Sharps injuries in the operating room

Cross-sectional studies were conducted in 14 hospitals in Hormuzgan, Iran in September 2013, of which 215 staff and 2 private hospitals were from 12 governments. In addition to two military hospitals that we do not have licenses for, and a private hospital in Kish Island, there are operating rooms at all hospitals in Hormuzgan State. These 14 hospitals have 1,435 beds, 446 hospitalized patients per day, and 217 operations per day.

Layered sampling can be used to represent a variety of healthcare professionals and OR staff, including surgeons, adjunct surgeons, professionals, residents or nurses, operating rooms, anesthetic technicians and other OR staff People 's respondents were selected. Employees (including housekeeping and management) We received ethical approval from Hormozgan Medical University for collecting data on injuries in the operating room of Hormozgan Hospital. This study was funded by Hormuzgen Medical University Deputy Director of Research and Information Technology (Grant No. 9122). A questionnaire on 250 was distributed and 215 (86%) was collected. Study participants included OR staff working in hospital operating theater. The surgeon (n = 10), assistant surgeon (n = 2), expert (n = 6), resident (n = 6), resident (n = = 9) or a nurse was included. (N = 52), an operator in the operating room (n = 64) anesthesiologist (n = 63) and other workers (n = 9); these staff were interviewed and completed the questionnaire. In the questionnaire, Adams et al. Based on 23 questions are included. [10] and previous studies of multi-choice questions or free text formats. The problem will rotate:

Responses of OR staff to NSSI were divided into positive answers and negative answers and used for statistical analysis. Two experts confirmed the effectiveness of the questionnaire before carrying out the preliminary test with the sample of 25 medical staff. In order to evaluate the reliability of the questionnaire, 10% of participants retested in 2 weeks. The reliability of the questionnaire was confirmed by Cronbach's alpha calculation (α = 0.86). SPSS v. The data collected using 12 (SPSS, Chicago, Ill., USA, USA) and χ 2 test analysis, P <0.05 was considered statistically significant. Give proportion and its 95% confidence interval

Sharp injuries and ripping of surgical gloves keeps surgeons and operating room (OR) staff at risk of infection. The patient's blood is in contact with the skin or mucosa of the operating room at up to 50% of the operation and up to 15% of the operation is undergoing incisions or acupuncture. The risk of injuries to surgeons and first aid personnel is the highest, maintaining up to 59% damage in the operating room. The damage rate of the scrubber was the second highest in the operating room (19%), followed by the anesthesiologist (6%) and the moving nurse (6%). Of the estimated 384,000 needle punctures annually in hospitals, 23% occur during surgery.

Perioperative experts are one of the medical professionals with the highest risk of sharp injury - they are stabbed with a suture needle or cut with a scalpel. Approximately 30% of sharp injuries occur during surgery. In addition, the incidence of sharp nonsurgical shocks has decreased since the adoption of the 2000 acupuncture and moxibustion safety prevention law, but the incidence of surgical sharp injuries has increased by 5%. These paragraphs highlight our responsibility to ensure our safety and provide high quality medical care. In this article, we highlight how we do this by exploring the current security practices and the barriers to best practices and outlining the key elements of effective perioperative sharp security programs and policies.

The engineering sharp injury prevention (ESIP) mechanism is expected to provide varying degrees of mechanical protection against sharp injuries, including suturing needles and scalpel blades. ESIP equipment manufacturers approved by the US Food and Drug Administration are permitted to claim to prevent sharp injuries as a characteristic of their use ... To date, studies showing the clinical efficacy of ESIP equipment announced Not. ACS recommends the use of ESIP devices as an auxiliary safety measure to reduce sudden injuries during surgery, unless it compromises the safe operation of surgery and patient safety.

Use a safe scalpel and other safety measures to reduce sudden injuries in the operating room: what evidence?