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Archive June 2018 XIX, No. 6

Thumbs Up On OR Integration

The systems are pricey and sometimes unreliable, but overall, facility managers love them.

Outpatient Surgery Editors


Scott LaBorwit, MD
SEAMLESS INTEGRATION Integrated ORs feed clinically relevant information directly to the OR — all without disrupting the sterile field.

Thinking of stepping into the world of OR integration? Being able to route video images anywhere in the room with the touch of a screen or a voice command is the ultimate in high-tech efficiency, but tread lightly. The installation is complex and costly — between $50,000 and $75,000 per OR, our recent reader survey found — and it can rarely be done within a typical IT infrastructure.

This month, 241 Outpatient Surgery readers weighed in on OR integration. Slightly more than half of them have integrated ORs in their facilities; the typical facility manager with integrated ORs oversees 5 of them. Integrated ORs are significantly more common in hospitals than ASCs — 58% of our hospital-based respondents have them, while only 25% of ASC-based ones do.

Many of our respondents who have integrated ORs touted the ability to adjust surgical tables and lights or direct flat-screen monitors and equipment suspended from ceiling-mounted booms — all without disrupting the sterile field. "It's wonderful to do away with towers and monitors that you have to bring into the room," says a staffer at an Indiana hospital. "The RN isn't moving all over the room and can change settings for everything in one location," says a Hawaii OR Manager.

"It increases workflow and efficiency of the OR team and promotes safety and accurate documentation," says Jason Smith, MSN, director of perioperative services at Baylor Surgical Hospital in Fort Worth, Texas.

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