INTEGRATED THEATRES
Project management risk The inherent complexity of hybrid ORs introduces a level of project management risk that can only be mitigated by the participation and interaction of knowledgeable stakeholders and consultants. Common issues include workflow interruptions, missing software and hardware interfaces, patient positioning challenges, and collisions due to misaligned equipment installation. Hospitals that have successfully implemented their first hybrid OR have taken the following steps to avoid these potential problems: n Involving experienced consultants to help ensure that there are no oversights in the planning process.
n Teaming with solution providers rather than equipment-focused vendors; this approach will help you better and more effectively manage the interface between the various systems and platforms in terms of planning, installation, and service, which, if not adequately co-ordinated, can delay project implementation or limit the theatre’s usability.
n ‘Visualising’ the hybrid OR using 3D tools with VR technology, to facilitate discussions among stakeholders, while helping to identify potential problems that would otherwise not be readily apparent to the planning team.
From design to implementation The duration of any hybrid OR project strongly suggests the need to have continuity of involvement by the stakeholders who participated and were most closely involved in making the planning decisions. At this point in the process, successful installation relies on confirming the room configuration, equipment specifications, and exact placement of all the hybrid OR technology. Detailed 3D visualisation, DWG, and BIM drawings should be completed for the new hybrid OR, crosschecked, and approved by each equipment supplier, to help avoid unanticipated installation issues. In traditional ‘stick-built’
construction, last-minute alterations can result in expensive changes and unacceptable delays. For this reason, many hospitals have chosen modular stainless steel wall panels that facilitate any required modifications without
Planners need to ensure that the hybrid OR quickly adapts to the needs and preferences of each surgical discipline.
Getinge recommends selecting a hybrid OR surgical table with interchangeable tabletops to accommodate a wide range of patient positioning, and for the comfort of the surgical team.
Detailed 3D visualisation, DWG, and BIM drawings should be completed for the new hybrid theatre, crosschecked, and approved by each equipment supplier.
OPERATING THEATRE l JULY 2018 l 39
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