dc.contributor.author |
Dominguez, Elizabeth D |
|
dc.contributor.author |
Rocos, Brett |
|
dc.date.accessioned |
2023-01-23T13:22:55Z |
|
dc.date.available |
2023-01-23T13:22:55Z |
|
dc.date.issued |
2019-06 |
|
dc.identifier.issn |
2168-8184 |
|
dc.identifier.issn |
2168-8184 |
|
dc.identifier.uri |
https://hdl.handle.net/10161/26493 |
|
dc.description.abstract |
<h4>Objectives</h4>Surgeons require high-quality surgical instruments to carry out
successful procedures. Poor quality instruments may break intraoperatively leading
to a failed procedure or causing harm to the patient. By examining the National Reporting
and Learning Service (NRLS) database, the study aims to define the scale of the problem
and provide evidence for the formation of surgical instrument quality control.<h4>Methods</h4>The
NRLS was searched from August 2004 - December 2010. The search revealed 2036 incidents,
250 of which were randomly selected and analyzed by a clinical reviewer.<h4>Results</h4>One
hundred and sixty-one incidents were identified causing five reoperations, one incident
of severe harm, six incidents of moderate harm, 35 of low harm, and 119 no harm incidents.
No patient deaths were discovered. Drillbits were the most commonly broken instrument.<h4>Conclusions</h4>This
report is likely to only be the tip of the iceberg. Poor reporting of patient safety
incidents means that there may be as many as 1500 incidents a year of poor quality
surgical instruments causing harm. We suggest that forming a Surgical Instrument Quality
Service at Trusts within the National Health Service (NHS) could prevent harm coming
to patients, reduce cost, and improve the outcomes of surgical procedures.
|
|
dc.language |
eng |
|
dc.publisher |
Cureus, Inc. |
|
dc.relation.ispartof |
Cureus |
|
dc.relation.isversionof |
10.7759/cureus.4877 |
|
dc.subject |
drillbits |
|
dc.subject |
patient safety |
|
dc.subject |
quality |
|
dc.subject |
surgery |
|
dc.subject |
surgical instruments |
|
dc.title |
Patient Safety Incidents Caused by Poor Quality Surgical Instruments. |
|
dc.type |
Journal article |
|
duke.contributor.id |
Rocos, Brett|1241189 |
|
dc.date.updated |
2023-01-23T13:22:53Z |
|
pubs.begin-page |
e4877 |
|
pubs.issue |
6 |
|
pubs.organisational-group |
Duke |
|
pubs.organisational-group |
School of Medicine |
|
pubs.organisational-group |
Clinical Science Departments |
|
pubs.organisational-group |
Orthopaedic Surgery |
|
pubs.publication-status |
Published |
|
pubs.volume |
11 |
|
duke.contributor.orcid |
Rocos, Brett|0000-0002-0808-5585 |
|