Risk management for surgical energy-driven devices used in the operating room

Introduction: The operation room is one of the most complex working environments in the health care system and the chance of accidents happening there is high. Studies show more than 50 identified dangers in the surgery room, which can potentially hurt the workers and patients there while many of these errors can be prevented. The aim of the current study is to identify and evaluate operating room dangers using the JSA technique and its correlation with prioritized engineering and managerial controls to prevent errors and decrease its consequences. Methods: The current applied study has a descriptive-analytical design and was implemented with a cross-sectional design in the operating rooms of Shahid Beheshti Hospital in Kashan in 2017. The population of the study was the university faculty members, HSE experts, managers, surgeons and anesthesiologists, seasoned nurses, and the supervisors at Shahid Beheshti Hospital in Kashan and sampling was conducted via a census. The identification and evaluation of dangers was conducted using the JSA method and managerial and engineering approaches were determined using panel discussions. results: In the initial identification and evaluation of hazards in the operating room, 25 hazards were identified and evaluated using the JSA technique and after implementing the prioritized engineering and managerial controls, five of the identified hazards were controlled. Lifting heavy objects and unsuitable postures had the highest risk decrease (decreasing to 10 from 15), which was followed by facing chemical disinfectants and detergents (decreasing to 12 from 16), and touching sharp objects and catching infectious illnesses (decreasing to 12 from 15). Conclusion: The results of the current study showed that the JSA technique can be effective in identifying and presenting control approaches. Furthermore, with greater focus on risk management on behalf of hospital boards to develop health quality and create a safe environment for the workers and patients is necessary. Adopting policies and programs for the monitoring of risk management in hospitals must be seriously consistent.

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Risk Management in the Operating Room

QRB - Quality Review Bulletin ◽

10.1016/s0097-5990(16)30394-3 ◽

1990 ◽

Vol 16 (10) ◽

pp. 350

Author(s):

Aviva M. Halpert ◽

Joel C. Solomon

Keyword(s):

Risk Management ◽

Operating Room

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The Impact of Operating Room Detailed Nursing Based on Risk Management on Surgical Patient Satisfaction and Intraoperative Risk Control

Tobacco Regulatory Science ◽

10.18001/trs.7.5.83 ◽

2021 ◽

Vol 7 (5) ◽

pp. 1605-1612

Author(s):

Caixia Li ◽

Yubing Zhang ◽

Xingliang Yang ◽

Qibiao Ge

Keyword(s):

Quality Of Life ◽

Risk Management ◽

Patient Satisfaction ◽

Operating Room ◽

Statistical Significance ◽

Control Group ◽

Observation Group ◽

Room Nursing ◽

Nursing Quality

Background The operating room has always been a key clinical inspection high-risk department. The “;Detailed Rules for the Implementation of Evaluation Standards for Tertiary General Hospitals” issued by the Ministry of Health in 2011 emphasized the establishment of operating room quality and safety indicators, which can be evaluated regularly, and continuous improvement is required. The nursing level of nurses in the room is directly related to the overall nursing quality of the hospital. Objective To observe the impact of detailed nursing in operating room based on risk management on surgical patient satisfaction and intraoperative risk control. Methods A retrospective selection of 130 patients who were treated in the operating room of our hospital from January 2018 to March 2020 was retrospectively selected. Among them, 65 patients used conventional operating room nursing procedures, and the other 65 patients used risk management-based operating room detailed nursing procedures. The intraoperative rescue, secondary intubation, incidence of > 3 h in room, nursing error rate, postoperative general situation (recovery time of bowel sounds, first exhaust time, ambulation time, postoperative complication rate) and satisfaction were compared between the two groups. Visual analogue scale (VAS) score was used to evaluate the degree of postoperative pain. Nursing quality score and health survey short form (SF-36) were used to evaluate nursing quality and quality of life. Results: Intraoperative rescue (0.00%), secondary intubation (0.00%), in-room> 3h incidence (1.54%) and nursing error rate (0.00%) in the observation group were compared with those in the control group, which were not statistically significant (P >0.05). The recovery time of bowel sounds in the observation group was (41.71 ±3.46) h, the time to first exhaust (59.47±5.23) h, and the time to get out of bed (54.36±4.78) d were shorter than those in the control group. The postoperative complication rate (3.08%) was lower than that of the control group, which had statistical significance (P<0.05). The VAS scores of the observation group at 6h, 12h, and 24h after surgery were lower than those of the control group, and the satisfaction level of the observation group (93.85%) was higher than that of the control group, which had statistical significance (P<0.05). Observation group’s nursing quality score (nursing skills, environmental management, nursing quality monitoring, disinfection and isolation, nursing document management), quality of life score (physical function, social support, pain, mental health, social function, mood, mental state, general health) All were higher than the control group, which had statistical significance (P<0.05). Conclusion: The application of operation room detail nursing based on risk management in surgery can reduce postoperative pain, promote the recovery of gastrointestinal function, improve patient satisfaction and quality of life, and effectively control intraoperative risks.

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Implementation of a risk management plan in a hospital operating room

International Journal of Nursing Sciences ◽

10.1016/j.ijnss.2015.10.007 ◽

2015 ◽

Vol 2 (4) ◽

pp. 348-354 ◽

Cited By ~ 4

Author(s):

Li Guo

Keyword(s):

Risk Management ◽

Operating Room ◽

Management Plan ◽

Risk Management Plan

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Combustion of pneumoperitoneum: a rare danger in the operating room

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz323 ◽

2019 ◽

Vol 2019 (11) ◽

Author(s):

William T McSweeney ◽

Brian Kirkby

Keyword(s):

Operating Room ◽

Exploratory Laparotomy ◽

Energy Devices ◽

Hazardous Event ◽

Surgical Energy ◽

Inspired Oxygen

Abstract Fire or combustion occurring during laparotomy is an uncommon and potentially hazardous event that can be precipitated by the use of surgical energy devices in the presence of enteric gases or exogenous materials present in the abdomen such as alcohol. Oxygen necessary for a combustive event can be increased in the setting of a proximal enteric injury and with higher concentrations of inspired oxygen during anaesthesia. We report on a case of combustion on entry to the abdomen using monopolar diathermy during exploratory laparotomy for gastric antral perforation in the presence of alcohol and enteric gases.

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