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; 4/26/2023, Vol. 17 Issue 1, p1-8, 8p |
| مصطلحات موضوعية: |
PILOT projects, RETAINED surgical items, IN vivo studies, SURGICAL equipment, RESEARCH methodology, SURGICAL count procedure, LAPAROSCOPY, RESEARCH funding, DESCRIPTIVE statistics, SENSITIVITY & specificity (Statistics), DATA analysis software |
| مستخلص: |
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 device may be used in conjunction with radiography as it gives live visual and auditory feedback for users during the search for RSS. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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