This research study examined the effect of robotic assisted surgery versus conventional open surgery on post-surgical infection rates and recovery time for patients receiving total knee arthroplasty. The study hypothesized that robotic assisted surgery would be associated with lower infection rates and quicker recovery compared to open surgery. The research design was an experimental study that involved randomly assigning participants to either receive robotic assisted surgery or open surgery as a control. Results indicated that robotic assisted surgery was associated with shorter surgical duration, decreased risk of infection, less joint manipulation, increased precision and smaller incisions compared to open surgery. These factors helped lead to quicker recovery times with robotic assisted surgery.
A thoughtful presentation on participation in clinical trials from the Thomas Jefferson University team at the 2017 CURE OM Patient & Caregiver Symposium.
A thoughtful presentation on participation in clinical trials from the Thomas Jefferson University team at the 2017 CURE OM Patient & Caregiver Symposium.
Mapping lung cancer diagnostic pathways: a qualitative study of interviews wi...Cancer Institute NSW
Lung cancer remains the leading cause of cancer death in developed countries. There is growing evidence that earlier diagnosis of lung cancer is an important factor in improving outcomes. Despite this, there is surprisingly little qualitative research that documents lung cancer patients' diagnostic pathway and beyond.
Assessing the appropriateness of CT scans among pediatric ortho patientsImage gently
Sifting through peer-reviewed studies on different options in imaging technology used in pediatric orthopedic injuries, the two doctors quantified the amount of radiation in each of the CT scans radiation and X-rays for spines, pelvis, hip and other body parts. They discovered that children who require surgery for hip dysplasia, scoliosis and leg-length discrepancy undergo X-rays or CT scans, and are the children most vulnerable to exposure risk.
Pathways to smoking care for cancer patients (P-SCIP): Stage 1Cancer Institute NSW
As survival from cancer has improved over time, the potential impact of cigarette smoking on cancer patients and survivors is of increasing relevance. In addition to increased risk of chronic disease such as cardiovascular and respiratory disease, continued smoking after a cancer diagnosis increases the risk of second primary cancer, cancer recurrence and is a cause of treatment complications. As well the profound adverse impact of continued smoking on health outcomes in cancer patients, continued smoking among people with cancer incurs significant cost to the health system.
ISCaHN Treatment Dashboard: Providing clinician decision support with data ge...Cancer Institute NSW
Illawarra Shoalhaven Cancer and Haematology Network (ISCaHN) has been using an oncology information system (OIS) as a complete electronic record for over 4 years. There has been both considerable and valuable treatment data generated at the point of care. Are we able to rapidly assess the outcomes of our own treatment data, and use this outcome data to help inform the delivery of care to our patients?
A distributed data mining network infrastructure for Australian radiotherapy ...Cancer Institute NSW
Routine electronic storage of medical records and imaging is becoming standard practice in radiotherapy. There is immense potential to utilise this increasingly diverse data resource as an evidence base for decision support systems for cancer prognosis and subsequent personalised treatment decisions.
One example of how Clinical Cancer Registry level data can review practice va...Cancer Institute NSW
We examined the possible utility of using Cancer Institute NSW Clinical Cancer Registry data by examining one contentious issue in radiation oncology as an example. Increasing evidence has been published about the safety and efficacy of hypofractionated radiotherapy, in comparison with standard fractionation, in early, node-negative breast cancer.
Predictors of MDT review and the impact on lung cancer survival for HNELHD re...Cancer Institute NSW
Review by a Multidisciplinary Team (MDT) has been shown to lead to increased rates of surgical resection, radiotherapy, chemotherapy and timeliness of care. Most recently, the Victorian lung cancer patterns of care study have found that MDT review is an independent predictor of lung cancer survival.
Secondary Cancers, Health Behaviour and Cancer Screening Adherence in survivo...Cancer Institute NSW
Over 50% of patients undergoing allogeneic BMT can now be expected to become long-term survivors. Unfortunately many survivors experience an increased risk of secondary cancers, infections and chronic diseases.
Value of Medical Laboratory Science Personnel and Clinical Laboratory Service...Sheleste Vergara
Web-Based Presentation by:
Sheleste Anne Marie R. Vergara
BMLS - 1B
American Society for Clinical Laboratory Science, House of Delegates. ASCLS Position Paper: Patient Safety and Clinical Laboratory Science [Internet]. 2015 Jul [cited 14 Dec 2020]
https://ascls.org/value-of-clinical-laboratory-services/
Support & information for radiotherapy patients: how can social media help?KimMeeking
Slides from my presentation looking at social media for patient benefit and also for healthcare professionals in the field of cancer and radiation therapy.
Presented at the UK Radiological and Radiation Oncology Congress (UKRCO), Liverpool, July 2nd 2018
The Efficacy of Pocket Elimination/Reduction Compared to Access Flap Surgery: A Systematic Review and Meta-analysis
To assess the efficacy and adverse effects of resective
surgery compared to access flap in patients with
periodontitis.
Mapping lung cancer diagnostic pathways: a qualitative study of interviews wi...Cancer Institute NSW
Lung cancer remains the leading cause of cancer death in developed countries. There is growing evidence that earlier diagnosis of lung cancer is an important factor in improving outcomes. Despite this, there is surprisingly little qualitative research that documents lung cancer patients' diagnostic pathway and beyond.
Assessing the appropriateness of CT scans among pediatric ortho patientsImage gently
Sifting through peer-reviewed studies on different options in imaging technology used in pediatric orthopedic injuries, the two doctors quantified the amount of radiation in each of the CT scans radiation and X-rays for spines, pelvis, hip and other body parts. They discovered that children who require surgery for hip dysplasia, scoliosis and leg-length discrepancy undergo X-rays or CT scans, and are the children most vulnerable to exposure risk.
Pathways to smoking care for cancer patients (P-SCIP): Stage 1Cancer Institute NSW
As survival from cancer has improved over time, the potential impact of cigarette smoking on cancer patients and survivors is of increasing relevance. In addition to increased risk of chronic disease such as cardiovascular and respiratory disease, continued smoking after a cancer diagnosis increases the risk of second primary cancer, cancer recurrence and is a cause of treatment complications. As well the profound adverse impact of continued smoking on health outcomes in cancer patients, continued smoking among people with cancer incurs significant cost to the health system.
ISCaHN Treatment Dashboard: Providing clinician decision support with data ge...Cancer Institute NSW
Illawarra Shoalhaven Cancer and Haematology Network (ISCaHN) has been using an oncology information system (OIS) as a complete electronic record for over 4 years. There has been both considerable and valuable treatment data generated at the point of care. Are we able to rapidly assess the outcomes of our own treatment data, and use this outcome data to help inform the delivery of care to our patients?
A distributed data mining network infrastructure for Australian radiotherapy ...Cancer Institute NSW
Routine electronic storage of medical records and imaging is becoming standard practice in radiotherapy. There is immense potential to utilise this increasingly diverse data resource as an evidence base for decision support systems for cancer prognosis and subsequent personalised treatment decisions.
One example of how Clinical Cancer Registry level data can review practice va...Cancer Institute NSW
We examined the possible utility of using Cancer Institute NSW Clinical Cancer Registry data by examining one contentious issue in radiation oncology as an example. Increasing evidence has been published about the safety and efficacy of hypofractionated radiotherapy, in comparison with standard fractionation, in early, node-negative breast cancer.
Predictors of MDT review and the impact on lung cancer survival for HNELHD re...Cancer Institute NSW
Review by a Multidisciplinary Team (MDT) has been shown to lead to increased rates of surgical resection, radiotherapy, chemotherapy and timeliness of care. Most recently, the Victorian lung cancer patterns of care study have found that MDT review is an independent predictor of lung cancer survival.
Secondary Cancers, Health Behaviour and Cancer Screening Adherence in survivo...Cancer Institute NSW
Over 50% of patients undergoing allogeneic BMT can now be expected to become long-term survivors. Unfortunately many survivors experience an increased risk of secondary cancers, infections and chronic diseases.
Value of Medical Laboratory Science Personnel and Clinical Laboratory Service...Sheleste Vergara
Web-Based Presentation by:
Sheleste Anne Marie R. Vergara
BMLS - 1B
American Society for Clinical Laboratory Science, House of Delegates. ASCLS Position Paper: Patient Safety and Clinical Laboratory Science [Internet]. 2015 Jul [cited 14 Dec 2020]
https://ascls.org/value-of-clinical-laboratory-services/
Support & information for radiotherapy patients: how can social media help?KimMeeking
Slides from my presentation looking at social media for patient benefit and also for healthcare professionals in the field of cancer and radiation therapy.
Presented at the UK Radiological and Radiation Oncology Congress (UKRCO), Liverpool, July 2nd 2018
The Efficacy of Pocket Elimination/Reduction Compared to Access Flap Surgery: A Systematic Review and Meta-analysis
To assess the efficacy and adverse effects of resective
surgery compared to access flap in patients with
periodontitis.
Literature Evaluation TableStudent Name Joyce NwakorPIC.docxcroysierkathey
Literature Evaluation Table
Student Name: Joyce Nwakor
PICOT Question: For patients and healthcare workers in the hospital (p) does hand washing protocol (I) compared to an alcohol-based solution (C) reduce hospital-acquired infection (O) within a period of stay in the hospital (T)
Criteria
Article 1
QUANT
Article 2
QUANT
Article 3
QUANT
Article 4
REVIEW
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Daisy, V. T., & Sreedevi, T. R.
Link:
http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/detail/detail?vid=4&sid=72619044-c224-4bc5-9982-cf6c3953f7d2%40sessionmgr4007&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=110819455&db=ccm
Fox, C., Wavra, T., Drake, D. A., Mulligan, D., Bennett, Y. P., Nelson, C., … Bader, M. K. (2015). Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing. American Journal of Critical Care, 24(3), 216-224. doi:10.4037/ajcc2015898
Knighton, S. (2017). The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases, 4(suppl_1), S411-S412. doi:10.1093/ofid/ofx163.1029
João Manuel Garcia do Nascimento Graveto, Rita Isabel Figueira Rebola, Elisabete Amado Fernandes, & Paulo Jorge dos Santos Costa. Link:
https://doi-org.lopes.idm.oclc.org/10.1590/0034-7167-2017-0239
Article Title and Year Published
Effectiveness of a Multi-Component Educational Intervention on Knowledge and Compliance with Hand Hygiene among Nurses in Neonatal Intensive Care Units. 2015Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing
Published May 2015
The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases.
Published in 2017
Hand hygiene: nurses’ adherence after training.
2018
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
The study was aimed to assess the effectiveness of a multi-component educational intervention on the knowledge and compliance with handhygiene guidelines among nurses working in Neonatal Intensive Care Units.
The research investigated the reduction of infections in the hospital through observation of hand hygiene.
What handwashing procedures were performed by the medical personnel before patient contact part 1.
What is the level of effectiveness of training (I) in improving nurses’(P) adherence to hand hygiene(O)?”.
Design (Type of Quantitative, or Type of Qualitative)
A pre-experimental pre-test post-test design was adopted for the study. QUANT
Pre-experimental study design
. QUANT
A quantitative study was done using quasi observational data
Qualitative/ quantitative studies
This is a review
Setting/Sample
This study was conducted in 3 level III NICUs of selected private hospitals in Kerala
Total sample compri ...
The Envisia Genomic Classifier is the first commercially available genomic test to improve the diagnosis of idiopathic pulmonary fibrosis (IPF). The test harnesses the power of RNA sequencing and machine learning to improve physicians’ ability to differentiate IPF from other interstitial lung diseases (ILD) without the need for invasive, risky and costly surgery.
Literature Evaluation You did a great job on your PICOT and .docxmanningchassidy
Literature Evaluation
You did a great job on your PICOT and completing this assignment. I look forward to reading your papers regarding hospital acquired infections!! You just need to work on proper formatting of your references.
Thank you,
June
Summary of Clinical Issue
The clinical issue, in this case, is patient infections. Hospitals have always been a place of refuge for patients but there is a worrying fact about infections in hospitals. Some of the patients are taken to the hospital to get better but they leave with more infections than they came in with. The issue of infections in hospitals is motivated by two major factors. The first factor is associated with medical errors. Most of the infections which occur in hospitals affect people who have gone through surgeries are people who are receiving blood, water, and food through tubes. It, therefore, means that in most cases, doctors are responsible for infections. When the inner body organs are exposed to the environment, they get exposed to germs and germs increase the chances of infections. The second factor that supports infections is hygiene in the hospital. A hospital is a sensitive place and therefore, there is a dire need to make sure that it is hygienically fit for patients. Dirt has the ability to increase high exposure to infections. Contaminated foods and drinks increase the chances of infections. It is essential to note that the cleanliness of the water and other equipment that is used in hospitals is imperative.
PICOT Question:
In hospital infections, can improved hospital hygiene reduces the number of hospital infections among patients of all ages in the next twelve months
?
Criteria
Article 1
Article 2
Article 3
APA-Formatted Article Citation with Permalink
Saint, S. (2017). Can intersectional innovations reduce hospital infection?. Journal of Hospital Infection, 95(2), 129-134. https://doi.org/10.1016/j.jhin.2016.11.013
Starr, J. B., Tirschwell, D. L., & Becker, K. J. (2017). Labetalol use is associated with increased in-hospital infection compared with nicardipine use in intracerebral hemorrhage. Stroke, 48(10), 2693-2698.
https://doi.org/10.1161/STROKEAHA.117.017230
Van Kleef, E., Luangasanatip, N., Bonten, M. J., & Cooper, B. S. (2017). Why sensitive bacteria are resistant to hospital infection control. Wellcome open research, 2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721567/
How Does the Article Relate to the PICOT Question?
The article focuses on the PICOT question.
The article focuses on the PICOT question.
The article focuses on the PICOT question.
Quantitative, Qualitative (How do you know?)
It is qualitative research because it has employed a qualitative design.
It is quantitative research because it has employed a quantitative design.
It is quantitative research because it has employed a quantitative design.
Purpose Statement
To know the role that innovations play in reducing infections in hospitals
The purpose of the article is to know the fac.
Nursing Evidence Based Practice PPT for BSN Nurses.
This ppt assess effectiveness of using NPWT for DFUs with providing highest level of evidence. DFUs are a prevalent issue in many countries and is treated via dressings which take a long time to heal but utilizing this method will certainly make the recovery faster.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
2. Components
Introduction
Research question
Importance
Current Knowledge
Hypothesis
Objectives
Research Design
Study Sample and Consent
Interventions
Method of Comparison
4. Introduction
The purpose if this study was to examine post-surgical infection rates
between patients receiving robotic assisted surgery and patients receiving
the conventional method (open surgery) for total knee arthroplasty and
how it correlates to overall recovery.
5. PICO and Research Questions
PICO
Does the use of robotic assisted surgery decrease post-surgical
infection rates in patients receiving total knee arthroplasty compared
to the conventional (open) surgical method?
Research Questions
In patients receiving total knee arthroplasty, does the conventional
surgical method increase the risk of post-surgical infection?
In patients receiving total knee arthroplasty, what is the effect of
robotic assisted surgery and open surgery on post-surgical infection
rates and recovery time?
6. Hypothesis
Hypothesis
Patients of robotic assisted surgery are less likely to suffer from post-
surgical infection and will achieve quicker recovery than patients
receiving open surgical methods.
7. Research Study Objectives
The study objective is to identify which type of procedure robotic or
conventional, has better post surgical infection rates in regards to total
knee arthroplasty?
8. Research Design
Experimental Research Design
Intervention-
robotic assisted surgery versus conventional surgical approach
Control-
control group to receive conventional surgical method
Randomization
Participants randomly selected for control group or robotic approach group
12. Results
Shorter surgical duration decreases risk of post-surgical infection
Robotic assisted surgery decreases infection risk
Decreased joint manipulation
Increased surgical precision
Less surgical personnel in the OR
Small surgical incision
13. Outcome
Limitations
Pre-existing conditions that may increase risk of infection
Arthritis, obesity, increased BMI, diabetes
Complications arising in surgery requiring lengthened surgical time
Surgical protocol
Amount of staff in OR
Re-gloving during operative procedure
14. Findings and Evidence
Conference held to review research results
Evidence
Results and evidence posted to surgical and operating room areas
Hand washing technique reminders posted near sinks
Education
Nurse review infection prevention with patients prior to discharge
Review signs and symptoms of infection with patients
15. Conclusion
Robotic Assisted Surgery becoming Gold Standard
Decreased risk of infection
Decreased recovery time
16. References
Polit, D., & Beck, C. (2018). Essentials of nursing research: appraising evidence for nursing
practice (9th ed.) Philadelphia, PA: Wolters Kluwer.
Renaud, A., Lavigne, M., & Vendittoli, P.-A. (2012). Periprosthetic joint infections at a teaching
hospital in 1990-2007. Canadian Journal of Surgery, 55(6).
http://dx.doi.org.proxy1.nwcu.edu/10.1503/cjs.033610
Van Der List, J., Chawla, H., & Pearle, A. (2016). Robotic-assisted knee arthroplasty: An
overview. The American Journal of Orthopedics, 45(4).
http://www.mdedge.com/amjorthopedics/article/108342/robotics/robotic-assisted-knee-
arthroplasty-overview
Editor's Notes
Surgical infections are a troubling factor that directly correlates to post-op recovery for patients. This research study is to determine if one surgical approach over another can decrease the risk of infections for patients to help increase overall recovery rate.
Through the use of robotic-assisted surgical methods, patients will experience shortened surgical procedure time which results in decreased infection rates. The conventional surgical method requires more cutting and manipulation thus increasing the risk of infection as well as a longer surgical procedure time.
The objective of this study is to determine if robotic assisted surgery results in decreased risk of infection in patients when compared to the conventional (open) surgical method. The information gathered from this research study can help facilitate interventions to ensure the risk of infection remains low through the pre-operative and recovery period. If robotic assisted surgery does in fact lessen the risk of infection and can be proven, this study could change the surgical procedures are performed in hospitals ensuring patients receive the highest level of care with as minimal risk as possible.
“A true experiment or RCT is characterized by the following properties:
Intervention—The experimenter does something to some participants by manipulating the independent variable.
Control—The experimenter introduces controls into the study, including devising an approximation of a counterfactual—usually a control group that does not receive the intervention.
Randomization—The experimenter assigns participants to a control or experimental condition on a random basis.” (Polit & Beck, p. 137)
The research designed that will be used is the Experimental Design. The experiment is characterized by an intervention, control, and randomization. Intervention being using Robotic assisted surgery for total knee arthroplasty or using the conventional surgical methods and see what the outcomes are as far as post-surgical infection rates. The control group would receive the conventional surgical method, and the others the Robot assisted surgical method. Participants would be placed in the two groups at random as to prevent bias.
According to a research study conducted by Peersman, Laskin, Davis, Peterson, and Richart (2005), “Patients without infections had surgery durations of 94 +/- 28 min. Patients with infection had durations of 127 +/- 45 min” (p.71). They found that the length of the surgery directly impacted the potential for post-surgical site infection. Through their research, Peersman et al. (2005), discovered that increased weight and BMI directly correlated with increased surgical time.
“Recent studies have shown that robotic-assisted systems are superior to computer navigation systems with regard to less cutting time and less resection deviations… and shorter surgery time… and shorter hospital stay” (Van Der List, Chawla, & Pearle, 2016, p. 203). Robotic assisted surgery decreases the risk of infection by utilizing a shorter operation as well a more precise repair method resulting in less manipulation from a surgeon.
We anticipate the results to indicate that robotic assisted surgical approach will reduce infection rates and also increase patient recovery as they will have a shorter operation as well as a more precise surgical repair. Patients will have a shorter recovery time of 6-8 weeks with the robotic method compared to up to 3 months with the conventional method. “Tighter control of intraoperative surgical variables… have been associated with improved survivorship and functional status” (Van Der List, Chawla, & Pearle, 2016, p. 207).
Peersman et al. (2005) concluded that, “…the patient’s age and general health status are important factors in relation to complications” (p. 72). Age and pre-existing conditions can be correlated to the patient developing a post-op infection and the overall recovery of the patient. If the patient is older or deconditioned they may be more inclined to stay bed ridden immediately following surgery rather than improving recovery by being active sooner as well as slower healing for patients with diabetes.
Another study conducted by Renaud, Lavigne, and Vendittoli (2012), reviewed surgical infection rates for total knee arthroplasty in patients receiving the conventional surgical method. They found that by changing their perioperative procedure, infection rate decreased by 44%. This involved double gloving and changing outer glove layer periodically throughout the surgical procedure, increasing the length of time high risk patients received antibiotic prophylaxis, and decreasing the number of staff in the operating room (Renaud, Lavigne, & Vendittoli, 2012).
Findings will be posted on relevant floors and in surgery centers. A conference will be held to discuss the relevant findings of this study. So say the conventional method of surgery had a better post surgical infection rates. Signs would be posted where surgeons and nurses scrub in proper hand washing techniques as well as on the floor at the hospital in after care of these patients. If robotic assisted surgery had the better outcomes involving post surgical infection rates, these findings would be shared in hopes that other hospitals and surgery centers would move away from conventional methods. Nurses will be required to teach evidence based research to patients on how to further prevent infection after surgery.
The conventional (open) surgical method has long since been deemed the “gold standard” for knee repair and replacement. However, with the production and use of the robotic surgical methods, surgeons and healthcare professionals around the world are looking towards a potential new gold standard procedure. The robotic-assisted surgical method is decreasing the length of surgical procedures and manipulation within the surgical incision resulting in decreased risk of infection. The robotic –assisted surgical approach is also more precise and decreasing recovery time immensely in post-operative knee patients. Ensuring patients receive antibiotic prophylaxis and through the use of robotic surgical methods, we can decrease surgical infections and give patients the best surgical outcome possible.
