All elective orthopedic and/or trauma, or visceral surgical procedures. Surgery N/A
Conditions
Interventions
Experimental intervention:
General orthopedic (e.g., total joint replacement), trauma, and surgical procedures (e.g., fracture fixation, abdominal and thoracic surgery) conducted in one of two integ
Sponsors
Unfallkrankenhaus Berlin Trauma Center (Germany)
Eligibility
Inclusion criteria
Inclusion criteria: 1. Consecutive patients >=18 years of age scheduled for orthopedic and/or trauma, or visceral surgery on weekdays between 8.00 am and 4.00 pm (core working hours) 2. Full ability to provide written informed consent 3. Both men and women
Exclusion criteria
Exclusion criteria: 1. Acute, emergency, or life-saving surgery 2. Refusal of trial participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time interval from the patient's entry to discharge from the operating theatre. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Team-centered endpoints, recorded during operation: 1.1. Stress of surgeons, anaesthetists, and scrub nurses in charge, as measured by short questionnaire assessments and biological markers in saliva (cortisol and beta-endorphine) immediately before and after surgery 1.2. Quantity and quality of distracting events (e.g., phone calls, door openings, technical failures) that may prolong or compromise the procedure 1.3. Comfort and climate (e.g., space, noise, and others) 1.4. Perceived success of the procedure 1.5. Team interaction 2. Patient-centered endpoints: 2.1. Critical incidents, intra- and post-operative complications, monitored during hospital stay until discharge 2.2. Quality of Life (EuroQol [EQ5D]) questionnaire at baseline, discharge and 6 months after surgery (by post) | — |
Countries
Germany
Outcome results
None listed