解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Containment of unopened sterile supplies during procedures Key words: unopened sterile instruments, unopened sterile supplies, contamination, containment, event-related sterility. Contamination of solutions in sterile basins Key words: sterile basin, splash basin, instrument table, solution contamination, surgical sit...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.13291
更新日期:2021-01-01 00:00:00
abstract::AORN conducted its 18th annual compensation survey for perioperative nurses in June 2020. A multiple regression model was used to examine how several variables, including job title, education level, certification, experience, and geographic region, affect perioperative nurse compensation. Comparisons between the 2020 ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.13242
更新日期:2020-12-01 00:00:00
abstract::The combination of silicone oil and blood is difficult to remove from ophthalmic surgical instruments during cleaning and decontamination processes. We sought to establish the most efficient cleaning procedure for this type of contaminated instrument. We uniformly contaminated microscopic instruments made of titanium ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.13105
更新日期:2020-08-01 00:00:00
abstract::Tension blisters from adhesive dressings may lead to pain and delayed surgical wound healing for surgical patients and cause an institutional cost burden. Commercial skin barrier film products may reduce dressing-related postoperative skin blistering in surgical patients. Project investigators at an orthopedic special...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.13074
更新日期:2020-07-01 00:00:00
abstract::Ensuring patient safety under time pressure Key words: on-time starts, turnover time, briefing, team communication, delays. Holes in the outer layer of sterilization wraps Key words: package integrity, defects, sterilization wrap, contaminated item, sterile field. Changing surgical attire after smoking outside Key wor...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.13090
更新日期:2020-07-01 00:00:00
abstract::To foster teamwork, improve clinical excellence, and promote a culture of safety, perioperative leaders should have a clear understanding of the dynamics that affect clinician communication in the OR. We used social network analysis to characterize the typical OR clinician communication patterns at a military surgery ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.13044
更新日期:2020-06-01 00:00:00
abstract::Quality improvement processes and management approaches that provide a foundation for continuous quality improvement can lead to improved patient care. The Institute for Healthcare Improvement developed a high-performance management system (HPMS) for health care leaders and staff members to effect continuous quality c...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12988
更新日期:2020-04-01 00:00:00
abstract::Perioperative nurses administer some medications but are primarily responsible for obtaining, preparing, and documenting medications. Unlike personnel in many other patient care areas, perioperative personnel may not have immediate access to a pharmacist; this lack of pharmacy support can complicate medication adminis...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12891
更新日期:2020-01-01 00:00:00
abstract::Perioperative and procedure area nurses can encounter barriers during the time-out process. In March 2016, a mock regulatory agency surveyor identified a gap during a time out in our cardiac catheterization laboratory. We worked with our facility's holistic nursing group to identify a solution to gain the full attenti...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12898
更新日期:2020-01-01 00:00:00
abstract::This descriptive, cross-sectional study in hospital ORs in İzmir, Turkey, assessed the environmental and physical ergonomic conditions that may place perioperative personnel at risk for injury or illness. We used an ergonomic conditions and risk factor description form to collect data in 58 ORs in nine different hospi...
journal_title:AORN journal
pub_type: 杂志文章,多中心研究
doi:10.1002/aorn.12841
更新日期:2019-11-01 00:00:00
abstract::Establishing and maintaining a sterile field to help prevent surgical site infections requires specific knowledge and skills and is among the most important responsibilities of the perioperative RN. Perioperative RNs should remain vigilant in monitoring the sterile field, communicate when a break in sterile technique ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12803
更新日期:2019-10-01 00:00:00
abstract::Advances in anesthesia techniques and guidance imaging have made regional anesthetics effective both for pain management and as a primary anesthesia modality for patients undergoing operative and other invasive procedures. Patients can receive regional anesthesia in most areas of the body, including the upper and lowe...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1002/aorn.12781
更新日期:2019-09-01 00:00:00
abstract::Surgical site infections (SSIs) occur during the postoperative period and involve the operative site. To lower the occurrence of SSIs in their patient population, the gynecology SSI prevention committee at a large academic medical institution initiated a process improvement project examining vaginal antiseptic skin pr...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12747
更新日期:2019-08-01 00:00:00
abstract::Intraoperative neuromonitoring (IONM) is a method used to warn the surgeon of impending neurological damage while it can still be corrected, ideally preventing a permanent neurological deficit in the surgical patient. It was originally used in neurosurgery, but now also applies to other surgical specialties. Comprehen...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12726
更新日期:2019-07-01 00:00:00
abstract::The standard of practice for perioperative hair removal is largely based on research that is outdated and underpowered. Although there is evidence to support the practice of clipping instead of shaving, current recommendations are to remove hair only when absolutely necessary. Human hair is bacteria-laden and challeng...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12662
更新日期:2019-05-01 00:00:00
abstract::Communication and other nontechnical skills can affect the number of adverse events occurring in perioperative areas. Our study assessed the properties of the Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) used to assess nontechnical skills of scrub nurses in a diverse Asian ophthalmic ambu...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12640
更新日期:2019-04-01 00:00:00
abstract::We formed an interdisciplinary team to create a standardized, evidence-based protocol that would reduce cesarean delivery surgical site infection rates at our tertiary teaching facility. The Joint Commission's current implementation guide for surgical site infections, although comprehensive, does not specifically addr...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12371
更新日期:2018-10-01 00:00:00
abstract::Surgical smoke is formed when energy-generating devices (ie, electrosurgery units, lasers, powered instruments) raise the intracellular temperature of tissue to at least 100º C (212º F), causing tissue vaporization in the form of surgical smoke. Surgical smoke contains components that are known health hazards, such as...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12273
更新日期:2018-07-01 00:00:00
abstract::Surgical smoke is generated when tissue vaporizes from the use of various energy-generating devices (eg, electrosurgery units, lasers). Surgical smoke contains toxic gases and vapors that can be hazardous to patients and perioperative staff members. In addition to ocular and upper respiratory tract irritation, surgica...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12149
更新日期:2018-06-01 00:00:00
abstract::Approximately 900 surgical site infections (SSIs) were reported to the Wisconsin Division of Public Health annually from 2013 to 2015, representing the most prevalent reported health care-associated infection in the state. Personnel at the Wisconsin Division of Public Health launched an SSI prevention initiative in Ma...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12123
更新日期:2018-05-01 00:00:00
abstract::Foot ulceration in patients with diabetes increases the risk of lower extremity amputation. Major amputations produce substantial adverse consequences, increase length of hospital stay, diminish quality of life, and increase mortality. In this article, we describe approaches that decrease amputations and improve the q...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12099
更新日期:2018-04-01 00:00:00
abstract::Perioperative nursing is faced with a staffing crisis attributed in part to minimal numbers of newly graduated nurses choosing a career in this specialty. This article analyzes and applies the concept of value to explore how to maintain an adequate perioperative nursing workforce; recruit newly graduated nurses; and e...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12074
更新日期:2018-03-01 00:00:00
abstract::Bed bugs Key words: bed bugs, pest management, infestation, transmission. Warming irrigation fluids Key words: irrigation fluid, warming fluid, hypothermia, warming cabinet. Fasting before surgery Key words: fasting, NPO, liquids, solids. Advanced cardiac life support requirements for perioperative nurses Key words: a...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.10.004
更新日期:2017-12-01 00:00:00
abstract::Perioperative personnel must clean and disinfect the perioperative environment numerous times throughout the day to help prevent the risk of exposing patients to pathogenic microorganisms. However, this practice exposes perioperative team members to chemicals that could be harmful to their health. Exposure to cleaning...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.08.013
更新日期:2017-11-01 00:00:00
abstract::• Bowel isolation technique in minimally invasive surgery Key words: minimally invasive surgery, bowel isolation technique, bowel resection. • Covering hair that has escaped a surgical cap Key words: OR attire, head covering, sterile technique. • Surgical head coverings Key words: skull caps, bouffant caps, quality co...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.08.007
更新日期:2017-10-01 00:00:00
abstract::Professional organizations and regulatory agencies collaborate on infection prevention and control guidelines to support preventing and controlling infection in the surgical setting. More specifically, regulatory and accrediting agencies, professional associations, and advisory committees create and promote the use of...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.07.005
更新日期:2017-09-01 00:00:00
abstract::Individuals with debilitating facial injuries and deformities have achieved significant improvement of aesthetic form and function after undergoing a face transplantation. The involvement of surgical technologists and perioperative nurses in the care of the recipient and donor plays a critical role in the success of t...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.05.004
更新日期:2017-07-01 00:00:00
abstract::When a urinary catheter is not inserted using proper technique, becomes unclean, or remains in place for too long, microorganisms can travel through the catheter lumen or along the outside of the catheter and infect the bladder or kidneys, resulting in a catheter-associated urinary tract infection (CAUTI). Urinary tra...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.02.013
更新日期:2017-05-01 00:00:00
abstract::Staffing shortages among professionals in specialized health care and clinical situations that demand around-the-clock care make it challenging to address staff member fatigue. Many industries have developed restrictions on work hours to help reduce the effects of fatigue on safety. The perioperative specialty, howeve...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.01.003
更新日期:2017-03-01 00:00:00
abstract::Crisis checklists are cognitive aids used to coordinate care during critical events. Simulation training is a method to validate process improvement initiatives such as checklist implementation. In response to concerns staff members expressed regarding their comfort level when responding to infrequent occurrences such...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.11.002
更新日期:2017-01-01 00:00:00
abstract::Despite recent advances in perioperative patient care, postsurgical pain continues to be undermanaged. There is increasing acceptance of the concept that effective postsurgical pain management is best achieved through combined use of more than one analgesic agent or technique, and overreliance on opioids produces unwa...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.10.012
更新日期:2016-12-01 00:00:00
abstract::The perioperative arena is one of the most information-intensive, intricate, and complex work environments in health care, and it depends on sound communication to help ensure patient safety. Surgical procedures require attention, vigilance, and situational awareness. Noise and other distractions have the potential to...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.09.018
更新日期:2016-12-01 00:00:00
abstract::We describe the journey of personnel at one hospital to create a healing environment for patients and staff members at all levels through the implementation of Watson's Theory of Human Caring and her Caritas Processes (ie, loving kindness, authentic presence, spirituality, being the environment, believing in miracles)...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.09.006
更新日期:2016-11-01 00:00:00
abstract::The successful orientation of new employees facilitates their transition to the complex and demanding world of perioperative nursing. Whether a nurse is a recent graduate or an experienced nurse who has recently joined the facility or department, a new nurse benefits from a transition period during which new skills, p...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.06.002
更新日期:2016-08-01 00:00:00
abstract::Care of pediatric surgical patients is not limited to pediatric facilities, and all perioperative RNs should have a basic understanding of the specialized care that children require. This knowledge set includes an understanding of the basic terminology used to describe this patient population as well as the developmen...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/j.aorn.2016.05.001
更新日期:2016-07-01 00:00:00
abstract::Use of alcohol (ethanol)-based hand rubs (ABHRs) during pregnancy Key words: alcohol, ethanol, hand rub, ABHR, hand sanitizer. Working when experiencing a shingles infection Key words: shingles, varicella, zoster, employee health. Cleaning rigid containers Key words: rigid container, container, instrument pan. ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.04.006
更新日期:2016-06-01 00:00:00
abstract::Identifying a performance-improvement project can be a struggle when a facility's data demonstrate desirable performance. Quality-improvement teams may be limiting their data collection to only required or traditional outcome indicators. Facility personnel may need guidance on how to broaden the vision to monitor for ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.02.014
更新日期:2016-05-01 00:00:00
abstract::Perioperative nurses and nurse leaders should understand how to apply a nursing informatics framework and informatics concepts to strengthen data interpretation, transitions in care, and engagement with patients susceptible to malignant hyperthermia (MH) and their family members. Patient outcomes can be improved when ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.02.001
更新日期:2016-04-01 00:00:00
abstract::A bundled approach to surgical site infection (SSI) prevention strategies includes reducing OR traffic. A nurse-led quality improvement (QI) team sought to reduce OR traffic through education and a process change that included wireless communication technology and policy development. The team measured OR traffic by co...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2015.10.022
更新日期:2016-01-01 00:00:00
abstract::Team members in ORs have frequent hand contact with many surfaces and sites during high workload, thus increasing the risk for microorganism cross-transmission. This study aimed at identifying risks for hand contamination and microorganism cross-transmission during invasive procedures in ORs. We carried out observatio...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2015.06.018
更新日期:2015-12-01 00:00:00