INTEGRATED THEATRES
affecting installation scheduling. Limiting the number of suppliers involved in supplying equipment and technology has, equally, proven to minimise the potential for connectivity and installation issues that can delay the commissioning of the project.
Need for an installation schedule Regardless of the number of suppliers, a mandatory installation schedule is key to ensuring that everyone and everything is on site when is required. In addition, in-depth discussion should take place between project leaders and suppliers to establish best practices in determining the optimal sequence of installation steps and areas of concern, and the key areas where collaboration is required among multiple vendors and specialists to successfully interface hardware and software. Finally, an effective training plan for
the staff that will use the new theatre can reduce the time it takes for them to adapt to new equipment, and, for example, different working practices, as well as increasing staff confidence, satisfying regulatory requirements, and meeting internal performance standards. Getinge also recommends that key users are identified to facilitate knowledge transfer to all current and future staff members.
Conclusions
The planning and commissioning of a hybrid operating theatre requires the active participation of a diverse group
of stakeholders and consultants whose decisions contribute to the effective and seamless interaction of all the selected hardware and software platforms. Limiting the number of solution- oriented vendors can lower the risk of failure, prevent compromised performance, and eliminate delays by reducing the inherent inefficiencies of multiple service and maintenance interfaces.
Meanwhile, 3D modelling of the hybrid OR, including the placement of equipment and staff (to scale), helps stakeholders visualise workflows and relative positioning of multiple elements in the hybrid environment. An increasing number of hospitals
are installing multiple modalities of imaging systems (angio, CT, MRI) to handle intraoperative imaging for planning, guidance, and final check-up without having to reposition or transport the patient.
The placement of the theatre table
in relation to the imaging system, laminar flow alignment and coverage, positioning of the room ceiling supply unit, and surgical lighting, merit particular attention during the planning process, to ensure ergonomic and collision-free utilisation across multiple disciplines and procedures. User and application training is also fundamental in reducing the time it takes a surgical team to adapt to a new theatre facility and in increasing staff confidence, while satisfying regulatory requirements and meeting internal performance standards.
About Julian Grimaldi n
An increasing number of hospitals are installing multiple modalities of imaging systems to undertake intraoperative imaging for planning, guidance, and final check-up without having to reposition or transport the patient.
40 l JULY 2018 l OPERATING THEATRE
Julian Grimaldi, MBA Biomed Eng, is a graduate biomedical engineer who specialises in operating theatre design. Senior business manager, Hybrid OR, for Getinge in Germany, he holds has a Masters degree in Business Administration. Born in Buenos Aires, Argentina, he undertook his university degree there, and first became being involved in operating theatre design early in 1995. His career subsequently continued in Spain, where he completed his Master’s degree. Joining Getinge (formerly Maquet) in 2007 in Spain to develop a project department, he also served as a Professor on the Master’s for Hospital Architecture course at the Universidad CEU in San Pablo. In 2013 he joined the international organisation for Getinge Surgical Workplaces in Rastatt in Germany, working in the Hybrid Department. Alongside his business responsibilities for Western Europe, Latin America, the Middle East and Africa, he is in charge of developing architectural concepts solutions for Hybrid Surgical Rooms – from single to multiple rooms – for different imaging equipment and modalities.
Bibliography: This article is based on Roadmap to the Hybrid suite (white paper) – Optimizing the Planning Process for designing and
Commissioning the Single Discipline, Multidisciplinary and Multi Modality Hybrid OR, GSW-BR-10001016-EN-1.
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