Open Access Article

Title: A protocol for the implementation of new technology in a highly complex hospital environment: the operating room

Authors: Navin Sewberath Misser; Joris Jaspers; Bas Van Zaane; Hein Gooszen; Johan Versendaal

Addresses: Faculty of Management, Science and Technology, HU University of Applied Sciences and Open University, Utrecht, The Netherlands ' Medical Technology and Innovation (MTKF), University Medical Center Utrecht, Utrecht, The Netherlands ' University Medical Center Utrecht, Utrecht, The Netherlands ' Radboud University Medical Center, Nijmegen, The Netherlands ' Faculty of Management Science and Technology, Open University and HU University of Applied Sciences, Utrecht, The Netherlands

Abstract: Medical equipment is implemented in highly complex hospital environments, such as operating rooms, in hospitals around the world. In operating rooms (ORs), technological equipment is used for surgical activities and activities in support of surgeries. The implementation of government policies in hospitals has resulted in varying implementation activities for (medical) equipment. These result in varying lead times and success rates. An integral and holistic protocol for implementation does not yet exist. In this study, we introduce a protocol for the implementation of (medical) equipment in ORs that consists of implementation factors and implementation activities. Factors and activities are based on data from a systematic literature review and an explorative survey among surgical support staff on factors for the successful implementation of technological and (medical) equipment in ORs. The protocol consists of five factors and related implementation activities: the establishment of a project plan, organisational preparation, technological preparation, maintenance, and training.

Keywords: implementation; protocol; medical technology; (medical) equipment; healthcare; hospital; operating room; operating theatre; integration; scrub nurse; circulating nurse.

DOI: 10.1504/IJNVO.2020.105543

International Journal of Networking and Virtual Organisations, 2020 Vol.22 No.2, pp.199 - 217

Received: 13 Dec 2018
Accepted: 05 Apr 2019

Published online: 03 Mar 2020 *