Cultura

Patient Safety and Teamwork in the Operating Room: The Collaborative Roles of Anaesthesia Technicians, Operating Room Technicians, and Nursing Technicians

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Salem Saleh M Alsalom, Rayan Ali Almohammadi, Fares Ayed Awad Al-Yazidi, Mutlaq Abdullah Thawab Alsubaie, Abdullah Hassan Al Shehri, Wahaj Yassir Hassn Okal
Ali Abdulrahman Manna Alamri, Abdullah Sultan Humud Alsubaei, Mohammed Saleh Asiri, Abdullah Nasser Albrakati, Hattan Fahad Khan

Abstract

Patient safety in the operating room (OR) remains a global healthcare priority due to the complexity, high-risk nature, and multidisciplinary demands of surgical care. This assignment explores the relationship between patient safety and teamwork within the operating room, with specific emphasis on the collaborative roles of Anaesthesia Technicians, Operating Room Technicians, and Nursing Technicians. The discussion examines fundamental principles of patient safety, common perioperative risks, and the importance of structured communication and coordinated team performance in preventing adverse events.                                   

The operating room environment presents multiple challenges, including communication breakdowns, fatigue, equipment-related failures, and system-level factors that may compromise patient outcomes. The assignment highlights how effective teamwork—supported by surgical safety checklists, time-out procedures, briefings, and standardized protocols—contributes to reducing preventable errors and improving clinical outcomes. Particular attention is given to the distinct yet interdependent roles of Anaesthesia Technicians in equipment preparation and monitoring, Operating Room Technicians in maintaining sterility and procedural safety, and Nursing Technicians in patient identification, documentation, and coordination of care.                                                                                                  

Strategies to enhance patient safety, including simulation-based team training, continuous professional development, standardized guidelines, and the promotion of a positive safety culture, are also examined. Overall, the assignment emphasizes that patient safety in the operating room is a shared responsibility requiring effective collaboration, professional accountability, and sustained organizational commitment. Strengthening interdisciplinary teamwork among perioperative technicians is essential for improving surgical safety and ensuring high-quality patient-centered care.                                                                                              

Keywords : Patient safety; Operating room; Teamwork; Anaesthesia technicians; Operating room technicians; Nursing technicians; Perioperative care; Communication; Surgical safety; Interprofessional collaboration.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty