title: [The 'Surgical Deck': a new generation of integrated operational rooms for ENT].
abstract: BACKGROUND
  Existing operating room concepts do not meet modern technological opportunities anymore. The "Surgical Deck" is supposed to represent a prototype for a new operating room generation. The objective of the project is to achieve a better integration of functions and to develop an innovative concept for a highly developed surgical workstation.
  
  
  METHODS
  3 working areas are defined: Surgical, Airway and Technical Cockpit. The evaluation was conducted on 284 surgeries carried out from 01.08. 2011 to 31.01. 2012. The evaluation team consisted of 6 surgeons, 3 surgery nurses, 3 anesthesiologists and 4 anesthesia nurses. Within a detailed analysis, the data of 50 FESS surgeries were compared to those of a control group.
  
  
  RESULTS
  Within the FESS group, the average slot time was reduced by 13%. 88.2% of those questioned assessed ergonomics as being better than in the conventional OR. 71.5% stated that the Surgical Deck provided an added value with regard to the surgical procedure. 91.3% confirmed that the system control required additional training. 79.3% described the cost-benefit-ratio as appropriate. For 96% of the surgeries, respondents said that they were feeling adequately supported by the technology.
  
  
  CONCLUSIONS
  The results show a clear advantage of the system architecture. The Surgical Deck may present a solid foundation with regard to the transfer of the system into the clinical practice. This is relevant for new assistance functions such as process control software or navigation-based collision warning systems. It is to be expected that the project will significantly contribute to further develop the future surgical workstation and its standardization.
authors.affiliation: Department of ENT, ACQUA Clinic, Leipzig. i.gollnick@irdc-leipzig.de
authors.forename: G
authors.initials: G
authors.lastname: Strauss
authors.forename: I
authors.initials: I
authors.lastname: Gollnick
authors.forename: T
authors.initials: T
authors.lastname: Neumuth
authors.forename: J
authors.initials: J
authors.lastname: Meixensberger
authors.forename: T C
authors.initials: TC
authors.lastname: Lueth
mesh_terms: D000758:Anesthesia; D001291:Attitude of Health Personnel; D003199:Computer Systems; D003362:Cost-Benefit Analysis / Q000458:organization & administration; D057286:Electronic Health Records / Q000458:organization & administration; D004867:Equipment Design; D006804:Ergonomics; D005858:Germany; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D016343:Monitoring, Intraoperative; D009873:Operating Rooms / Q000191:economics / Q000458:organization & administration*; D011873:Radiology Information Systems / Q000458:organization & administration; D012984:Software; D025321:Surgery, Computer-Assisted / Q000191:economics; D013523:Surgical Equipment; D013525:Surgical Instruments; D013685:Telecommunications / Q000458:organization & administration