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.

Highlights

  • 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 surgical patients [1]

  • We selected two emergency operating rooms from operating rooms of a large general hospital in Yunnan Province as the experimental room and the control room from January to June, 2017. 2744 emergency surgeries were collected as experimental data, including 1381 in the control room and 1363 in the experimental room

  • Our results showed that the surgical counts missing in the control room (585, 57.6%) was significantly higher than that in the experimental room (237, 17.4%) and the difference was statistically significant (P

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Summary

Introduction

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 surgical patients [1]. The increase of the quantity and species of aseptic items on operating tables brings greater and more risks and safety hazards to the safe operation of surgical counts These risks and safety hazards are especially prominent in emergency surgeries [3]. 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. Conclusion: “Surgical Instruments Organizer” can effectively reduce the rate of surgical counts missing in emergency surgeries, and improve the nursing quality and surgical safety

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