Project Information

Does reason and frequency of door openings in the operating room change throughout the day?

Project Description: Surgical site infections (SSI) are among the most common healthcare associated infections (HAI) in the United States and in one HAI prevalence survey, more than 21% of infections were attributed to SSIs. The negative effect of door openings on airflow and temperature in the operating room has been well established. I plan to observe the frequency of door openings in the Neuro operating rooms at UF Health Shands Hospital in an effort to assess and later, breakdown the reasons behind door openings. We have reason to believe that behaviors regarding preparedness or fatigue in the OR change as the day progresses. These changes in behavior may have an influence on the risk of a surgery or procedure resulting in surgical site infections. Our aim in this study is to determine if the number of door openings in a neuro OR is greater toward the end of a day or week. To our knowledge, no study has ever observed the effect time of day has on door openings in U.S. operating rooms. If significant differences in OR behaviors are observed as the day progresses, addressing these problems can help to reduce risk of SSIs in this acute academic hospital setting. Neuro surgeries and procedures will be directly analyzed for the frequency of door openings and the reason for the door opening. Time of day will be categorized by Morning, Noon, and Afternoon and then analyzed with 'Morning' as a reference for the other two categories.

QPI: Crystal, Almond, (

Collaborators: (Schuman,Deena(

Advisors: (Prins,Cindy(

UF Health Big Aims: Reduce Variation None

MeSH Keywords: Humans, Risk Factors, Surgical Site Infection, Staff Behavior, Operation Time, Neuro/Operating Rooms, Door Opening