Risk factors and preventive strategies for unintentionally retained surgical sharps: a systematic review
| Autor: | Robert H. Moore, Dielle Meyer, Samuel Weprin, Fabio Crocerossa, Kaitlyn Maddra, Fernando J. Kim, Hae Sung Kang, Reginald K Osardu, Umberto Carbonara, David Valancy, Riccardo Autorino |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Emerging technologies Review Near miss Institutional support Retained surgical item 03 medical and health sciences Patient safety 0302 clinical medicine Team communication Surgical sharps Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Foreign Bodies business.industry Event (computing) medicine.disease Surgery Management Detection Anesthesiology and Pain Medicine Systematic review 030220 oncology & carcinogenesis Medical emergency Foreign object business |
| Zdroj: | Patient Safety in Surgery, Vol 15, Iss 1, Pp 1-10 (2021) Patient Safety in Surgery |
| ISSN: | 1754-9493 |
| Popis: | Background A retained surgical item (RSI) is defined as a never-event and can have drastic consequences on patient, provider, and hospital. However, despite increased efforts, RSI events remain the number one sentinel event each year. Hard foreign bodies (e.g. surgical sharps) have experienced a relative increase in total RSI events over the past decade. Despite this, there is a lack of literature directed towards this category of RSI event. Here we provide a systematic review that focuses on hard RSIs and their unique challenges, impact, and strategies for prevention and management. Methods Multiple systematic reviews on hard RSI events were performed and reported using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and AMSTAR (Assessing the methodological quality of systematic reviews) guidelines. Database searches were limited to the last 10 years and included surgical “sharps,” a term encompassing needles, blades, instruments, wires, and fragments. Separate systematic review was performed for each subset of “sharps”. Reviewers applied reciprocal synthesis and refutational synthesis to summarize the evidence and create a qualitative overview. Results Increased vigilance and improved counting are not enough to eliminate hard RSI events. The accurate reporting of all RSI events and near miss events is a critical step in determining ways to prevent RSI events. The implementation of new technologies, such as barcode or RFID labelling, has been shown to improve patient safety, patient outcomes, and to reduce costs associated with retained soft items, while magnetic retrieval devices, sharp detectors and computer-assisted detection systems appear to be promising tools for increasing the success of metallic RSI recovery. Conclusion The entire healthcare system is negatively impacted by a RSI event. A proactive multimodal approach that focuses on improving team communication and institutional support system, standardizing reports and implementing new technologies is the most effective way to improve the management and prevention of RSI events. |
| Databáze: | OpenAIRE |
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