| Peer-Reviewed

Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms

Received: 9 November 2020     Accepted: 24 November 2020     Published: 4 December 2020
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Abstract

Background: Surgical counts are a basic and crucial specialized nursing operation in operating rooms, to guarantee surgical safety, prevent surgical items from retaining in the body and ensure the success of surgery and safety of patients. Objective: To explore the effect of “Surgical Instruments Organizer” applied in operating rooms as a nursing patented product to minimize the occurrence of surgical counts missing. Methods: Research setting was arranged in a large general hospital where two of the emergency operating rooms were used to compare the effects and influences of the application with “Surgical Instruments Organizer”. Results: The rate of surgical counts missing in the control room was significantly higher than that in the experimental room (P<0.05). In both the control room and the experimental room, the incidence of one surgical counts missing in one surgery was higher than that of two surgical counts missing in one surgery. Surgical counts missing between two surgeries mostly happened when surgical items were removed temporarily (141, 10.2% in the control room; 55, 4.0% in the experimental room), while surgical counts missing happened the least in preoperative preparation (21, 1.5% in the control room; 4, 0.3% in the experimental room). Between two operating rooms, most of the time lost items were found by scrub nurses (403, 29.2% in the control room; 165, 12.1% in the experimental room). Most of lost items can be found within 10 minutes (312, 22.6% in the control room; 112, 8.2% in the experimental room), but a few items cost more than 60 minutes (32, 2.3% in the control room; 17, 1.3% in the experimental room). Conclusion: “Surgical Instruments Organizer” can effectively reduce the rate of surgical counts missing in emergency surgeries, and improve the nursing quality and surgical safety.

Published in American Journal of Nursing Science (Volume 9, Issue 6)
DOI 10.11648/j.ajns.20200906.16
Page(s) 423-428
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Emergency Surgery, Surgical Instruments Organizer, Surgical Counts Missing, Nursing Safety

References
[1] Freitas PS, Silveira RC, Clark AM, Galvão CM. Surgical count process for prevention of retained surgical items: an integrative review. Journal of Clinical Nursing,2016, 25 (13-14): 1835-1847.
[2] Specialized Committee for Operating Rooms, Chinese Nurse Association, Guide to Operating Room Nursing Practice, 2016 Edition. Beijing: People’s Medical Publishing House, 2018, 108-109.
[3] Li, Wenhong, Li Lina, Huang Meijuan, Liu Yuanyuan and Xu Yanru, The application of risk management in emergency surgeries. Chinese Journal of General Practice, 2011, 9 (1): 133-134.
[4] Victoria MS & Joseph JC. Designing a Safer Process to Prevent Retained Surgical Sponges: A Healthcare Failure Mode and Effect Analysis. AORN J, 2011, 94: 132-141.
[5] AORN. Recommended practices for prevention of retained surgical items. In: Perioperative Standards and Recommended Practices. Denver, CO: AORN, Inc, 2015: 263-282.
[6] Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT. Retained foreign bodies after surgery. J Surg Res. 2007, 138 (2): 170-174.
[7] Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003; 348 (3): 229-235.
[8] Victoria MS, Ann GS, Yelena P, Hillary ES, Michelle M. The hidden costs of reconciling surgical sponge counts. AONR J, 2015, 102 (5): 498-506.
[9] Meng, Qian and Lin Peng, A survey of different distributions of high-risk pregnant women with and without two-child policy. Maternal & Child Health Care of China, 2016, 31 (20): 4266-4268.
[10] Wang, Lijing, The risk of re-pregnancy of scarred uterus and its influence on pregnancy outcomes. Beijing Medical Journal, 2016, 38 (1): 92-94.
[11] Luo, Lizhen and Yan Xiaoyu. Nursing problems in emergency surgeries of neurosurgery and countermeasures. The 10th National Academic Exchange and Symposium for Operating Room Nursing 2006.
[12] Pan, Xiaoling, Yang Liqin and Liu Ping, The application of failure mode and effect analysis during surgical counts, Journal of Qilu Nursing, 2014, 20 (14): 118-119.
[13] Wu, Meichan and Lin Yongqin. Training on the operating room nurses’ ability to cope with emergency surgeries. Journal of Qilu Nursing, 2014, 20 (14): 120-121.
[14] Specialized Committee for Operating Rooms, Chinese Nurse Association, Guide to Operating Room Nursing Practice, 2017 Edition. Beijing: People’s Medical Publishing House, 2017, 20-22.
Cite This Article
  • APA Style

    Lin Ke, Fan Qi, Wang Fang, Ding Zhaokai, Bai Jing. (2020). Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms. American Journal of Nursing Science, 9(6), 423-428. https://doi.org/10.11648/j.ajns.20200906.16

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    ACS Style

    Lin Ke; Fan Qi; Wang Fang; Ding Zhaokai; Bai Jing. Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms. Am. J. Nurs. Sci. 2020, 9(6), 423-428. doi: 10.11648/j.ajns.20200906.16

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    AMA Style

    Lin Ke, Fan Qi, Wang Fang, Ding Zhaokai, Bai Jing. Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms. Am J Nurs Sci. 2020;9(6):423-428. doi: 10.11648/j.ajns.20200906.16

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  • @article{10.11648/j.ajns.20200906.16,
      author = {Lin Ke and Fan Qi and Wang Fang and Ding Zhaokai and Bai Jing},
      title = {Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {6},
      pages = {423-428},
      doi = {10.11648/j.ajns.20200906.16},
      url = {https://doi.org/10.11648/j.ajns.20200906.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200906.16},
      abstract = {Background: Surgical counts are a basic and crucial specialized nursing operation in operating rooms, to guarantee surgical safety, prevent surgical items from retaining in the body and ensure the success of surgery and safety of patients. Objective: To explore the effect of “Surgical Instruments Organizer” applied in operating rooms as a nursing patented product to minimize the occurrence of surgical counts missing. Methods: Research setting was arranged in a large general hospital where two of the emergency operating rooms were used to compare the effects and influences of the application with “Surgical Instruments Organizer”. Results: The rate of surgical counts missing in the control room was significantly higher than that in the experimental room (P<0.05). In both the control room and the experimental room, the incidence of one surgical counts missing in one surgery was higher than that of two surgical counts missing in one surgery. Surgical counts missing between two surgeries mostly happened when surgical items were removed temporarily (141, 10.2% in the control room; 55, 4.0% in the experimental room), while surgical counts missing happened the least in preoperative preparation (21, 1.5% in the control room; 4, 0.3% in the experimental room). Between two operating rooms, most of the time lost items were found by scrub nurses (403, 29.2% in the control room; 165, 12.1% in the experimental room). Most of lost items can be found within 10 minutes (312, 22.6% in the control room; 112, 8.2% in the experimental room), but a few items cost more than 60 minutes (32, 2.3% in the control room; 17, 1.3% in the experimental room). Conclusion: “Surgical Instruments Organizer” can effectively reduce the rate of surgical counts missing in emergency surgeries, and improve the nursing quality and surgical safety.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms
    AU  - Lin Ke
    AU  - Fan Qi
    AU  - Wang Fang
    AU  - Ding Zhaokai
    AU  - Bai Jing
    Y1  - 2020/12/04
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200906.16
    DO  - 10.11648/j.ajns.20200906.16
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 423
    EP  - 428
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200906.16
    AB  - Background: Surgical counts are a basic and crucial specialized nursing operation in operating rooms, to guarantee surgical safety, prevent surgical items from retaining in the body and ensure the success of surgery and safety of patients. Objective: To explore the effect of “Surgical Instruments Organizer” applied in operating rooms as a nursing patented product to minimize the occurrence of surgical counts missing. Methods: Research setting was arranged in a large general hospital where two of the emergency operating rooms were used to compare the effects and influences of the application with “Surgical Instruments Organizer”. Results: The rate of surgical counts missing in the control room was significantly higher than that in the experimental room (P<0.05). In both the control room and the experimental room, the incidence of one surgical counts missing in one surgery was higher than that of two surgical counts missing in one surgery. Surgical counts missing between two surgeries mostly happened when surgical items were removed temporarily (141, 10.2% in the control room; 55, 4.0% in the experimental room), while surgical counts missing happened the least in preoperative preparation (21, 1.5% in the control room; 4, 0.3% in the experimental room). Between two operating rooms, most of the time lost items were found by scrub nurses (403, 29.2% in the control room; 165, 12.1% in the experimental room). Most of lost items can be found within 10 minutes (312, 22.6% in the control room; 112, 8.2% in the experimental room), but a few items cost more than 60 minutes (32, 2.3% in the control room; 17, 1.3% in the experimental room). Conclusion: “Surgical Instruments Organizer” can effectively reduce the rate of surgical counts missing in emergency surgeries, and improve the nursing quality and surgical safety.
    VL  - 9
    IS  - 6
    ER  - 

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Author Information
  • Operating Room, The Second Affiliated Hospital of Kunming Medical University, Kunming, China

  • Operating Room, The Second Affiliated Hospital of Kunming Medical University, Kunming, China

  • Operating Room, The Second Affiliated Hospital of Kunming Medical University, Kunming, China

  • Operating Room, The Second Affiliated Hospital of Kunming Medical University, Kunming, China

  • Operating Room, The Second Affiliated Hospital of Kunming Medical University, Kunming, China

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