| Investigation and intervention of suture needle-stick injuries in operating room |
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| Citation of this paper:WANG Chun-ling1, SHI Qing-feng2, WANG Cheng-hao1, SHEN Min-wei1, PAN Yuan1, WANG Yi1.Investigation and intervention of suture needle-stick injuries in operating room[J].Chinese Journal of Clinical Medicine,2019,26(2):268-271 |
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| Author Name | Affiliation | | WANG Chun-ling1, SHI Qing-feng2, WANG Cheng-hao1, SHEN Min-wei1, PAN Yuan1, WANG Yi1 | 1. Nursing Department, Zhongshan Hospital, Fudan University, Shanghai 200032, China
2. Department of Infection Management, Zhongshan Hospital, Fudan University, Shanghai 200032, China |
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| Abstract:Objective：To investigate the current status of suture needle-stick injuries in the operating room, and to discuss the methods of reducing the risk of needle-stick injuries.
Methods：A questionnaire survey was conducted regarding the current status of occurrence, causes, and treatment of suture needle-stick injuries in 110 surgeons from 5 departments of the hospital. Among whom, 20 surgeons were selected into the blunt suture needles group. The 20 surgeons used ordinary needles from January 2018 to June 2018 (before intervention), and used blunt suture needles from July to December (after intervention). The effect of blunt suture needles on the incidence of needle-stick injuries was evaluated.
Results：Among 110 surgeons, 19.1% had a suture needle-stick injury in the past month. The main time of occurrence was when the main surgeon or assistant carry out the operation and docking, and when the nurse handed the needle to the main surgeon or assistant o during the operation. The incidence was highest when physical and mental exhaustion occurs and operation time was longer. And 52.4% of needle-stick injuries could be discovered by the surgeon in time, and 57.1% of surgeons reported to the related departments on their own initiative. The frequency of needle-stick injury was 28 times/1000 person days and 7 times/1000 person days before and after intervention, respectively, and the incidence of was reduced by 75% (IRR=4.061, 95% CI 2.357-6.996).
Conclusions：The incidence of needle-stick injury is high, and the timely discovery rate is low, with low report rate on the surgeons’ own initiative. The blunt suture needle can reduce the risk of needle-stick injury in the surgery, which is worthy of clinical application. |
| keywords:operating room needle-stick injury blunt suture needle intervention |
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