Introduction The global 2019 coronavirus pandemic (COVID-19) is setting unprecedented demands on the nation and the military and surgical services. Surgical demands include a large backlog of surgical cases, strain on available resources, and the need for additional measures to prevent exposure. The purpose of this project was to evaluate the feasibility, duration, adverse events, and potential gains associated with using a Turbett Sterilization Pod (TSP) for total joint replacements. Materials and Methods A multidisciplinary team used the Plan–Do–Study–Act model to guide this project. A time–motion study was completed in the operating room (OR) to measure the average time required to set up surgical instrumentation for total joint replacement cases that required 12 or more instrument trays. We compared the amount of time it took to complete the setting up of instrumentation using the traditional method versus the TSP method. The traditional method consisted of unwrapping each surgical tray, checking for holes in the blue wrapper, and placing the tray on the back table. In the case of the TSP, the door of the pod was opened, and the instrument trays were transferred directly to the back table. We measured the time the staff took to perform the task using each of these methods. Results When compared to the traditional method, the use of the TSP resulted in improved turnover time, decreased room setup time, reduced environmental waste, and eliminated both the effect of damage to wrappers and the time previously spent wrapping surgical trays. Conclusion The TSP minimizes the time needed by the staff to set up an OR suite for a total joint replacement, therefore permitting them to focus more on direct patient care. This time improvement suggests that all surgical specialties, including those requiring greater than 12 traditional instrument sets, may experience reduced turnover time between cases. The use of the TSP is one means to help rectify the OR backlog brought on by COVID-19.

中文翻译：

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使用创新的灭菌容器减少手术室的设置和周转时间：对 COVID-19 时代军事医学的启示

简介 2019 年全球冠状病毒大流行 (COVID-19) 对国家以及军队和外科服务提出了前所未有的要求。手术需求包括大量积压的手术病例、可用资源紧张以及需要采取额外措施来防止暴露。该项目的目的是评估与使用 Turbett 灭菌盒 (TSP) 进行全关节置换相关的可行性、持续时间、不良事件和潜在收益。材料和方法 一个多学科团队使用计划-实施-研究-行动模型来指导这个项目。在手术室 (OR) 中完成了一项时间-运动研究，以测量需要 12 个或更多器械托盘的全关节置换病例设置手术器械所需的平均时间。我们比较了使用传统方法与 TSP 方法完成仪器设置所需的时间。传统方法包括打开每个手术托盘，检查蓝色包装纸上是否有孔，然后将托盘放在后面的桌子上。在 TSP 的情况下，吊舱的门被打开，仪器托盘被直接转移到后桌。我们测量了员工使用这些方法中的每一种执行任务所花费的时间。结果与传统方法相比，TSP 的使用缩短了周转时间，减少了房间设置时间，减少了环境浪费，并消除了对包装纸的损坏影响和之前包装手术托盘所花费的时间。结论 TSP 最大限度地减少了工作人员为全关节置换设置手术室套件所需的时间，因此使他们能够更专注于直接的患者护理。这一时间改进表明，所有外科专科，包括那些需要超过 12 套传统器械的外科专科，可能会减少病例之间的周转时间。使用 TSP 是帮助纠正 COVID-19 带来的 OR 积压的一种手段。