التفاصيل البيبلوغرافية
| العنوان: |
Multiphase preclinical assessment of a novel device to locate unintentionally retained surgical sharps: a proof-of-concept study |
| المؤلفون: |
Kang, Hae Sung, Khoraki, Jad, Gie, Jessie, Duval, Dielle, Haynes, Susan, Siev, Michael, Shah, Jay, Kim, Fernando, Mangino, Martin, Procter, Levi, Autorino, Riccardo, Weprin, Samuel |
| المصدر: |
Patient Safety in Surgery ; volume 17, issue 1 ; ISSN 1754-9493 |
| بيانات النشر: |
Springer Science and Business Media LLC |
| سنة النشر: |
2023 |
| مصطلحات موضوعية: |
Anesthesiology and Pain Medicine, Orthopedics and Sports Medicine, Surgery |
| الوصف: |
Background Retained surgical sharps (RSS) is a “never event” that is preventable but may still occur despite of correct count and negative X-ray. This study assesses the feasibility of a novel device (“Melzi Sharps Finder®” or MSF) in effective detection of RSS. Methods The first study consisted of determination of the presence of RSS or identification of RSS in an ex-vivo model (a container with hay in a laparoscopic trainer box). The second study consisted of determining presence of RSS in an in-vivo model (laparoscopy in live adult Yorkshire pigs) with 3 groups: C-arm, C-arm with MSF and MSF. The third study used similar apparatus though with laparotomy and included 2 groups: manual search and MSF. Results In the first study, the MSF group had a higher rate of identification of a needle and decreased time to locate a needle versus control (98.1% vs. 22.0%, p < 0.001; 1.64 min ± 1.12vs. 3.34 min ± 1.28, p < 0.001). It also had increased accuracy of determining the presence of a needle and decreased time to reach this decision (100% vs. 58.8%, p < 0.001; 1.69 min ± 1.43 vs. 4.89 min ± 0.63, p < 0.001). In-the second study, the accuracy of determining the presence of a needle and time to reach this decision were comparable in each group (88.9% vs. 100% vs. 84.5%, p < 0.49; 2.2 min ± 2.2 vs. 2.7 min ± 2.1vs. 2.8 min ± 1.7, p = 0.68). In the third study, MSF group had higher accuracy in determining the presence of a needle and decreased time to reach this decision than the control (97.0% vs. 46.7%, p < 0.001; 2.0 min ± 1.5 vs. 3.9 min ± 1.4; p < 0.001). Multivariable analysis showed that MSF use was independently associated with an accurate determination of the presence of a needle (OR 12.1, p < 0.001). Conclusions The use of MSF in this study’s RSS models facilitated the determination of presence and localization of RSS as shown by the increased rate of identification of a needle, decreased time to identification and higher accuracy in determining the presence of a needle. This ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1186/s13037-023-00359-8 |
| DOI: |
10.1186/s13037-023-00359-8.pdf |
| DOI: |
10.1186/s13037-023-00359-8/fulltext.html |
| الإتاحة: |
https://doi.org/10.1186/s13037-023-00359-8Test |
| حقوق: |
https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: |
edsbas.D2153D5D |
| قاعدة البيانات: |
BASE |
