h3>Background</h3><p>Surgery accounts for 30 % of the global disease burden, but healthcare systems struggle with managing surgical waitlists, optimising operations, and minimising cancellations, leading to poor patient outcomes and financial strain. E-health technologies offer promising solutions to enhance perioperative care and improve surgical outcomes, yet their integration faces significant organisational and structural challenges. This paper aims to explore and analyse the perspectives of decision-making personnel regarding the challenges and opportunities of implementing a surgery support e-health application.</p></div><div><h3>Methods</h3><p>This study utilised an explorative qualitative approach, employing a rapid cycle qualitative evaluation informed by the NASSS framework. Data were collected through individual semi-structured interviews with decision-making personnel conducted. Framework analysis guided by the NASSS framework was used to analyse the interview transcripts.</p></div><div><h3>Results</h3><p>A total of 15 participants from public health and external organisations participated in the study. The analysis, framed by the seven domains of the NASSS framework, critical challenges in integrating new health technologies, emphasising the need for compatibility, cybersecurity, and demonstrating clear benefits. Key factors for successful adoption included early and continuous stakeholder engagement, organisational readiness, and ongoing support. Additionally, participants highlighted the importance of centralised information systems and continuous adaptation of health IT solutions to meet evolving needs.</p></div><div><h3>Conclusion</h3><p>This paper reveals that implementing surgical e-health interventions is a complex process fraught with organisational, technical, financial, and political challenges, particularly due to insufficient end-user involvement and the intricate healthcare landscape. Despite the recognised benefits, successful implementation necessitates comprehensive stakeholder engagement and co-design approaches. Additionally, while a partnership between commercial vendors and public health developers presents an attractive solution, significant obstacles such as intellectual property disputes and resource allocation must be overcome.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100427"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S240560302400061X/pdfft?md5=8043e8a3133bdf629252a8d938499a91&pid=1-s2.0-S240560302400061X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142117718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing operating room efficiency and patient outcomes: The impact of preoperative neuraxial ultrasound in cesarean deliveries","authors":"Reine Zbeidy,&nbsp;Patricia Pozo,&nbsp;Fouad Ghazi Souki","doi":"10.1016/j.pcorm.2024.100424","DOIUrl":"10.1016/j.pcorm.2024.100424","url":null,"abstract":"<div><h3>Background</h3><p>The operating room (OR) is a pivotal financial hub in modern healthcare, accounting for up to 40 % of hospital costs and generating 60–70 % of revenue. Optimizing OR efficiency is crucial for financial sustainability, patient safety, OR throughput, and satisfaction among patients, surgeons, and staff.</p></div><div><h3>Objective</h3><p>This Quality Improvement (QI) project aims to evaluate whether pre-procedure neuraxial ultrasound can enhance obstetric OR efficiency by reducing the time and attempts needed for epidural placement. The secondary objective is to assess improvements in patient comfort, safety, and satisfaction.</p></div><div><h3>Methods</h3><p>Conducted at a tertiary hospital in Miami from January to March 2022, the study included 98 parturients undergoing elective cesarean delivery. Patients were randomized into two groups: one receiving preoperative ultrasound (<em>n</em> = 49) and the other not (<em>n</em> = 49). Key metrics recorded included patient demographics, procedural times, number of attempts, pain scores, and patient satisfaction.</p></div><div><h3>Results</h3><p>The ultrasound group demonstrated significant improvements in OR efficiency: shorter epidural placement times (median 9 vs. 13 min, <em>p</em> &lt; 0.001), fewer attempts (median 1 vs. 2, <em>p</em> &lt; 0.001), reduced anesthesia ready times (median 22 vs. 31 min, <em>p</em> &lt; 0.001), and decreased total OR times (median 122 vs. 140 min, <em>p</em> = 0.004). Patients in the ultrasound group reported less back pain (median score 0 vs. 1, <em>p</em> &lt; 0.001) and higher satisfaction (median score 10 vs. 9, <em>p</em> &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>Preoperative neuraxial ultrasound significantly improves OR case duration and enhances patient outcomes in obstetric anesthesia. While the study's single-site data and lack of blinding are limitations, the findings support larger, multi-institutional studies to confirm these benefits and explore further efficiency improvements.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100424"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142095421","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":"Willingness of undergraduate nursing students to specialise in perioperative nursing in selected universities, Southwestern Nigeria","authors":"Olufemi Oyebanji Oyediran ,&nbsp;Olamide Emmanuella Akinfala ,&nbsp;Emmanuel Olufemi Ayandiran ,&nbsp;Iyanuoluwa Oreofe Ojo","doi":"10.1016/j.pcorm.2024.100425","DOIUrl":"10.1016/j.pcorm.2024.100425","url":null,"abstract":"<div><h3>Aim</h3><p>This study assessed the perception, attitude and willingness of nursing undergraduates to specialise in perioperative nursing.</p></div><div><h3>Background</h3><p>The field of perioperative nursing is currently facing a significant shortage of trained perioperative nurses. This has great implications for patients’ care and surgical outcomes. Nursing students are the future workforce and their perception, attitude and willingness to join the perioperative nurses’ workforce will go a long way in averting this dangerous trend.</p></div><div><h3>Design</h3><p>The study adopted a descriptive cross-sectional research design.</p></div><div><h3>Method</h3><p>The study that was conducted in July, 2023, employed proportionate stratified random sampling technique to select a sample size of 271 nursing students across selected universities. Data collection was done with the aid of a structured questionnaire. Data collected was analysed using descriptive and inferential statistics, with p value set at 0.05 level of significance.</p></div><div><h3>Results</h3><p>Findings revealed that less than half (39.5 %) of the respondents possessed positive perception towards the specialty of perioperative nursing while the majority (60.5 %) had negative perception. Similarly, majority (51.3 %) of the respondents had a negative attitude to the field of perioperative nursing. Results further showed that majority (54.2 %) of the respondents exhibited low level of willingness to specialise in perioperative nursing. Data generated for the hypothesis showed a significant association between respondents’ attitude, willingness and their perception of perioperative nursing specialty.</p></div><div><h3>Conclusion</h3><p>The study concluded that nursing undergraduates are not that willing to specialise in perioperative nursing. Therefore, plans must be put in place to heighten the nursing students’ interest in perioperative nursing. This is with a view to boosting enrolment in perioperative nursing and resultant increase in recruitment and retention of perioperative nurses.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100425"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157638","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":"Paradigm shift or professional boundary? A critical analysis of operating room nursing and surgical technologist in Iran's operating rooms: A letter to the editor","authors":"Mojgan Lotfi ,&nbsp;Mohammad Hussein Rafiei ,&nbsp;Omid Zadi ,&nbsp;Vahid Zamanzadeh ,&nbsp;Awat Yousefiazar","doi":"10.1016/j.pcorm.2024.100426","DOIUrl":"10.1016/j.pcorm.2024.100426","url":null,"abstract":"<div><p>Operating room nursing and surgical technologist are two disciplines that provide perioperative care in the operating room. However, they have distinct histories, philosophies, curricula, and functions that shape their professional identities and boundaries. This paper critically analyzes the literature on these disciplines, focusing on their historical development, current situation, future directions, and the implications of paradigm shift for their evolution. The findings suggest that both fields are undergoing significant transformations due to technological advancements and changing healthcare needs, and highlight the need for interdisciplinary collaboration and continuous adaptation to ensure high-quality perioperative care for patients.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100426"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142129479","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":"Value stream mapping in the preparation of patients for surgery A study of a private hospital in Turkey","authors":"Zibel Koc ,&nbsp;Şule Ecevit Alpar ,&nbsp;Baha Simsek ,&nbsp;Suleyman Hilmi Aksoy","doi":"10.1016/j.pcorm.2024.100420","DOIUrl":"10.1016/j.pcorm.2024.100420","url":null,"abstract":"<div><h3>Background</h3><p>Due to the equipment used in the health system, drugs, and the need for specialized health personnel, the operating rooms are the most costly, and time is the most valuable resource. From this point of view, the study was aimed to raise awareness about Value Stream Mapping, which is one of the problem-solving practices in nurses, and to practice with a sample VSM study (eliminating non-value-creating activities, creating flow in processes, and avoiding delays due to the preparation of the surgery in the pre-op period with continuous improvement).</p></div><div><h3>Methods</h3><p>Observational action research. The research, Value Stream Mapping, which is one of the lean methods, was carried out in a private hospital between December 2019 and March 2022. A total of 59 patient flows were observed in three stages. First, the current situation map was drawn. Value-added and non-value-added time was determined. The problems experienced in the current situation were determined and suggestions were developed for their solution, kaizen studies were carried out. Onset time and delays in minutes were monitored for all first cases on a daily basis.</p></div><div><h3>Result</h3><p>Non-value-added activities were reduced from 102 min to 52 min on average. In particular, the quality increased from 0 % to 36 %. \"If patients were not in the operating room within 10 min of the scheduled start time, this was considered a late start\". While the rate of starting the surgery on time at the first observation was 0 %, this rate increased to 70 % at the end of the study.</p></div><div><h3>Conclusions</h3><p>Improving the pre-op preparation process was effective in increasing the percentage of surgery that started on time in the operating room. It is thought that value stream mapping can be a useful method for improving on-time starts in the operating room.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100420"},"PeriodicalIF":0.0,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076869","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":"Open reduction internal fixation in patella fracture using wide awake local anesthesia no tourniquet technique (WALANT) – A case series","authors":"Chinnakart Boonyasirikool,&nbsp;Chananyu Susrivaraput,&nbsp;Sunyarn Niempoog","doi":"10.1016/j.pcorm.2024.100417","DOIUrl":"10.1016/j.pcorm.2024.100417","url":null,"abstract":"<div><h3>Background</h3><p>Wide Awake Local Anesthesia No Tourniquet (WALANT) has been accepted safe and effective anesthesia technique for many orthopaedics procedures. Despite growing number of studies, few had described using WALANT in lower extremities with more complexity like the knee. We present a case series of patella fracture fixation using WALANT.</p></div><div><h3>Methods</h3><p>WALANT was used as a method of anesthesia for five patients diagnosed with patella fracture undergone tension band wiring fixation at Thammasat University hospital during 2021 - 2022. Visual analog scale (VAS) was collected throughout the surgery as primary objective and up to 48 h after the operation. We also evaluated their demographic and clinical data, range of motion, total operative time, amount of WALANT used, blood loss and hospital stay.</p></div><div><h3>Results</h3><p>Throughout the procedure, all patients reported no pain or discomfort except at wiring step which average VAS was 2.4 ± 1.14. The mean total operative time was 91.6 ± 18.58 min and mean WALANT solution used was 124 ± 12.94 ml. The visualization of surgical field was satisfying with minimal blood loss. All patients were able to walk with weight-bearing as tolerated right after the operation and were discharged in the same day except one due to lack of caregivers at home. Neither local nor systemic complications were found. No conversion to other anesthesia techniques due to failure of WALANT.</p></div><div><h3>Conclusions</h3><p>This study shows WALANT may be considered safe and effective as an alternative anesthesia technique for patella fracture fixation in ambulatory setting, offering favorable outcome without need for postoperative hospitalization.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100417"},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083631","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 relationship between clinical decision-making levels and self-efficacy levels of operating room nurses","authors":"Sedat Kaya ,&nbsp;Gizem Kubat Bakir","doi":"10.1016/j.pcorm.2024.100416","DOIUrl":"10.1016/j.pcorm.2024.100416","url":null,"abstract":"<div><h3>Background</h3><p>Clinical decision-making and self-efficacy levels of operating room nurses are critical for patient care quality and safety.</p></div><div><h3>Objective</h3><p>This study aims to examine the relationship between clinical decision-making levels and self-efficacy among operating room nurses and to identify factors influencing these two key components of nursing practice.</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive design was used to survey 94 nurses working in surgical wards at Ankara University Medical Faculty Hospital. Data were collected using the Clinical Decision Making in Nursing Scale (CDMNS), General Self-Efficacy Scale (GSES), and a demographic information form. Data were analyzed using descriptive statistics, correlation analysis, and group comparisons.</p></div><div><h3>Results</h3><p>A significant positive correlation was found between clinical decision-making ability and self-efficacy (<em>r</em> = 0.355, <em>p</em> &lt; .0001). Nurses with higher education levels demonstrated significantly greater clinical decision-making skills (<em>p</em> &lt; .005). Nurse managers reported significantly higher self-efficacy levels compared to scrub/circulating nurses (<em>p</em> &lt; .05). Age was positively correlated with self-efficacy (<em>r</em> = 0.373, <em>p</em> &lt; .0001) but not with clinical decision-making ability.</p></div><div><h3>Conclusion</h3><p>The research indicated that self-efficacy levels correspond with clinical decision-making capabilities of the operating room nurses. Higher education levels of the practitioners enhanced their clinical decision-making abilities. Nurse managers had higher self-efficacious beliefs than the scrub or circulating nurses. Age was positively associated with self-efficacy, but not with the scores on clinical decision-making abilities. The results of this study nurse leaders have higher GSES and CDMNS scores because they are experienced nurses with higher education degrees.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100416"},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089030","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":"Feasibility and safety of ultrasound-guided supra-clavicular block in children","authors":"Ahmed Ben Slimene,&nbsp;Mehdi Trifa,&nbsp;Hajer Blaiti,&nbsp;Salma Aouadi,&nbsp;Adel Beji,&nbsp;Mohamed Amine Ben Hafsa,&nbsp;Joshua D Cox","doi":"10.1016/j.pcorm.2024.100422","DOIUrl":"10.1016/j.pcorm.2024.100422","url":null,"abstract":"<div><h3>Background</h3><p>Ultrasound-guided supra-clavicular nerve block (SCNB) has regained interest in adults but remains underutilized in pediatrics. This case series aims to evaluate the efficacy and safety of ultrasound-guided SCNB in children undergoing upper-extremity surgery.</p></div><div><h3>Methods</h3><p>Prospective observational case series, the inclusion criteria were children over one year old who were scheduled for elective upper-extremity surgery. After induction of general anesthesia, an ultrasound-guided SCNB was performed. A dose of 0.2–0.5 ml/kg of bupivacaine 0.25 % or ropivacaine 0.2 % was administered all around the brachial plexus. In case of postoperative pain, 15 mg kg^-1 of paracetamol + 10 mg kg^-1 of ibuprofen were administered. The primary outcome measure was the success and safety of the block. Secondary outcomes were time to first analgesia administration and duration of motor blockade.</p></div><div><h3>Results</h3><p>Thirty-three patients were included. Median age and weight were 6 [2.75,9.75] years and 24 [16,35] kg, respectively with a sex ratio of 3.1. Bupivacaine 0.25 % was used in the majority of cases (<em>N</em> = 24). The overall duration to complete block performance was 170 [120,300] seconds. A single attempt was sufficient for the majority of children, with a block success rate of 100 %. No incidents were reported during block performance. Postoperatively, time to the first analgesic request was 10 [8,12.5] hours. Twenty-five patients developed a motor block, with a duration of 4 [0.5,5] hours. Bupivacaine 0.25 % was associated with higher incidence of motor blockade (<em>p</em> = 0.002).</p></div><div><h3>Conclusions</h3><p>Ultrasound-guided SCNB appears to be an effective and safe technique in children. Further studies using lower doses of bupivacaine could help reduce the incidence of motor block.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100422"},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142058326","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 effect of stress ball use on subcutaneous injection procedural pain in orthopedic patients: Randomized controlled trial","authors":"Figen Diğin ,&nbsp;Zeynep Kizilcik Özkan","doi":"10.1016/j.pcorm.2024.100421","DOIUrl":"10.1016/j.pcorm.2024.100421","url":null,"abstract":"<div><h3>Background</h3><p>Patients may feel pain during subcutaneous injection and drug absorption that ranges in intensity. The purpose of this study is to determine the effect of stress ball use on procedural pain due to subcutaneous injection in orthopedic patients.</p></div><div><h3>Method</h3><p>The randomized controlled study was conducted with the participation of 134 patients (67 experimental group - 67 control group) who underwent orthopedic surgery at a university hospital between January 2023 and July 2023. Participants were randomly divided into stress ball and control groups. Patient Information Form and Visual Analogue Scale (VAS) were used to collect the data.</p></div><div><h3>Results</h3><p>It was found that the majority of the patients (55.2 %) were women and the mean age was 57.2± 18.7 years. The characteristics of the patients in the experimental and control groups were similar. The Visual Analogue Scale values of the experimental group patients at the time of injection were lower than those of the control group, which was statistically significant (<em>p</em> = 0.011). According to 68.7 % of the patients in the experimental group, the use of the stress ball reduced the intensity of pain during injection. In addition, 71.6 % of the patients were satisfied with the use of the stress ball.</p></div><div><h3>Conclusion</h3><p>It was concluded that using a stress ball helped orthopedic patients feel less pain during subcutaneous injection procedures. It was found that the experimental group's patients were mainly satisfied with the pain relief provided by stress balls.</p></div><div><h3>ClinicalTrials.gov ID</h3><p>NCT06023485</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100421"},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048585","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 compliance of sepsis resuscitation care bundle in patients diagnosed with septic shock or sepsis to the International Surviving Sepsis Campaign among patients admitted to a tertiary and teaching hospital, Ethiopia: A 1-year prospective observational study","authors":"Ruth Ayanaw Eyayu,&nbsp;Henos Enyew Ashagrie,&nbsp;Tadael Gudayu Zeleke,&nbsp;Wubie Birlie Chekol,&nbsp;Debas Yaregal Melesse","doi":"10.1016/j.pcorm.2024.100418","DOIUrl":"10.1016/j.pcorm.2024.100418","url":null,"abstract":"<div><h3>Background</h3><p>High rates of morbidity and mortality would be seen in patients suffering from sepsis and/or septic shock. It has been hypothesised that the Surviving Sepsis Campaign will reduce the morbidity and mortality of individuals who are diagnosed with septic shock and/or sepsis. Improving the surviving sepsis campaign's execution is necessary to reduce these deleterious occurrences. There is currently a lack of local data regarding the management in accordance with the guidelines in the Surviving Sepsis Campaign.Therefore, this study aimed to assess the compliance rate of sepsis resuscitation care bundle in patients diagnosed with septic shock and/or sepsis to the International Surviving Sepsis Campaign among patients admitted to a tertiary and teaching hospital, Ethiopia.</p></div><div><h3>Methods</h3><p>Hospital based, prospective observational study was conducted from January 1/2023 to December 31, 2023. Consecutive sampling technique was employed to select study participants for a period of one year and the smaple size was found to be 88 participants. A prepared checklist with standards taken from the International Surviving Sepsis Campaign was used to collect the data. Data were collected through direct-observation, interviewing the responsible physician who made the sepsis and/or septic shock diagnosis, and reviewing patient charts. Data were entered and analysed with statistical package for social sciences (SPSS) version-25.</p></div><div><h3>Results</h3><p>In treating patients diagnosed with septic shock and/or sepsis, the total compliance rate with the International Surviving Sepsis Campaign's (ISSC) sepsis resuscitation care bundle was 38 %. In the initial one-hour care bundle, 100 % of patients received the RECOMMENDED initial fluid resuscitation, 64 (72.7 %) of patients received broad spectrum antibiotics, 12 (14 %) of patients had blood culture before antibiotics.</p></div><div><h3>Conclusions</h3><p>This study concluded that sepsis resuscitation care bundle practice was subpar. Therefore, we recommend that educational training, increased awareness, and sharing the current and existing evidences are an important measures to improve the utility of the recommendations of the International Surviving Sepsis Campaign's (ISSC). After the sepsis treatment bundle has been fully implemented, a re-evaluation will take place in the summer of 2025.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100418"},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405603024000529/pdfft?md5=a883f450ac7f7d968309291f5c09238c&pid=1-s2.0-S2405603024000529-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}