Occult Risk of Broken Instruments for Endoscopy-assisted Surgery
| Autor: | Yushi Uetera, Kazuhiko Fukatsu, Hiroshi Yasuhara, Takami Komatsu, Satoshi Murakoshi, Yuhei Saito |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Incidence Endoscopy Retrospective cohort study Vascular surgery Surgical Instruments Risk Assessment Occult Surgery Cardiac surgery Cardiothoracic surgery medicine Humans Equipment Failure Patient Safety Intraoperative Complications Tokyo business Risk assessment Retrospective Studies Abdominal surgery |
| Zdroj: | World Journal of Surgery. 38:3015-3022 |
| ISSN: | 1432-2323 0364-2313 |
| Popis: | The influence of broken sophisticated surgical instruments on the safety of surgery has yet to be determined, in spite of an assumption that breakage of surgical instruments is not associated with critical incidents. The purpose of the present study was to delineate the risk from breakage of surgical instruments used in surgery assisted by endoscopy. A retrospective analysis was conducted to determine the frequency of breakage of instruments used in 39,817 operations from 2007 to 2011. Data of breakage were collected using incident/near-incident reports and the request forms for repair of broken instruments. During the study period, 441 instruments were reported to be broken intraoperatively, and 7,541 were found to be broken on inspection. The incidence of breakage adjusted by the number of operations and the number of uses suggested that instruments for endoscopy-assisted surgery are broken more frequently intraoperatively than are any other type of instruments (visceral surgery: 0.039 versus 0.017, P = 0.0002, RR = 2.318; obstetrics/gynecology: 0.023 versus 0.0067, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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