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Archive July 2019 XX, No. 7

Video Integration on Display

The success of your integrated OR hinges on the details that many facilities overlook.

Jared Bilski


END-USER ERROR A common mistake facilities make: Not getting feedback from the staff who will use integrated OR technology on a day-to-day basis.

Today's modern surgeons are directors and executive producers of the motion picture institutes that are today's sleek ORs, routing video from and to any flat-panel, high-def display at the touch of a button. Let's look at what it takes to navigate the cabling, complex configurations, trials and vendor negotiations to successfully roll out integrated ORs at your facility.

Like most high-tech purchases, a trial is key. At a former facility, Jason Smith, MSN, director of perioperative services at Baylor Surgical Hospital in Fort Worth, Texas, worked with multiple vendors to set up on-site OR integration simulations in a conference room. He invited his top 15 high-volume surgeons and any others with a particular interest in integration to try out the various types of monitors, routing options, audio recording and videoconferencing technology. The goal was to determine exactly what would be beneficial for their needs and what would likely be a waste, he says.

He went with the lowest bid. That led to a 2-week delay in both of the ORs they were integrating. That was 4 weeks without any cases, a delay that wiped out any of the "savings" the vendor promised and wound up costing more.

"You get what you pay for," says Mr. Smith. "You can't get a gold nugget out of a penny."

If he had it to do over again, he would have found a creative way to stay within budget and still get the best results for his surgeons and staff. He offers this example.

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